1.Hugh Greenwood BAPS Neonatal Skills Course Rwanda 2018
This is the 3th Preconference training course for the COSECSA meeting. The venue was the Kigali National Hospital Skills laboratory in Kigali Rwanda.
The faculty included:
Haitham Dagash , Merrill McHoney, Kokila Lakhoo
Edmond Ntaganda, Vivian Ntabela
There were 18 participants from 12 countries and mixed group of paediatric surgery trainees,general surgery trainees and 4 medical students with interest in paediatric surgery.We design the course for 3 levels of skills : the specialist paediatric surgeon,general surgeon with interest in childrens surgery and medical students. The skill level of the participants was high and the discussions very lively. We were impressed even by the medical students knowledge and skill set. The content included stitching,knot tying, bowel anastomosis, gastrostomy, discrepancy anastomosis, duodenal atresia and TOF model with discussions around the topics.
The local organisation was good with a technician at our disposal in preparing tissue and setting out for the course.The course was delivered at a high standard and has become very popular as reflected in the feedback below
|Relevance of course||100%||Relevant to all participants training as the course was delivered for 3 levels of expertise|
|100%||Extramucosal is great technique.
Discrepancy anastomosis was good
|2. gastrostomy||100%||Good suture size
Medical students enjoyed this model and found it most useful
|3. duodenal atresia||100%||Learnt new technique
Tricky but excellent technique
|4. TOF||92%||Enjoyed challenge
Chest cavity model avoided cheating
Some chest walls were too deep
|5. Stitching and knot tying for medical students||100%||We want to be children’s surgeons now. Thank you for including us. We know how to secure a chest drain and do paediatric skin stitching|
|6. bowel anastomosis for Medical students||100%||We had excellent material. We learnt new techniques and learnt to stitch|
|Course generally||91%||Need more models
Run over 2 days
Run in other countries
|Need more models
Run over 2 days
|Organisation by LOC||96%||Powerpoint facilities
Would have been useful
(we were short changed by 2 other courses using the projector)
|Course delivered well on white board and markers|
The course ended at 6 pm. We had an interactive discussion on all the topics and COSECSA is in discussion with the COSECSA council and examination board to use this course as a prerequisite for the COSECSA paediatric surgery fellowship examinations.
2. Paediatric Surgery Fellowship Exams
Professor Lakhoo was the external examiner for the above exams. There were 4 candidates from Kenya, Uganda, Zimbabwe and Zambia. All four passed and presented a high level of clinical and theoretical knowledge. The examiners meeting revised the sample questions and clinical scenarios as they were 7 years old. I provided clear information on standard setting , briefing of new examiners and observers who are examiners for 2019. Rules for examiner selection was set and 3 examiners were moved to the membership exams.
Prof. Kokila Lakhoo