An international clinical experience

Presenters: Robin Krug, Ranbir Verraich,TJ Henderson, Matthew Greenacre

Small country of 11m, in Eastern Affrica Pays des Milles Collines

Rwanda

Our path to choosing Rwanda Interest in Global Health Interest in Low Resource Medicine To experience other Health Care Systems

Why Rwanda? Developing Nation with public healthcare system Unique cultural history French and English in clinical setting Past student experience

Our Journey

Genocide in 1994 Greatly influenced current society

22 years of rapid development Progressive African nation One of 2 countries with over 50% female representation

in parliament National health insurance covers over 90% of

population. Increase in life expectance, Decrease in infant and

maternal mortality

Rwanda

Centre Hospitalier Universitaire de Kigali Central public referral hospital in Rwanda’s capital

CHUK

Rwanda Military Hospital, Kanombe, Kigali Public hospital with preference given to military Mostly elective procedures

RMH: Kanombe

Primary care and labour and delivery centre near the

western border of the country

Bigugu Health Centre

TJ and Robin – Paediatric EmergencyRanbir – Emergency Medicine Jessie – Orthopedic SurgeryMatt – Maxillofacial Surgery & Rural Primary Care

Our Experience

0715-0800 : Uphill climb to CHUK 0800-0900: Team rounds & case presentation 0900-1200: Ward rounds 1300-1500: Procedures & Patient care 1500-1600: Teaching & Skills sessions 1600-1700: Procedures & Patient care

A Day in the Life : Paediatric Emergency

Cerebral Malaria Tuberculosis Congenital heart diseases Tracheal-Esophageal Fistula Cystic Fibrosis Intussusception

Paediatric Emergency:Cases

0700-0730 : Take a moto to Kanombe 0730-0800: Breakfast 0800: Meet Dr. Amol 0800-0830: Round on maxillofacial patientsWith the rest of the day either… 0900 ~1700 surgery 0830-1700 maxillofacial clinic – diagnosis, follow up,

minor out patient procedures, biopsies

A Day in the Life : Maxillofacial Surgery

Oral Neoplasms Trauma Tumor Osteomyelitis Oral cystsAV Malformations

Maxillofacial Surgery: Cases

Maxillofacial Surgery: Cases

Granuloma Tumour

Maxillofacial Surgery: Cases

AV Malformation

Maxillofacial Surgery: Cases

AV Malformation

Maxillofacial Surgery: Cases

Oral Cancers (e.g. SCC)

Bigugu Health Centre

VaccinesWound careMalaria, Ascariasis, TB common