The Scotland-Malawi link in Pathology Prof. FA Carey Scottish Pathology Network (SPAN)
Pathology <ul><li>Clinical – tissue diagnosis of disease </li></ul><ul><li>Academic – study of disease  </li></ul>Schistos...
Our involvement in Malawi <ul><li>College of Medicine (COM) Blantyre </li></ul><ul><li>Diagnostic need is massive (very fe...
What we do… <ul><li>3 pathologists visit each year </li></ul><ul><li>Work with national and international bodies (IAP, RCP...
Benefits to us…. <ul><li>Teaching in a different disease context </li></ul><ul><li>Exposure to clinical material rarely se...
Exit strategy…. <ul><li>Malawian doctor currently training in South Africa </li></ul>
Scottish health strategy…. <ul><li>Does one exist……? </li></ul><ul><li>Many competing sectors involved on our side </li></...
First steps…. (2006 slide!) <ul><li>A joint (Government/NHS Scotland/Universities/Charities) clinical board </li></ul><ul>...
Why has this not happened? <ul><li>I would love to know </li></ul><ul><li>Enthusiastically embraced at Oct 2006 Health Con...
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SMP - Scotland Pathology Network (SPAN), The Scotland-Malawi link in Pathology, Prof. FA Carey

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The Scotland-Malawi link in Pathology Presentation

Presented by Prof. FA Carey of the Scottish Pathology Network (SPAN) at Scotland Malawi Partnership's Health in Malawi: Towards a Coordinated Strategy Conference, 9th June 2009, Edinburgh City Chambers

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SMP - Scotland Pathology Network (SPAN), The Scotland-Malawi link in Pathology, Prof. FA Carey

  1. 1. The Scotland-Malawi link in Pathology Prof. FA Carey Scottish Pathology Network (SPAN)
  2. 2. Pathology <ul><li>Clinical – tissue diagnosis of disease </li></ul><ul><li>Academic – study of disease </li></ul>Schistosomiasis Mycobacterial infection in HIV
  3. 3. Our involvement in Malawi <ul><li>College of Medicine (COM) Blantyre </li></ul><ul><li>Diagnostic need is massive (very few patients in Malawi ever have a tissue diagnosis) </li></ul><ul><li>Education need </li></ul><ul><ul><ul><li>Medical students </li></ul></ul></ul><ul><ul><ul><li>Laboratory technical training </li></ul></ul></ul><ul><ul><ul><li>Postgraduate </li></ul></ul></ul><ul><ul><ul><li>Support for existing pathologist </li></ul></ul></ul>
  4. 4. What we do… <ul><li>3 pathologists visit each year </li></ul><ul><li>Work with national and international bodies (IAP, RCPath, Italian network) </li></ul><ul><li>Development of clinical support (case exchange, digital images) </li></ul><ul><li>Broader support of laboratory testing (VSO, Liverpool School of Tropical Medicine) </li></ul><ul><li>Consistent with MoH (Malawi) priorities </li></ul><ul><li>(tripling no. of doctors etc.) </li></ul>
  5. 5. Benefits to us…. <ul><li>Teaching in a different disease context </li></ul><ul><li>Exposure to clinical material rarely seen in Scotland </li></ul><ul><li>Forging links with colleagues in Malawi </li></ul>
  6. 6. Exit strategy…. <ul><li>Malawian doctor currently training in South Africa </li></ul>
  7. 7. Scottish health strategy…. <ul><li>Does one exist……? </li></ul><ul><li>Many competing sectors involved on our side </li></ul><ul><li>We can be subject to competitive behaviour </li></ul>
  8. 8. First steps…. (2006 slide!) <ul><li>A joint (Government/NHS Scotland/Universities/Charities) clinical board </li></ul><ul><li>Develop mechanisms to embed this effort in our culture (realising the need to minimise impact on service delivery in Scotland) </li></ul><ul><li>A means for ongoing clinical commitment </li></ul>
  9. 9. Why has this not happened? <ul><li>I would love to know </li></ul><ul><li>Enthusiastically embraced at Oct 2006 Health Conference </li></ul><ul><li>A political hot potato </li></ul><ul><li>Are we to conclude that the central effort is just window dressing? </li></ul>

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