Since initial needs assessments and consultations, BISC 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, Monique McLaughlin
Dr. Naisan Garraway completed medical school after joining the Canadian Armed Forces. He served as the Canadian Military Senior Medical Advisor with NATO in Bosnia-Herzegovina. In 2001 he began a General Surgical residency at UBC in Vancouver. Dr. Garraway completed a one year trauma and two year critical care fellowship also at UBC. He has served 4 tours of duty in Afghanistan at the military hospital in Kandahar and is currently the Medical Director for the Canadian Forces Trauma Training Centre (West). Dr. Garraway is also the Medical Director of the Trauma Program and a General/Trauma Surgeon and ICU Physician on staff at Vancouver General Hospital.
Monique McLaughlin is an Emergency Nurse Practitioner at Vancouver General Hospital.
Team: Richard Simons, , 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
Mark Nigro is a Clinical Professor in the Department of Urologic Sciences at UBC. He is also a Principal Investigator at ICORD, the Director of the Provincial Organ Retrieval Program, Surgical Director of Renal Transplant at the Vancouver General Hospital, and Co-Director of the Vancouver Ejaculatory Dysfunction Clinic. His research interests include infertility and urologic prosthetics with focus on adult urologic cases and special interest in organ transplantation. Dr. Nigro works with many hospitals as a member of the Consultant Staff at the Children’s & Women’s Health Centre of British Columbia, St. Paul’s Hospital, GF Strong Centre, and Pearson Hospital.
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
Dr. Chris Reilly is the Head of the Department of Orthopaedic Surgery at BC Children's Hospital and Head of the Division of Pediatric Orthopaedics at the University of British Columbia. He completed his fellowship in Pediatric Orthopaedics at the Texas Scottish Rite Hospital in Dallas. He is a paediatric orthopaedic surgeon specializing in the management of paediatric trauma and spinal deformity. He is also the orthopaedic consultant to the Neuromuscular Clinic. His current research interests include functional and surgical outcomes surrounding pediatric trauma, spinal deformities, neuromuscular conditions and athletic knee injuries.
Dr. John Street is an Assistant Professor within the Department of Orthopedics at UBC, in addition to being co-Medical Director of the Complex Spine Program at VGH, Clinical Lead for the Integrated Ambulatory Spine Program and coordinator of the undergraduate and postgraduate education programs. His clinical practice involves the surgical and non-surgical management of adult patients with spinal disorders, across the entire breadth of degenerative and traumatic conditions of the spine.
Across the globe, many women suffer from stigma associated with disfiguration, socially excluding injuries, and trauma often inflicted on them for reasons due to their ethnicity, social traditions or typical environmental conditions surrounding them. Reconstructing Women International program is aimed to treat patients in their local communities by international women plastic surgeons through the use of local medical facilities. This is done through the collaboration of local medical professionals, national plastic surgical societies, or other existing specific plastic surgery bodies.
Project leader: Nancy Van Laeken
Dr. Nancy Van Laeken is a Clinical Professor in the Division of Plastic Surgery at UBC. She is an active Plastic Surgery staff member at many lower mainland hospitals, to include PHC, LGH, VA and BCCH. She also travels to Bella Bella and Bella Coola in remote BC twice a year to treat patients. Dr. Van Laeken has been participating in humanitarian work overseas (India, Africa and Bangladesh), for the past 7 years, with the organization Reconstructing Women International and she visited the Phillipines in 2011 with Health for Humanity.
Support continued expansion of our partnership with Reconstructing Women International and our shared vision of realizing surgical care access across the globe. Help local medical facilities and international women plastic surgeons collaborate to deliver treatment together. Have a profound impact on women suffering from injuries and trauma often inflicted on them as a result of their ethnic background, social traditions, or environmental conditions.
We are pleased to be partnering with the Reconstructing Women International Organization through the continued dedication of our advisory committee member Dr. Nancy VanLaeken.
To make a donation towards our partnership with Reconstructing Women International, please click on the button below:
Collaborations between UBC, Vancouver General Hospital, Ministry of Health in Indonesia and the National Brain Center (PON) have been fostered at the request from the Foundation for International Education for Neurological Surgery (FIENS) for assistance with Institutional Specialty Expertise development. The institute located in Jakarta is a national resource known as being one of the top national centers in Indonesia. It strives to meet international standards and to provide the highest quality of care for Indonesia. On a national scale, development of skills and expertise will greatly impact the scope and quality of care for neurological conditions. The Clinical components include Neurology, Neurosurgery, Critical Care, Anesthesiology and Physiatry.
Project leaders: Brian Toyota, David Fairholm
Dr. Brian Toyota is an Assistant Professor in the Division of Neurosurgery at UBC. He is currently staffed at Vancouver General Hospital (VGH) and the BC Cancer Agency. He was the Residency Program Director, Co-Chair of the BCCA/Vancouver Stereotactic Radiosurgery Program, Provincial Chair of Neuro-oncology for the BCCA, and President of the Canadian Neurosurgical Society. He is currently the project leader for the collaboration between UBC and the National Brain Center (PON) in assisting with Institutional Specialty Expertise development in Indonesia.
Dr. David Fairholm is a Neurosurgeon and a Clinical Professor at the University of British Columbia. Internationally, he has been influential in establishing a broad range of clinical education programs and reform initiatives in Taiwan and in Indonesia. Currently, Dr. Fairholm is Executive Dean at Pelita Harapan University where he is providing advisory services in clinical education reform and administration. He is a member of the Foundation for International Education in Neurological Surgery and held the position of Secretary to the Board for eight years.
In 2015, BISC Faculty conducted preliminary environmental scans in Mexico City. Another BISC 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
Dr. Ross Brown is a Clinical Professor, Department of Surgery, UBC, and is a practicing general surgeon and trauma surgeon at Vancouver General Hospital. He is also an Associate Medical Director of the Canadian Forces Trauma Training Centre (West). He has completed two tours in Bosnia and three in Afghanistan. In 2010, Dr. Brown was seconded to the Vancouver Olympic Committee to support the Olympic and Paralympic Games, managing the Whistler Polyclinic, which included the Mobile Medical Unit.
Dr. Emilie Joos is a practicing general surgeon and trauma surgeon at Vancouver General Hospital. At the completion of her surgical critical care training, she was appointed as a clinical instructor in trauma at University of Southern California. Dr. Joos participated in a volunteer mission to Haiti with the Medishare project, where she taught basic trauma care to local healthcare providers. She is an instructor for the Advanced Surgical Skills for Exposure in Trauma and an Advanced Trauma Life Support course director.