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UGANDA SOCIETY for SONOGRAPHY

(UGASON)

REPORT ON THE UGANDA WFUMB COE FOR 2019

Date: 18th

to 21st September, 2019

Venue:

1. ECUREI-Mengo Hospital, Kampala (Preconference)

2. Makerere University, FST conference Hall, Kampala (Main

conference)

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Introduction

Kampala WFUMB COE was launched in October 2004 with subsequent regular renewals. The

aim of the WFUMB COE is to offer refresher courses in ultrasound. These are offered twice a

year aimed at refreshing participants’ ultrasound knowledge and skills and at training the

trainers. The COE regularly sends reports of its activities to the WFUMB and communicates

with other WFUMB COEs.

The COE is under UGASON (Uganda Society for Sonography). ECUREI is the training centre

for the COE. ECUREI stands for “Ernest Cook Ultrasound Research and Education Institute”.

Ernest Cook was British missionary brought first X-ray machine to Uganda, in year 1910.

Refresher courses are short 1-4 days’ conferences or workshops intended to refresh the

knowledge and skills of those who already have formal training in ultrasound. The COE holds

up to two refresher courses per year. This year, the COE in conjunction with WFUMB

organized a refresher course from 18th September, 2019 to 21st September, 2019.

A REPORT ON THE 25Tth COE REFRESHER ULTRASOUND EDUCATIONAL

SESSION WHICH TOOK PLACE ON 18TH

TO 21ST

SEPTEMBER, 2019.

On 20th

and 21th

of September 2019, the Centre of Education (COE) Kampala held the 25st

refresher ultrasound course at Makerere University, faculty of food science and technology

conference hall. This was preceded by a pre-conference which took place from18th

and 19th

of

September 2019 at ECUREI- Mengo Hospital. The educational session was organized under the

auspices of the Uganda Society of Sonography (UGASON) in conjunction with the World

Federation of Ultrasound in Medicine and Biology (WFUMB).

Sponsors:

WFUMB, Bird ultrasound, ECUREI, General Electronics (GE), Computech Limited, Imaging

reports limited, Pacific Diagnostics, Surgimed, and Phillips pharmaceuticals.

The theme: Advanced Ultrasound (Obstetrics and Gynecology, Musculoskeletal system)

The General Objective

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To equip health workers with knowledge and skill transfer in advanced obstetrics, gynecology,

and musculoskeletal ultrasound as well as infection control.

Objectives:

1. To equip health workers with knowledge and skill transfer of in advanced obstetric

ultrasound obstetrics and gynecology ultrasound

2. To equip health workers with knowledge and skill transfer of in musculoskeletal

ultrasound

3. To discuss the importance of infection control in diagnostic ultrasound and interventional

settings.

Guest speakers

1. Associate Professor, Sue Campbell Westerway from Charles Sturt University,

Australia. Sue does research in ultrasound, notably in Gynaecology and Obstetrics

ultrasound. She is a past president of the Australian Society of ultrasound (ASUM), and

she is currently a member of WFUMB administrative councilors. She has particular

interest in ultrasound infection control practices.

2. Mr. Stephen Bird, a general sonographer with over 25 years of clinical experience. He is

currently working at Benson Radiology in South Australia. He is a passionate educator,

regularly presenting at national and international conferences as well as conducting

weekend workshops for diagnostic medical ultrasound professionals.

Preconference

i) Participants

The pre-conference took place between 18th

September 2019 and 19th

September 2019 at

ECUREI-Mengo hospital. A total of 134 participants attended the pre-conference and these

included Radiologists, Radiology residents (students of Masters of medicine in Radiology),

Sonologists, Radiographers, Sonographers, Students of Masters of diagnostic ultrasound (MDU),

Masters of Medical imaging (MMI) Bachelor of Science in Medical Imaging (BMI), Bachelor of

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diagnostic ultrasound (BDU), ordinary diploma in ultrasound (ODU) and Diploma in Medical

Radiography.

ii) Activities

There were lectures sessions in the morning and hands-on sessions in the afternoons. Each of the

lecture topics lasted one hour, and the hands-on sessions lasted for approximately 2 – 3 hours,

depending on the number of participants. The focus of the preconference was obstetric

ultrasound.

