The Bethune Round Table on International Surgery

The Bethune Round Table on International Surgery

"Research into Action"
Friday, May 26th - Saturday, May 27th, 2006
07:00 - 17:00
Bahen Centre for Information Technology
40 St. George Street

University of Toronto
Toronto, ON CANADA

CONFERENCE PROCEEDINGS
View as a pdf file

Friday, May 26th, 2006

Time
7:00	BREAKFAST and REGISTRATION (Bahen Centre Foyer)
7:30	Welcome and Opening Remarks Dr. Richard Reznick, R.S. McLaughlin Professor & Chair, Department of Surgery, University of Toronto Dr. David Zakus, Director, Centre for International Health, University of Toronto, Toronto, Canada Dr. Massey Beveridge, Director, Office of International Surgery, University of Toronto, Toronto, Canada

		KEYNOTE ADDRESS:
8:00	War related injuries: can hospital data help prevention? Dr. Robin Coupland, Medical Advisor, Mines-Arms Unit, Legal Division, Internaitional Committee of the Red Cross, Geneva, Switzerland
8:45		PANEL DISCUSSION (Q&A)
		SESSION 1: ENGAGING THE POLICY MAKERS Chairperson: Marco Baldan
9:00	Engaging the Policy Makers Dr. Christopher Samkange, Secretary-General, College of Surgeons of East, Central & Southern Africa, Director of the Institute of Continuing Health Education, University of Zimbabwe College of Health Sciences, Zimbabwe
9:25	How to Improve Quality and Efficancy of Surgical Training in Africa - The Challenges Dr. Mesfin Minas, Head, Department of Surgery, Addis Ababa University Medical Faculty, Addis Ababa, Ethiopia
9:50	The role of professional associations towards reaching policy makers in the East and Central African regions: How wide is the gap? Dr. Joseph Kahamba, Associate Professor, Neurosurgery at Muhimbili University College of Health Sciences (MUCHS) in Dar es Salaam, Head, Neurosurgical Department at Muhimbili Orthopaedic and Neurosurgical Institute.
10:15		PANEL DISCUSSION (Q&A)
10:45	COFFEE
		SESSION 2: Chairperson: Christopher Samkange
11:15	Recruiting, training and retaining young surgeons Dr. Madan Rambaran, Director of Professional and Medical Services, Georgetown Public Hospital Corporation, Georgetown, Guyana Dr. Brian Cameron, Associate Professor of Pediatric Surgery, McMaster University, Hamilton, Canada
12:00	LUNCH
		SESSION 3(A): CONCURRENT SCIENTIFIC SESSION Chairperson: Mark Bernstein	SESSION 3 (B): CONCURRENT SCIENTIFIC SESSION Chairperson: Andrew Howard
13:00	Reducing the complications of ventrico-peritoneal shunt placement for hydrocephalus in Kathmandu, Nepal Dr. Karim Mukhida, Division of Neurosurgery, University of Toronto, Canada		Children's injury in Uganda: Access to care and application of data Dr. Alexandra Mihailovic, Department of Surgery, University of Toronto, Toronto, Canada
13:15	Comprehensive cranio-facial correction of frontoethmoidal meningoencephaloceles Dr. Jim Gollogly, CEO, Children's Surgical Centre, Phnom Penh, Cambodia		Prevalence of HIV in patients with anorectal sepsis and its clinical pattern in Mulago Hospital Dr. Eluid Aluvaala
13:30	Experience with management of clubfoot in Sudan: Sudan clubfoot project Dr. Steve Mannion, Consultant Orthopaedic Surgeon, Feet First, Blackpool, Lancanshire, United Kingdom		Incidence of cleft lip and palate in Addis Ababa Dr. Sissay Befikadu
13:45	Surgery at the district hospital in Malawi Dr. Chris Lavy, Visiting Professor, Oxford University, UK		Reducing the cost of laparoscopic inguinal hernia repair Dr. Ravinder Singh Thind, Consultant Surgeon, Sidhu Hospital Pvt. Doraha, PB. India
14:00	Modelling armed violence and its effects Dr. Robin Coupland, Medical Advisor, Mines-Arms Unit, Legal Division, International Committee of the Red Cross, Geneva, Switzerland		Community-based rehabilitation and orthopaedic surgery for children with motor impairments in an African context Dr. Norgrove Penny, CBM International, Vancouver, BC, Canada
14:15	Delay in emergency surgical care in Ethiopia Dr. Ronald Lett, President and International Director, Canadian Network for International Surgery, Vancouver, Canada		Sugar Dressings in the treatment of malodorous wounds Dr. Steve Mannion, Consultant Orthopaedic Surgeon, Feet First, Blackpool, Lancanshire, United Kingdom
14:30	COFFEE
		SESSION 4: BARRIERS AND INCENTIVES TO MAKING THE CHOICE OF A SURGICAL CAREER IN EAST AFRICA Chairperson: Dr. Massey Beveridge
15:00	Training surgeons in Ethiopia: The current trend Dr. Mulat Taye, Associate Professor of Surgery, Addis Ababa University, Addis Ababa, Ethiopia
15:20	Barriers and incentives to making the choice of a surgical career in East Africa Dr. Edward Naddumba, Senior Consultant Surgeon, Mulago Hospital, Kampala, Uganda
15:40	Strengths and weaknesses of surgical residency training in Nigeria Dr. Adeyinka Charles Adisa, Head, Department of Surgery, Director, Postgraduate Programme, Consultant Surgeon, Associate Professor, Abia State University Teaching Hospital, Abia State, Nigeria

