Plastic Surgery – Uganda? Dr. Kevin Bush UBC
UBC Division of Plastic Surgery participation <ul><li>12 active division members </li></ul><ul><li>5 of 12 members doing o...
BC participation <ul><li>2 plastic surgeons from Campbell river doing work in Guatemala </li></ul><ul><li>1 plastic surgeo...
 
Why Uganda? <ul><li>Other groups going </li></ul><ul><li>Loose agreement with UBC </li></ul><ul><li>Possible new residency...
 
Uganda-Political issues <ul><li>Limited resources </li></ul><ul><li>“Stable government” </li></ul><ul><li>32 year war </li...
Mulago Hospital <ul><li>Group rounds </li></ul><ul><li>Weekly opd clinic </li></ul><ul><li>Weekly rounds </li></ul><ul><li...
My Week <ul><li>Monday - 8:00am Weekly Meeting at Dept. of Surgery followed by patient rounds </li></ul><ul><li>Tuesday - ...
 
 
 
 
 
 
 
 
 
 
 
Medical Resources <ul><li>Mulago hospital  </li></ul><ul><ul><li>– 32 million referral hospital. Four surgeons – none plas...
Plastic surgery equipment resources at Mulago <ul><li>Microscope – uncertain ability to focus </li></ul><ul><li>C-arm – no...
Anaesthesia <ul><li>Problematic </li></ul>
Nursing <ul><li>Present </li></ul><ul><li>Visiting nurse in past was a poor experience making nursing assistance EXTREMELY...
Current Medical relationships <ul><li>Netherlands burn connection </li></ul><ul><li>Smile train </li></ul><ul><li>Summerla...
Who does what? <ul><li>Hand surgery – nobody and everybody </li></ul><ul><li>Soft tissue coverage – plastics occasionally ...
Residency Program <ul><li>Approved </li></ul><ul><li>Not yet in place </li></ul><ul><li>Residents unfunded </li></ul><ul><...
What they want <ul><li>Collaborative relationship </li></ul><ul><ul><li>Possible rotations in Vancouver </li></ul></ul><ul...
Problems <ul><li>Equipment issues </li></ul><ul><li>Anaesthesia issues </li></ul><ul><li>Nursing issues </li></ul><ul><li>...
What could we set up? <ul><li>Collaboration with other groups from UBC during their visits </li></ul><ul><li>Program devel...
Model week <ul><li>Arrive weekend </li></ul><ul><li>Monday clinic </li></ul><ul><li>Plastics main OR toes and Friday </li>...
Costs <ul><li>1000 dollars per trip for accommodation, licensing etc </li></ul><ul><li>Airfare 2300 dollars </li></ul><ul>...
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Bush - Plastic Surgery - Uganda?

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Bush - Plastic Surgery - Uganda?