The participants were divided into groups for the hands-on sessions. There were five stations for

practical sessions, each with a model for scanning, and a local sonographer to assist Prof Sue.

The facilitator, Sue Westerway, moved from station to station, demonstrating the scanning

techniques, after which participants were given a chance to scan the patients.

The activities of the pre-conference are summarized in the tables below.

PRE-CONFERENCE DAY 1: 18th

SEPTEMBER 2019

Time Activity Responsible person

8.00-8.20am Registration Ms. Harriet Nakibuuka/students

8.20-8.30am Welcome remarks Prof Kawooya Michael

Moderator: Dr. Joyce Nayiga

8.30-9.30am 1st Trimester fetal U/S include

anomalies, e.g. nuchal translucency,

Prof. Sue Westerway

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9.30-11 am 2nd

Trimester – normal & abnormal

anatomy

Including - placenta, cervix, umbilical

cord, fetal head & face, chest, heart,

abdomen, spine & limbs

Prof. Sue Westerway

11.00-11: 30 am COFFEE BREAK

11:30-12:30 pm 3rd

Trimester Scan for fetal growth and

well being

Including Biophysical profile, IUGR

and macrosomia

Prof. Sue Westerway

12:30 – 1:00 pm Q and A session Dr. Okello-Omara Richard

1:00 – 2:00 pm LUNCH

2:00-4:00 pm Hands on session at ECUREI Prof. Sue Westerway

PRE-CONFERENCE DAY 2: 19th

SEPTEMBER 2019

Time Activity Responsible person

8.00-8.30am Registration Ms. Harriet Nakibuuka/students

Chairperson: MS. Akello Zubedah

9.00-9:30 am Multiple pregnancy I (chorionicity,

amnionicity)

Prof. Sue Westerway

9:30-9:40 am Q and A session Prof. Sue Westerway

9:40-10:00 am Multiple pregnancy II (complications) Prof. Sue Westerway

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10:00-10:15 am Q & A Vice president UGASON

10:15-11:40 am COFFEE BREAK

Chairperson: Dr. Zeridah Muyinda

11:40-12.15pm Ectopic pregnancy Prof Sue Westerway

12:15-12:30 pm Pregnancies at risk (presentation, lie,

nuchal cord, etc.)

Prof. Sue Westerway

12:30pm-1:00 pm Q and A session Prof. Sue Westerway

1:00pm – 2:00 pm LUNCH

2:00 – 4:00 pm Hands-on session at ECUREI Prof. Sue Westerway

MAIN CONFERENCE 20-21ST

SEPTEMBER 2019

Venue:

Makerere University, Faculty of Food Science and Technology (Lectures)

ECUREI-Mengo hospital, Kampala (Hands-on sessions)

i) Participants

The annual UGASON conference took place on the 20th

and 21st

September. A total of 113

participants attended, and these included Radiologists, Radiology residents, Sonologists,

Radiographers, Sonographers, Biomedical technologists, Students of Bachelor of Science in

Medical Imaging, Diploma in Medical Radiography, IT Technicians and Medical Equipment

Suppliers. See attached conference program for details.

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iii) Activities

There were lecture sessions as well as hands-on sessions. Each lecture lasted one hour, and the

hands-on sessions lasted for approximately 2 – 3 hours, depending on the number of participants.

The hands-on sessions during the main conference were focused on musculoskeletal ultrasound

facilitated by Mr. Stephen Bird.

Prof Sue also gave an evidence-based talk on infection control and encouraged all ultrasound

practitioners to be vigilant in infection prevention and control in the ultrasound rooms.

The activities of the main conference are summarized in the tables below.

