Report on FIGO Educational Activity in Sudan 28 February 1 March 2012
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1 ReportonFIGOEducational ActivityinSudan 28February 1March2012 3/8/2012 Dr Salah AS Moghraby, MGOK, FRCOG Consultant Obstetrician & Gynecologist, King Abdel Aziz Medical City (KAMC) President of Saudi National Guard Minimal Invasive Gynecology Group (Affiliated to AAGL ) Member of King Saud bin Abdel Aziz University for Health Sciences Committee for the Development of Skill Centre Dr Saeed AlSary, MBBS, SSCOG, ABOG, AFSA Consultant Urogynecologist Head Division of Urogynecology & Pelvic Reconstruction Division at King Abdel Aziz Medical City (KAMC) Assistant Professor, King Saud Abdel Aziz University for Health Sciences, National Guard Secretary of Saudi National Guard Minimal Invasive Gynecology Group (Affiliated to AAGL) Education is a human right with immense power to transform. On its foundation rest the cornerstones of freedom, democracy and sustainable human development. ( Koufi Anan) 1
2 Introduction ThefirsteducationalactivityonMinimalInvasiveSurgerywasconductedinSoba UniversityHospital,Khartoum,Sudan.Itwasaresoundingsuccessduetomanyfactors thatcollatedoveraperiodoftime.thedrivebyfigo,thesponsorshipbyolympus,the choiceofthecountry,facultyandcandidatesallcontributedtothisunquestionable achievement. ThisworkshophassettheoptimalstandardforfutureactivitiesbyFIGO. Theobjectiveshavebeenmetandthelitmustestpassedwithflyingcolors. AgreementwithFIGOandOlympus TheConsultancyAgreementreflectedthecommitmentbyallpartiestoeducationand trainingofdoctorsandthewillingnesstoreachoutforthemwherevertheyare.such commitmentwillreflectpositivelyonwomen'shealthandwellbeing,asadvocatedby FIGO Workshop Dates:28February 1March2012 Venue:SkillCentreatSobaUniversityHospital. TheCentrewasspacious,wellequippedandhaddifferenthallsforvariousfunctions.It alsohadanadequatelecturehallandanexcellente LearningCentre.Thefuture developmentplansaresoontobeimplementedtoincludeananimallab. Thestaffwereefficient,cooperativeandalwayspleasant.Thereisnodoubtthatthey willreachoptimumstandardswithtimeandexposure.asthecentrecontinuestogrow, moresecretariatandcoordinatorswillbeneededtoensureexpectedhighstandards. TheITpersonnelandBiomedwerealwaysavailableandperformedwell.Morewillbe neededasthecentrecontinuestogrow. 2
3 DrMagidSalahAbuBaker,DirectoroftheSkillCentre,washighlyprofessional.His amiability,efficiency,andconformityplayedakeyroleinthesuccessoftheworkshop. Hewasalwayspresentandrespondedpromptlytoanyimmediateneed.Hecertainly keptusandcandidatesinlinewiththetime Faculty:Representedas 1. DirectoroftheWorkshop,ProfessorMAAlSheikh 2. InternationalFacultyDrsSAMoghraby,SaeedAlSary 3. OlympusCoordinator,MrPeterHawkins 4. LocalFacultyDrsMagidSAbuBakr,AmirHadiALNahasandKhalidOsman Thefacultyworkedinunisonandcompleteharmony.Thepre workshopmeetingswere thoroughandhighlyprofessional.thealreadydevelopedprogramwasdiscussedand everydetailintensivelyprobed.thealreadylaidoutdetailsandobjectivesofthe stations,orderoftheflow,andtheroleoftheappointedfacultyineachstationwere rehearsed. Therewerealsopreoperativemeetingstoassesspatient'ssuitabilityforlivesurgery Thefacultywerefullycommittedandefficientlyexecutedtheobjectivesofthe workshopsasplanned. Thepositivityofthefacultymustbenoted Candidates Thenumberwas12.Suchanumberisthecorrectoneandshouldnotbe exceededinthefuture.thefacultymanagedtoaddresstheneedsofeach candidateefficientlyandwithoutcompromise.thebenefitsweretherefore maximized. ThecandidatescamefromdifferentareasofSudanandwill,inthefuture,come fromdifferentafricancountries. Thecandidateswerealmosthomogeneousinmedicalknowledge,surgicalskills andaptitude.thebenefitswerethereforeequallyshared.thisconfirmsthat screeningofcandidateswasefficientandwithoutbias 3
4 BasicObjectivesoftheWorkshop TheworkshopwasdesignedtobeaBasicDryLabforMinimalInvasiveSurgery.The objectiveswereforthecandidatestoattainknowledgeandskillsin: knowledgeofhardwareandsoftware. HandEyeCoordination PelvicAnatomy BasicsofSuturing Theuses,safetyandpitfallsofElectrosurgery ComplicationsandpitfallsofMinimalInvasiveSurgery Thesewereaddressedadequatelyandindetailintheallottedstationsandlectures( whichweredeliveredbyinternationalfaculty). ThecandidateswerefullyinstructedbyfacultyOnthefirstdayandforbasic Hysteroscopyontheafternoonofthesecondday.TheywerethengivenFreeHand sessions,underdirectsupervisionbyfacultyonthenextday. Thosebasicobjectivesweremet. LiveSurgery SixLivesurgerieswereperformedbyInternationalFaculty: o LaparoscopicSubtotalHysterectomy o LaparoscopicOvarianCystectomy o DiagnosticLaparoscopyforPelvicPain o OperativeHysteroscopicResectionOfIntra UterineAdhesions (Asherman'sSyndrome) o LaparoscopicAssessmentofsuspectedOvarianCyst 4
