March 2017 Kigali, Rwanda

March 2017
Kigali, Rwanda

Pass & Play: The Play by Play

Emergency Medicine residents at CHUK in Kigali, Rwanda experienced the glory of friendly competition in Point of Care Ultrasound in the first ever edition of ‘Pass and Play.’  As a visiting fellow working with PURE, I had the opportunity to lecture to the residency during conference days every Wednesday.  Instead of image review, I created a competition for the residents inspired by similar competitions in the US.  A cross between jeopardy and plain old “pimping,” the residents divided into teams by classes and were challenged to cases with ultrasound acquisition and image interpretation.  Across the board there was excellent performance, including the 1st year residents who have had quite limited exposure to point of care ultrasound.   Despite my attempts to stump the 3rd year residents, they were an unstoppable force.  The final jeopardy question was unanticipated by the group since it reverted back to the basics of physics in ultrasound.  A senior resident came through at the last moment to explain the principles of sound in ultrasound to win the grand prize.  

During my time at CHUK, the residents have shown a breadth of knowledge and experience that has only improved over their years of training at CHUK.  I have been fortunate to see the current class of graduating seniors both in their first year and now as seniors and am proud to have had a small part in their education.  They will make excellent physicians, and furthermore, many of them will go on to academic positions to continue to educate future generations of emergency physicians in Rwanda.  

PURE now runs a full month rotation in which residents rotate with a US faculty or fellow who guides them with technique and interpretation.  In addition to the teaching experience, I have also had the opportunity to learn from the physicians here who apply point of care ultrasound in epidemiologically unique ways, such as the FASH exam used in the diagnosis of HIV associated extra pulmonary Tuberculosis.  This is a concept that could be applied to similarly immunocompromised patients in the US, which I plan to utilize when I return home.  

The experience of the residents and faculty at CHUK is evident in that many different specialties, including emergency medicine, depend on the accessibility and accuracy of the ultrasound for timely management of their patients.  It is a true testament to the power of point of care ultrasound and has been a wonderful experience in academic emergency medicine.

Special thanks to the HRH faculty for hosting as well as the residents who rotated with us this month, and finally, the visiting medical student from Norway, Charlotte, who kept us all organized!

Dr. Alissa Genthon
Fellow in Critical Care
Department of Emergency Medicine
Brigham and Women’s Hospital