DAY 1: FRIDAY 20TH

SEPTEMBER 2019

Time Activity Responsible person

8.00-8.30am Registration Ms. Harriet Nakibuuka/students

8.30-8:40am WELCOME REMARKS Prof Kawooya Michael/Dr. Zeridah

Muyinda

Chairperson: Dr. Mbabazi Margaret

8.40-9.00am A simplified approach to

musculoskeletal ultrasound

Prof. Stephen Bird

9.00-9.30 am Ultrasound of the wrist (normal

anatomy and common pathologies)

Prof. Stephen Bird

9.30-9.40am Q and A session Prof. Stephen Bird

9.40-10:10 am Ultrasound of the hand (normal anatomy Prof. Stephen Bird

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and common pathologies)

10:10-10.30am COFFEE BREAK

Chairperson: Ms. Akello Zubedah

10.30-11.15am OPENING CEREMONY

Introduction of guests ( 5 mins)

Guest of Honor Speech ( 15 mins)

Awarding gifts (10 mins)

Group photo (15 min)

11:00-11.30 am Fetal echocardiography (normal

anatomy and common pathologies)

Prof. Sue Westerway

11.30-11:40 am Q and A session Prof. Sue Westerway

11:40 am – 11:55

am

Sponsor's space Imaging reports limited

Chairperson Dr. Kisembo Harriet

11.50-12.20 noon Ultrasound of complex pathologies of

the shoulder joint

Prof. Stephen Bird

12.20- 12:30 pm Q and A session Prof. Stephen Bird

12.30-1.00 pm SPONSORS SPACE GE

1:00-2:30 pm LUNCH BREAK

2:30- 3:00 pm Ultrasound of the elbow (normal

anatomy and common pathologies)

Prof. Stephen Bird

3:00-3.10 pm Q and A session Prof. Stephen Bird

3.10-3:40 pm Ultrasound of complex pathologies of Prof. Stephen Bird

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the knee joint

3:40-4:10 pm Ultrasound of the pediatric hip Prof. Stephen Bird

4:10-4:20pm Q and A session

4:20- 4:45 pm Hygiene and safety in ultrasound Prof. Sue Westerway

4:45-5:00pm The Kenya Health IT company

5:00-5:10 pm Q and A session Prof. Stephen Bird, Prof. Sue

Westerway and representative from

the Kenya Health IT company

DAY 2: SATURDAY 21ST SEPTEMBER 2019

Time Activity Responsible person

8.00-8.30am Registration Ms. Harriet Nakibuuka/students

Chairperson: Dr. Kisembo Harriet

8.30-9.00 am Ultrasound of the ankle (normal

anatomy and common pathologies)

Prof. Stephen Bird

9.00-9.9:10 am Q and A session Prof. Stephen Bird

9:10-9:30am Ultrasound of the foot (normal anatomy

and common pathologies)

Prof. Stephen Bird

9:30 – 9:50 am Ultrasound of the gluteal region Prof. Stephen Bird

9:50 – 10:00 am Sponsor's space GE

10:00-10:45 COFFEE BREAK

Chairperson: Dr. Akello Betty

10:45-11:05am Gynecological ultrasound – the basics

(includes assessment of the adnexa

Prof. Sue Westerway

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including the ovaries)

11:05-11:10 am Q and A session Prof. Sue Westerway

11:10-11:40 am Common tumors encountered in routine

gynecological ultrasound

Prof. Sue Westerway

11:40am-11:50am Q and A session Prof. Sue Westerway

11:50-12:10 Presentation of original research Dr. Senai Goitom (SHO III Radiology)

12:10 – 12:30 pm Sponsors space GE

12:30pm-1:00pm Q and A session Dr. Senai Goitom, a representative

from GE

1:00 pm-2:00pm LUNCH at FST

2:00-5:00 pm Hands-on sessions at ECUREI

EVALUATION OF THE SCIENTIFIC PROGRAMME

Using evaluation forms, the following indicators were used: Excellent, very good, good,

below average and poor. A total of 112 participants responded to the questionnaires.

a. Topics presented

All the respondents agreed that the topics presented were relevant to their clinical practice

(96%) of the respondents found the course content adequate. The quality of the talks was

scored as excellent (43%) very good (45%), good (11%) and fair (1%)

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b. Conference venue and meals

Sixteen (16%) of the participants found the conference venue excellent, 18% very good, 28%

good, 25% average, and 14% poor.

Ten (10%) found the meals excellent, 25% very good, 42% good, 18% average, and 3% poor.