  1. 1. Plastic Surgery – Uganda? Dr. Kevin Bush UBC
  2. 2. UBC Division of Plastic Surgery participation <ul><li>12 active division members </li></ul><ul><li>5 of 12 members doing overseas work </li></ul><ul><li>8 residents set to go </li></ul><ul><li>6 of 8 residents completed missions </li></ul><ul><li>2 did not complete missions because of political issues i.e. 9/11 </li></ul>
  3. 3. BC participation <ul><li>2 plastic surgeons from Campbell river doing work in Guatemala </li></ul><ul><li>1 plastic surgeon in Kelowna </li></ul><ul><li>Dr.Rai running operation rainbow out RCH </li></ul><ul><li>1 surgeon from Victoria </li></ul>
  4. 5. Why Uganda? <ul><li>Other groups going </li></ul><ul><li>Loose agreement with UBC </li></ul><ul><li>Possible new residency program </li></ul><ul><li>Chance to build capacity </li></ul><ul><li>Chance for full division participation </li></ul><ul><li>Regular resident participation </li></ul>
  5. 7. Uganda-Political issues <ul><li>Limited resources </li></ul><ul><li>“Stable government” </li></ul><ul><li>32 year war </li></ul><ul><li>Public/private medical system </li></ul><ul><ul><li>500 dollars a month </li></ul></ul>
  6. 8. Mulago Hospital <ul><li>Group rounds </li></ul><ul><li>Weekly opd clinic </li></ul><ul><li>Weekly rounds </li></ul><ul><li>2 plastic OR days a week </li></ul><ul><li>3 Burn days a week </li></ul>
  7. 9. My Week <ul><li>Monday - 8:00am Weekly Meeting at Dept. of Surgery followed by patient rounds </li></ul><ul><li>Tuesday - 9:00 am Plastic OR day at Mulago Hospital </li></ul><ul><li>Wednesday - In-patient rounds (9:00am start) </li></ul><ul><li>                   - meeting with Ministry of Health </li></ul><ul><li>                   -meeting with Dept. of Dentistry </li></ul><ul><li>Thursday - 7:00 am - Private Clinic day with Dr. Khingi </li></ul><ul><li>Friday - available in case Wednesday meetings have to be rescheduled </li></ul>
  8. 21. Medical Resources <ul><li>Mulago hospital </li></ul><ul><ul><li>– 32 million referral hospital. Four surgeons – none plastic surgery certified. </li></ul></ul><ul><ul><li>Approximately 1000 burn admissions a year </li></ul></ul><ul><li>CBM – mission hospital doing more elective surgery. One British trained plastic surgery. One local trained plastic surgeon. </li></ul>
  9. 22. Plastic surgery equipment resources at Mulago <ul><li>Microscope – uncertain ability to focus </li></ul><ul><li>C-arm – not working </li></ul><ul><ul><li>Donated c-arm waiting at Cambie </li></ul></ul><ul><li>Dingman – occasionally </li></ul><ul><li>Plates and screws – not available </li></ul><ul><li>Sutures limited </li></ul>
  10. 23. Anaesthesia <ul><li>Problematic </li></ul>
  11. 24. Nursing <ul><li>Present </li></ul><ul><li>Visiting nurse in past was a poor experience making nursing assistance EXTREMELY difficult </li></ul><ul><li>Dedicated burn unit </li></ul><ul><li>Plastic floor </li></ul>
  12. 25. Current Medical relationships <ul><li>Netherlands burn connection </li></ul><ul><li>Smile train </li></ul><ul><li>Summerland from UK </li></ul><ul><li>Occasional visiting surgeons </li></ul><ul><li>CBM? </li></ul>
  13. 26. Who does what? <ul><li>Hand surgery – nobody and everybody </li></ul><ul><li>Soft tissue coverage – plastics occasionally but relationships with orthopedics and other specialties limited </li></ul><ul><li>Clefts – CBM plastic surgeons </li></ul><ul><ul><li>Mulago plastic surgeons </li></ul></ul><ul><ul><li>Lips and palates only </li></ul></ul><ul><li>Burns – Mulago plastic surgeons </li></ul><ul><li>Elective plastics? </li></ul>
  14. 27. Residency Program <ul><li>Approved </li></ul><ul><li>Not yet in place </li></ul><ul><li>Residents unfunded </li></ul><ul><li>Curriculum unclear and minimally developed </li></ul><ul><li>Certification - COSECA </li></ul>
  15. 28. What they want <ul><li>Collaborative relationship </li></ul><ul><ul><li>Possible rotations in Vancouver </li></ul></ul><ul><li>Curriculum development for COSECA certification </li></ul><ul><li>Development of current skill set </li></ul>
  16. 29. Problems <ul><li>Equipment issues </li></ul><ul><li>Anaesthesia issues </li></ul><ul><li>Nursing issues </li></ul><ul><li>Work ethic </li></ul>
  17. 30. What could we set up? <ul><li>Collaboration with other groups from UBC during their visits </li></ul><ul><li>Program development </li></ul><ul><li>Curriculum development and particularly filling in areas of expertise not largely available there </li></ul><ul><li>Resident /staff education </li></ul>
  18. 31. Model week <ul><li>Arrive weekend </li></ul><ul><li>Monday clinic </li></ul><ul><li>Plastics main OR toes and Friday </li></ul><ul><li>Burns OR Weds, Thurs, Friday </li></ul><ul><li>CBM OR day </li></ul><ul><li>Teaching </li></ul>
  19. 32. Costs <ul><li>1000 dollars per trip for accommodation, licensing etc </li></ul><ul><li>Airfare 2300 dollars </li></ul><ul><li>Miscellaneous equipment costs </li></ul><ul><li>Roughly 4000 dollars per person per trip </li></ul>

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