Since initial needs assessments and consultations, Branch teams have continued returning to Gondar University Hospital in Ethiopia for Primary Trauma Care (PTC) courses and for continued monitoring and evaluation. Our team returned recently to lead the fourth PTC course, and for the first time now with surgical officers and general practitioners from primary and district hospitals in attendance; the team also delivered for the first time a case-based nursing trauma course.
Project leaders: Naisan Garraway, Richard Simons
Team: Richard Simons, Monique McLaughlin, Annie Lalande, Kristin DeGirolamo
The Urology Project kicked off with a needs assessment and consultation at Gondar University Hospital (GUH) in December 2013. To address the high burden of urologic cases and shortage of surgeons with additional training in Urology, Ethiopia and Branch teams have recruited an additional surgeon to sub-specialize in Urology. The proposed clinical Urology program included introduction of endoscopic skills, acquisition of a functioning CT scan, and development of a Stone Centre at the new, renovated GUH facilities. Also proposed were undergraduate and postgraduate training programs to institute formal urologic training curriculum, including tele-education and bilateral exchange training opportunities.
Project leader: Mark Nigro
The Spine Deformity Program began in 2015 when its needs assessment reflected the absence of native surgeons providing advanced spinal surgery locally within Ethiopia’s public health system, with no Ethiopian surgeons providing deformity correction surgery for adults or children and no national or local programs in existence for detection of spinal deformity. With financial support from the American Jewish Joint distribution Committee (JDC), many Ethiopian patients travel to the Foundation of Orthopedic and Complex Spine (FOCOS) in Ghana to have surgery; Dr. Rick Hodes, working for the JDC also assesses many spine patients in Ethiopia. However, the number of patients with severe deformity requiring surgery greatly outnumbers existing support.
For a sustainable Ethiopian Spine Deformity Program, fundamental components include: (i) Full delivery of care by local Ethiopian professionals – requiring investment in education and mentorship; (ii) Support of the Ethiopian Ministry by the Branch and the JDC for delivery of national priorities and the program; (iii) Engagement with and leadership from local academic groups (Neurosurgery and Orthopedic Departments). Currently the program is growing with development of a Clinical Assessment tool and cell-phone based ‘deformity recognition’ screening tool; mentoring and training opportunities for bilateral clinical exchanges between UBC and Ethiopian trainees; continued relations with both Neurosurgery and Orthopedic Departments at Black Lion hospital; and collaboration enhancement between existing local expertise and the JDC-run spine program.
Project leaders: Chris Reilly, John Street
In 2015, Branch Faculty conducted preliminary environmental scans in Mexico City. Another Branch team later conducted a trauma needs assessment and consultation there prior to the initial bilateral exchange in Mexico City with the Canadian Collaborative Center of Excellence for Global Humanitarian Surgical Care (see collaborations) in 2017.
Project leaders: Ross Brown, Emilie Joos