Wednesday, October 17, 2012
Schools taking the leap to Global Health education
http://globalhealth.unc.edu/2012/10/ujmt-fogarty-global-health-fellowship-consortium/
Tuesday, October 16, 2012
Understanding International Volunteerism - Focus in Haiti
When are we doing more harm than good?
Wednesday, October 10, 2012
Wednesday, October 3, 2012
Urology workshops show promising future for urology advances in Kigali, Rwanda
As our first surgical workshop in Rwanda, the IVUmed team was encouraged by the opportunities for surgical education there. The team worked in two sites: Kigali and Gitwe. Our volunteers, led by Drs. Hiep Nguyen and Richard Santucci taught pediatric and reconstructive urology in Kigali, while in Gitwe, reconstructive urology was the primary focus.
Dr. Nguyen and the pediatric urology team were based at King Faisel Hospital and the University Teaching Hospital of Kigali where they had the opportunity to provide surgical education and conclude the workshop with a day-long educational symposium. IVUmed and our Rwandan partners plan to continue pediatric and reconstructive urology education in Kigali. The facility is well-suited for surgical training and includes a faculty that is eager and capable. Dr. Nguyen has already made plans for a follow-up visit in late spring.
With minimal resources available in Gitwe, Dr. Santucci and fellow IVUmed volunteers were able to assess the need and discuss opportunities for the physicians in Gitwe for continued education.
During their time in Rwanda, the IVUmed volunteers served 24 patients at the two sites. Twenty physicians were able to attend the one-day symposium from the surrounding area.
DID YOU KNOW?
Surgical need on the international level has dramatically increased, only 3.5% of surgical procedures are performed in the poorest one-third of the world.
How can you help?
American College of Surgeons Present Surgical Humanitarian Award
"Dr. deVries received the Surgical Humanitarian Award for dedicating 20 years of her career to improving urological care around the world. A practicing pediatric urologist, founder and director of the Center for Global Surgery at the University of Utah, Salt Lake City, and professor of surgery at the university, Dr. deVries recognized the unmet needs of children with genitourinary conditions and anomalies, and developed a model of care tailored to the needs of these patients. In 1994, she founded International Volunteers in Urology, the first not-for-profit organization specifically focused on teaching urology in resource-poor settings. Using a comprehensive, sustainable approach, IVU (now IVUmed) oversees highly skilled teams that train physicians and nurses in most areas of urology throughout Asia, Africa, and the Americas. The far-reaching impact of these educational partnerships can be seen in countries like Vietnam, where early IVUmed trainees have established a urology training center in Ho Chi Minh City, which treats more than 1,000 patients annually and trains local physicians. In Honduras, local partners now conduct their own surgical outreach workshops. Similar successes have been achieved in the 30 countries where IVUmed is active and further leveraged by a wide range of international partnerships."
We are thankful to have a leader among leaders here at IVUmed, Dr. deVries has established an organization that now sits at the table of leaders in global surgery, recruiting some of the most-skilled, humble and dedicated surgeons to teach surgical skills around the world.
For the rest of the article and award announcement, please go here: http://www.facs.org/clincon2012/press/volunteerism.html
Wednesday, September 5, 2012
President and Founder, Dr. Catherine deVries' with Dr. Ray Price are awarded for their efforts.
Dr. deVries' efforts in surgical education worldwide does not go unnoticed. With the formation of IVUmed over 20 years ago, Dr. deVries has developed with the help of staff and fellow board members, a surgical urology education platform embraced by physicians around the world.
"It's my career," deVries said to KSL 5 News, "It's what I do. This is my passion."
This passion has lead to IVUmed's successes in building relationships with 30 countries since its inception. Building these relationships, local healthcare professionals have learned valuable urological skills to treat their communities.
For the full KSL 5 News Interview: World-traveling surgeons awarded for humanitarian work
American College of Surgeons: Fellows honored for volunteerism
Friday, August 17, 2012
"Restaurant chains have managed to combine quality control, cost control, and innovation. Can health care?" - New Yorker
Read more http://www.newyorker.com/
Friday, August 10, 2012
Global Surgery Matters
- 11% of global burden of disease can be treated with surgery
- 2 billion people worldwide have no access to basic surgical care
- 30% of the world's population receive 75% of surgical care
IVUmed is trying to change that by training more surgeons where they are needed most.
Dr. Sherry Wren discusses the importance of surgery as a global health priority:
Visit our website to find out how you can help and get involved.
Thursday, August 9, 2012
"Repairing the Surgery Deficit"
Zambia currently has 44 licensed surgeons to serve its population of 13 million. That is less than one surgeon (.33) per 100,000 people. To put that in perspective, in the United States, there are about 45 surgeons per 100,000 people.
Next month we have a team of volunteers heading to Lusaka, Zambia to conduct a pediatric urology workshop. The volunteer experts will work at the University Teaching Hospital there, focusing on training and transferring skills to the local surgeons and professors so that they in turn can train more surgical students.
To read more about this pressing need for surgical training in Zambia, please read this recent article:
Repairing the Surgery Deficit
By SARIKA BANSAL
The New York Times
http://opinionator.blogs.nytimes.com/2012/08/08/repairing-the-surgery-deficit/?hp&pagewanted=print There are solutions to these problems. IVUmed is committed to making a difference both in Zambia and throughout the world through surgical education.