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c. Expectations

Most of the respondents (97%) achieved their expectations.

d. Conference fees

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Seventy-four (74%) of the respondents found the conference fees appropriate, while 26%

found them inappropriate.

The following remarks were made by the participants;

• Well organized and extremely informative

• Good work and interesting talks; more sessions needed

• Get a spacious conference hall for preconference

• Different speakers to break the monotony

• More time should be allocated for hands-on sessions

Challenges faced by the COE

The main challenge facing the COE is space for training and the low ratio of ultrasound

machines to numbers of participants. The machines used for hands-on belong to ECUREI.

Conclusion

The 25th WFUMB Uganda COE refresher ultrasound course that was held from 18th

to 21st

September 2019 at ECUREI-Mengo hospital and Makerere University was a success. The main

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objective was to equip health workers with knowledge and skill transfer in advanced obstetrics,

gynecology, and musculoskeletal ultrasound as well as infection control. Most of the participants

(97%) achieved their expectations and found the course content adequate. Forty-three (43%)

found the quality of the talks excellent.

Dr. Nayiga Joyce

General Secretary UGASON, WFUMB COE-Kampala

Appendix

1. Budgets

2. Photos from the conference.

1. Budget

BUDGET FOR UGASON CONFERENCE SCHEDULED FOR 20TH

– 21ST

SEPTEMBER 2019

CODE Item Quantity Days Rate Total

1.0 MAIN CONFERENCE

1.1 Conference Hall 1 2

300,000 600,000

1.2 Lunch Buffet 200 2

20,000 8,000,000

1.3 Break Tea & Bites 200 2

7,000 2,800,000

1.4 Conference Water (AM) 200 2

2,000 800,000

1.5 Conference Water (PM) 200 2

2,000 800,000

1.6 Evening Tea & Bites 200 2

7,000 2,800,000

SubTotal 15,800,000

VAT for Conference Package 2,844,000

Conference Package Sub

Total 18,644,000

1.7 Certificates 200 1

3,000 600,000

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1.8 Stationary (Notebooks & Pens) 200 1

2,000 400,000

1.9

Accomodation for Visiting

Proffessors (120 USDper night

) Note 1+B6$= 3750 UGX

2 5

450,000 4,500,000

Total 24,144,000

2.0 PRE-CONFERENCE

2.1 Tea/ snacks 100 1

10,000 1,000,000

2.2

Models (Feeding & transport

refund) 10 1

20,000 200,000

2.3 Publicity 1 1

500,000 500,000

Total 1,700,000

GRAND TOTAL 25,844,000

2. Photo gallery

The international visiting professors: Sue Westerway and Stephen Bird from Australia

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Prof Sue giving a talk on

Fetal echocardiography

(normal anatomy and

common pathologies)

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Hands-on training with Prof Sue at ECUREI- Mengo hospital

Participants listening attentively to Prof Sue during the pre-conference

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Hands-on training with Prof Sue at ECUREI- Mengo hospital

Stephen bird delivering a talk on hip ultrasound

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Some of the participants listening attentively

Stephen bird demonstrating while the participants are watching on the screen

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Stephen bird demonstrating the scanning technique of the ankle joint

Stephen bird demonstrating the scanning technique of the ankle joint

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Prof Sue discussing with the father of radiology in Uganda, the very first radiologist-

Prof. Henry Kasozi

Stephen Bird accompanied by his spouse Michelle

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Mealtime

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Prof Kasozi and Prof MG Kawooya appreciating Prof Sue Westerway on behalf UGASON

Prof Kasozi and Prof MG Kawooya appreciating Prof Sue Westerway on behalf UGASON

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From L-R; Prof M.G Kawooya, Mr. Stephen Bird, Prof Sue Westerway and Prof.

Kasozi Henry

The organizing committee with the international visiting professors

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Some of the participants pose for a group photo with the presenters

PLAN FOR 2020

The next Kampala COE workshop is planned for 18th

and 19th

September 2020.

The theme will be “Clinical Applications of Elastography and Contrast Enhanced

Ultrasound”

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Prof Michael Kawooya

Director Kampala COE