On March 7th, PURE members Drs. Trish Henwood, Laura Diegelmann and Cindy Hsu, working in conjunction with some of Rwanda’s Internal Medicine residency leaders Drs. Tim Walker, Gene Bukhman and Yuki Aoyagi conducted a full-day ultrasound session for 15 internal medicine residents at the Centre Hospitalier Universitarie de Kigali’s (CHUK) Simulation Center. The team lectured on introduction to ultrasound physics, cardiac ultrasound, DVT evaluation, and abdominal ultrasound (focusing on FAST, with a brief overview of biliary, renal/bladder). The didactics were interspersed with practical sessions for the trainees to familiarize themselves with knobology as well as perform the aforementioned exams on each other. The trainees asked plenty excellent questions throughout the day, picked up the techniques quickly and left eager to work with their attendings in applying their newly acquired skills during their future clinical encounters.
Stay tuned for updates on PURE’s upcoming training sessions and
clinical scanning shifts with the CHUK emergency physicians in the
weeks to come!
We have been on the ground here in Rwanda for several days preparing for the IM training that will take place tomorrow. The classroom is ready to go and we have 18 eager participants who will learn the basics of the cardiac, abdomen and DVT ultrasound exams. The past few days have been busy preparing and meeting with key stakeholders to collaborate on and move forward with the future trainings and assessments. Leaders in the Faculty of Medicine, Ministry of Health and current training programs have been very supportive of PURE’s efforts and encouraging as we discuss shared goals and training focuses. We have also met with past PURE trainees and gotten their suggestions for expanding the project into district hospitals, and we plan to do some additional site visits next week. Two new Emergency Medicine instructors have joined PURE’s efforts and hopefully will participate in future training sessions in addition to helping to support internal medicine and emergency medicine trainees over the next few weeks.
Laura Diegelmann, MD RDMS is from the University of Maryland where she completed an Ultrasound Fellowship. She most recently lived in Cape Town, South Africa working on an ultrasound research project in one of their district hospitals located in the township of Khayelitsha. Cindy Hsu, MD is from the University of Pennsylvania where she is currently chief resident. She has a strong interest in Ultrasound and will be joining the team at Shock Trauma in Maryland for a critical care fellowship in July. Both have added significantly to planning for future projects so far and we are looking forward to trainings to begin tomorrow!
Yesterday, we completed our 7th and last day of training. With the great work of our ultrasound instructors and good support from HRH and the Ministries of Health and Education, we provided training to just over 150 clinicians and medical students. We offered instruction in rapid ultrasound assessment of the abdomen and heart to all final year medical students. They will be heading to district hospitals as interns in less than a year taking on great clinical responsibilities. What we learned from last year’s trainees highlighted the power of basic ultrasound skills to save lives. We also trained last year’s first cohort of PURE trainees to the level of instructors and we are looking forward to continue to work with this motivated and talented group of physicians to advance point-of-care ultrasound education in Rwanda. We want to thank Dr. Joe Novik, of HRH Rwanda, for a great collaboration, and give a nod to our team of instructors:
- Dr. Nick Avitabile, St. Luke’s-Roosevelt Hospital Center
- Dr. Kristin Dwyer, Boston Medical Center
- Dr. Trish Henwood, Brigham and Women’s Hospital
- Dr. Nicole Kaban, St. Luke’s-Roosevelt Hospital Center
- Dr. Megan Leo, Boston Medical Center
- Dr. Resa Lewiss, St. Luke’s-Roosevelt Hospital Center
- Dr. Raja Rao
- Dr. Josh Rempell, Brigham and Women’s Hospital
- Dr. Sam Vaillancourt, St. Michael’s Hospital
This project was made possible thanks to financial support from Philips Healthcare, and product support from Sonosite and Medaphor.
Day 2 of the PURE training. Working closely with the HRH project. PURE deployed two teams of ultrasound instructors.
Four instructors for PURE joined Joe Novik, of HRH, to train 25 Internal Medicine residents at the Centre Hospitalier Universitaire de Kigali (CHUK). Residents learned through a series of lectures and intensive hands on experience the basics of detection of free fluid in the abdomen and the pericardium, along with point-of-care echocardiography and detection of deep vein thrombosis. The team of instructors were impressed by the talent, dedication, and professionalism of the residents.
Meanwhile, PURE sent another group of instructors to train a cohort of medical students in Butare. Impressive results for a busy day of work in Rwanda.
– Sam Vaillancourt
Day #1 of PURE Training. Great team of ultrasound instructors from PURE, working in close collaboration with HRH ultrasound leadership begins October training.
On day 1, PURE team completed a one day training on point-of-care echocardiography and basics of regional anesthesia with the HRH cohort of anesthesia residents. A great day with small groups of leaners, many instructors, and great access to new ultrsound machines.