5 o ManagementofTrueStressIncontinencewithTVT O Some(4t5)ofthecandidatesassistedactivelyintheoperativeprocedures Thelivesurgerieswereperformedwiththeobjectivesofdemonstratingbasicsof MinimalInvasiveSurgery.Thoseobjectivesweremet. twoofthelivesurgeriesweresuccessfullytelecastedandtherestwerewell attended ThemainORs(PediatricDivisionORs)wereofgoodstandardandsatisfiedthe objectivesofminimalinvasivesurgery.howeveradedicatedgynecologyorfor MinimallyInvasiveSurgeryistrulyneeded. AnesthesiaandAnesthetistsprformancewereadequateandhighlyacceptable TheNursingORstaffwereinadequatelypreparedandlackedknowledgeof MinimalInvasiveSurgerysoftware. Peterhadtoworkexceptionallyhardto makesurethattheequipmentsarehandledproperly.hiscontributiontothat dayshouldmakehimandolympusproud. AtlasCompany: MrAliAbuShammaandhisstaff(MrDoleebandothers)executedtheirexpectedroles admirably.theywereprofessional,caringandpleasant.theywerepresentthroughoutthe workshopandduringlivesurgery. TravelandAccommodation: TravelarrangementswereadequateexceptforthereturnjourneyofDrSaeedAlSary whohadtobeineconomyclassinsteadofbusinessclass. AccommodationwasexcellentinRottanaHotelwhichhadalltherequiredandexpected facilitiesofa5starhotel. Olympus: MrPeterHawkinsrepresentedOlympusinitsbest.Hishighlyprofessionalattributes, dedication,knowledge,excellentcommunicationskills,pleasantnessanddowntoearth attitudemadeiteasyformyselfanddrsaeedtocreateasuccessfulworkingteam.we seemedtounderstandwhatwasrequiredandsortoutacuteproblemswithoutfussor tensions,atruerecipeforsuccess. 5
6 SobaUniversityHospital: DrSolimanMahmoudDirectorofSUH,andProfessorMAhmedAlSheikh(inadditionto beingdirectorofthecourse)werekeyelementsinthesuccessoftheworkshopthrough facilitatingandovercomingproblemswheneveranyarose.theymademeanddrsaeed feelathomeandpartoftheestablishment ObstetricsandGynecologySocietyofSudan(OGSS): ProfessorAbdelLatifAshmaiq,PresidentoftheSociety,reflectedtheroleofthe SudaneseSocietyadmirably.Hisspeechesintheofficialopeningceremonyandthe informalclosingceremonyinhisfarmwerewellreceived.hiscommitmentand dedicationtomedicaleducationandprogressareunequivocal. Entertainment TheCoursedinnerwasheldinTangerrineRestaurant.IcongratulateMrAliAbuShammaon hischoice. TheclosingceremonywasheldinProfessorAshmaig'sFarmbytheBlueNilefollowingarelaxed latelunch. Conclusion TheWorkshopandCoursepassedthestringenttestsetbyFIGO.Ithassettheoptimum standardsforanyfuturecoursesandworkshopstobeheldundertheauspicesoffigoandin partnershipwitholympus SobaUniversityHospitalwasasuitableandreadyvenueforbasicworkshopsandcourses.More importantlyithasthescopetorisetothechallengessuchbasiccoursesandmorecomplexones canbring.iamtoldthatanextensionissoontobedoneandwillincludeananimallab.iam morethanhappytocontributetoitsdevelopment. Thenumberofcandidatesanddurationofthecoursewerewiselyagreedupon.More candidatesand/orworkshopdayswouldhavebeencounterproductiveintermsofteachingand physicalrunningoftheactivity.futureactivitieshavetobegaugedaccordingly. Thefacultyworkedinunison. Thecandidateswereahomogeneousgroupafterstringentscreening. ThematterofNursingsurgicalstaffhastobeaddressedandstepstakentoverifyandcorrect deficienciesthathavealreadybeenidentified. IcongratulateFIGOandOlympusonasuccessfuleducationalactivity,thankthemforaskingme 6
7 andwelcomingdrsaeedalsarytocontributetothisveryimportantevent.welookforwardto futureoneswithpositiveanticipationandenthusiasm. TheFuture RegularworkshopsandcoursesinMinimalInvasiveSurgeryaretobeplannedand implemented DevelopmentofAnimallabWorkshops PlanningforBasicWorkshopsforORnursesforbothGynecologyandSurgerytorun simultaneouslywithfutureworkshops FurtherdevelopmentofdedicatedPostgraduatestaffwhowillbeabletodevelop Databases,posters,flyersandopencommunicationchannelsinSudanandworldwide. CertificatesofAttendanceandAppreciationwithallottedCME'smustbeissuedtoall contributingfacultyandorganizingcommittees Thefutureholdsalotofpromise.FIGOhasthetoolsandnowstrongalliestoseethat promiserealised 7
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