16:00		PANEL DISCUSSION (Q&A)
17:00	PUB NIGHT
Saturday, May 27^th, 2006
Time
7:30	BREAKFAST
		SESSION 5: SURGERY IN AFRICA MONTHLY READING COURSE Chairperson: Dr. Andrew Howard
8:00	Ptolemy and the Surgery-in-Africa Reading Course Dr. Massey Beveridge, Director, Office of International Surgery, University of Toronto, Toronto, Canada
8:20	How applicable is Western derived evidence to African patients? Dr. Brian Ostrow, Editor, Surgery in Africa Monthly Reading Course, Guelph, Canada
8:40	Changing surgical practices in Africa: Towards evidence-based surgery Dr. Pankaj Jani, Editor, Surgery in Africa Monthly Reading Course, Associate Professor, University of Nairobi, Kenya
9:00		PANEL DISCUSSION (Q&A)
9:30	COFFEE
		SESSION 6: INNOVATIONS IN SURGICAL EDUCATION I Chairperson: Dr. Niall Byrne
10:00	WHO integrated management for emergency and essential surgical care toolkit towards achieving the MDGs Dr. Meena Cherian, Emergency & Essential Surgical Care, Clinical Procedures Unit (CPR), Department of Essential Health Technologies, World Health Organization, Geneva, Switzerland
10:20	Innovations in surgical training: the COSECSA approach Dr. Christopher Samkange, Secretary-General, College of Surgeons of East, Central & Southern Africa, Director of the Institute of Continuing Health Education, University of Zimbabwe College of Health Sciences, Zimbabwe
10:40	Essential surgical skills training in Ethiopia: The past and the future Dr. Mulat Taye, Associate Professor of Surgery, Addis Ababa University, Addis Ababa, Ethiopia
11:00	Simulated surgical skills training: Why not in sub-Saharan Africa? Dr. Miliard Derbew, Assistant Professor of Surgery, Addis Ababa University, Addis Ababa, Ethiopia
11:20		PANEL DISCUSSION (Q&A)
12:00	LUNCH
		SESSION 7: INNOVATION IN SURGICAL EDUCATION II: THE INTERNATIONAL RESPONSE Chaiperson: Dr. Edward Naddumba
13:00	How can the West best help African Surgery? Exploring new ways of co-operating in surgical education in East, Central and Southern Africa Dr. Chris Lavy, Visiting Professor, Oxford University, United Kingdom
13:20	Dutch Tropical Surgery: From colonialism towards capitalism Dr. Peeter Reemst, Secretary, Dutch Society of Tropical Surgery, Treasurer, International Federation of Rural Surgery
13:40	The ICRC War Surgery Seminars: Delivering CME Near The"Frontlines" Dr. Marco Baldan, Head of the Surgical Division, International Committee of the Red Cross, Geneva, Switzerland
14:00	Improving Surgical Care in East Africa: Do we need more surgeons? Dr. Massey Beveridge, Director, Office of International Surgery, Assistant Professor, University of Toronto, Toronto, Canada
14:20		PANEL DISCUSSION (Q&A)
15:00	COFFEE
		SESSION 8: REPORTS FROM AFAR Chairperson: Dr. Massey Beveridge
15:30	Lokichokio Hospital is closing: The history of ICRC's biggest independent hospital Dr. Marco Baldan, Head of the Surgical Division, International Committee of the Red Cross, Geneva, Switzerland
16:00	The INOR hsopital orthopaedic reconstruction project for earthquake victims, Abbottabad, Pakistan Dr. Steve Mannion, Consultant Orthopaedic Surgeon, Feet First, Blackpool, Lancanshire, United Kingdom
16:30	The Kashmir earthquake: Experience with relief in Islambad, Pakistan Dr. Talat Chughtai, Trauma Surgeon, Sunnybrook & Women's College Health Sciences Centre, Toronto, Canada
17:00	CLOSING NOTES

19:00	The ANNUAL BETHUNE ROUND TABLE DINNER After Dinner Speaker: Dr. Jonathan Kaplan, Author "THE DRESSING STATION & CONTACT WOUNDS"

	sUNDAY, mAY 28, 2006

	Surgical Education for Africa Office of International Surgery / Canadian Network for International Surgery Surgical Skills Lab - Mt. Sinai Hospital

8:30	Registration & Coffee
8:45	Introduction and Welcome (Andrew Howard)
9:00	Tour of Surgical Skills Centre (Lisa Satterhwaite, Miliard Derbew)
	SESSION 1: CURRENT STATE OF PROBLEMS AND SOLUTIONS
9:30	Introduction (Andrew Howard)
9:40	The State of Surgical Training in Ethiopia and East Africa (Miliard Derbew)
10:00	ACCESS and Innovation Projects (Ronald Lett / Mulat Taye)
10:20	Ptolemy Project, /Surgery-in-Africa (Massey Beveridge / Brian Ostrow)
10:40	Psychiatry Training in Ethiopia (Clare Pain)
11:00	Assignments and breakout sessions (Andrew Howard)
11:15	Coffee
	SESSION 2: SMALL GROUP BREAKOUT SESSIONS
11:30	Each group will be given a single page writeup of one of the above projects. After discussion, each group will report on:
		Objectives of the project
		Is the project educationally sound
		Is the project developmentally sound
		Are the objectives being met
		Strengths
		Areas for improvement or further development
12:00	Reports from Breakout Sessions
12:30	Lunch
	SESSION 3: OPPORTUNITIES FOR DEVELOPMENT
1:30	WHO eLearning toolkit (Meena Cherian)
1:45	Curriculum for Surgical Education (Miliard Derbew)
2:00	Surgical Laboratories / Infrastructure (Ronald Lett)
2:15	Technology and Distance Learning: The Canadian Connection (Andrew Howard)
	SESSION 4: PROJECT DESIGN
2:30	Small group breakout sessions (3). Each group will be assigned one of the following broad areas and asked to produce the outline of a project to improve education of surgeons in East Africa. After discussion, each group will report on:
		Target participants
		Faculty
		Learning / Teaching objectives
		Format
		Duration
		Curriculum
		Assessment of Participants
		Evaluation of Project
	Suggested projects include:
		1. Technology enabled distance learning (of anything relevant)
		2. Training of surgeons in education
		3. Training using surgical teaching laboratories
		4. Engaging civil society in surgical development
		5. Surgical residency redesign
		6. Any other project the group desires
3:00	Presentation of group reports ( 10 minutes each)
3:30	Wrap up and Farewell

	Conference ORGANIZERS:
	Massey Beveridge Director, Office of International Surgery Attending Staff, Ross Tilley Burn Centre Sunnybrook & Women's College Health Sciences Centre Assistant Professor, University of Toronto		Dr. Mark Bernstein, Professor, Department of Surgery University of Toronto

	Andrew Howard Pediatric Orthopaedic Surgeon Hospital for Sick Children Assistant Professor University of Toronto		Dr. Miliard Derbew, Assistant Professor of Surgery Addis Ababa University Fellow, Office of International Surgery

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	BETHUNE ROUND TABLE ON INTERNATIONAL SURGERY ACCREDITATION The Continuing Education Office, Faculty of Medicine, University of Toronto designates this educational activity for a maximum of 14 category 1 credits toward The AMA Physician's Recognition Award. Each physician should claim only those credits that he/she actually spent in the activity. This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada, approved by University of Toronto (14 hours). As a result of a reciprocal agreement between the European Accreditation Council for Continuing Medical Education (EACCME) and the American Medical Association (AMA), European registrants may claim 14 of AMA Category 1 as equivalent.