Tuesday, August 7, 2012
IVUmed Traveling Resident Scholar Report
Through the generous sponsorship provided by the Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (SUFU), Dr. Nitya Abraham traveled to Kampala, Uganda with mentor Dr. Susan Kalota to collaborate with the Urology Department at Mulago Hospital. While participating in cases and delivering lectures on female urology, Dr. Abraham was able to develop an understanding of the discrepancies in healthcare due to limited resources. As she now begins a female urology fellowship at Cleveland Clinic, her experiences in Uganda have helped shaped her career goals.
Reporting on her experience, Dr. Abraham stated:
“I saw the photographs, I read the books, I watched the documentaries. I knew the need for medical assistance was great in places like Africa. Now finally I would be going to Kampala, Uganda for a female urology workshop through IVUmed. I embarked on the trip with excited eagerness, cheerful enthusiasm, and grandiose hopes to transform lives. But my high expectations were replaced with unanticipated disappointment. I left with a heavy heart, feeling powerless. Our trip seemed to me a ‘drop’ of help when an ‘ocean’ was needed. My idealistic naïveté was humbled by the unexpected challenges I encountered.
“My disappointment and remorse at the end of my IVUmed trip to Kampala stemmed from my inability to provide world class care to the patients there. Why should there be such disparity in the treatment of my patient in Cleveland and my patient in Kampala? What always seemed to be an abstract aspiration has now become a concrete goal after the IVUmed trip: I want to bring world class care to places like Mulago Hospital in Kampala, Uganda. This endeavor will be expensive, require a lot of time and effort, and will be difficult to accomplish, but I do believe it is possible.
“I am grateful to IVUmed and SUFU for providing me this invaluable experience. It has opened my eyes and has changed how I envision my future career. One trip is just not enough. I strive to include international health care as a long-term commitment and integral part of my career because ‘every life deserves world class care.’”
For more information about IVUmed's resident scholar program, including the current application and deadlines, please visit our website.
Friday, July 20, 2012
Thursday, July 19, 2012
Thursday, June 14, 2012
Father's Day 2012
Friday, June 1, 2012
Our Purpose for Service
In just a few short weeks, an IVUmed volunteer team will be heading to Kampala, Uganda to conduct a female urology workshop. IVUmed workshops give our volunteer urologists the opportunity to change the lives of their host colleagues and their patients. The local doctors will gain essential surgical skills through training and educational models developed by IVUmed and its volunteers, who maintain professional contact throughout the year to continue the learning process. Our international partners can then use their new capacity to help patients in their community, even after the volunteers have left.
This is a monumental event for our partner physicians, as well as patients like Veronica Nandego, shown above. Veronica Nandego mentions, "I have urinated on myself for 50 years." Not only has she suffered countless years of public humiliation but has lost three children, lost ability to bear children and no longer presents proper urinary function. Veronica's story is very common across Africa due to lack of capable physicians to perform the proper surgeries to deter maternal issues from becoming this severe.
IVUmed was contacted by local medical professionals in Uganda in hopes of coordinating for the upcoming workshop. We have had the opportunity to arrange travel arrangements for Veronica to reach Mulago Hospital, where the workshop will be hosted, approximately 45 kilometers away from her one-room hut in Bugembe.
Working with IVUmed's volunteer physicians will better equip the local doctors with the skills they need to help many African women like Veronica return to society and live a normal life.
IVUmed's motto, Teach One, Reach Many, guides our continuing successes in improving the quality of life for individuals worldwide through building the confidence and skill sets of local medical professionals.
To read more about Veronica's story and personal life, continue to this article.
Map of Uganda from Jinja district, where Veronica lives, to Mulago Hospital in Uganda.
Wednesday, May 9, 2012
Monday, May 7, 2012
Wednesday, May 2, 2012
Reporting on her experience, Dr. James stated:
Thursday, April 12, 2012
Resident Scholar Reflections
Reporting on her experience, Dr. Hagedorn stated:
Friday, April 6, 2012
"In our two weeks of working mainly with Dr. Hung, I was very impressed by his surgical technique. Open surgery involved tediously dissecting out important structures and controlling all bleeding quickly with cautery or ligatures. He moved very quickly in the OR but was very purposeful with his movements. No suture was wasted as instrument tying was performed whenever possible. Bigger cases would often involve 2 attending surgeons intertwined in a well-rehearsed ballet.“What was even more impressive was the efficiency and resourcefulness of the hospital. We mostly worked with Dr. Hung who has been on the urology staff for 6 years. He is quite motivated and very enthusiastic.
Friday, March 30, 2012
A Dynamic Paradigm in Global Health and Surgery
Innovation, collaboration, sustainability were common themes of discussion at the first annual "Extreme Affordability: Innovative Solutions of Surgical Care" conference hosted by the Center for Global Surgery at the University of Utah School of Medicine. Focusing on providing affordable surgery globally, this conference called together surgeons, policy makers, bioengineers, anthropologists and non-governmental organization leaders to discuss the need and accessibility of surgical care to the international community.
Mark Harris, M.D., co-founder of the International Anesthesia Education Forum writes about his experience at the conference, “I am left with a sense of enthusiasm, optimism and community. There are so many people from different fields and countries collaborating and using innovative approaches to the myriad problems facing the low resource world.”
Speakers from around the world shared their perspectives on these current themes of global health and surgery. Keynote speaker, Clayton Christensen, Kim B. Clark Professor of Business Administration at the Harvard Business School, discussed the decentralization of healthcare providers and technology to develop affordable and sustainable healthcare in resource-limited and rich settings. Christenson is regarded as one of the world's top experts on innovation and growth.
With a pattern recognition-based concept, Christensen's message was well-received by conference attendees.
"The speakers were thoughtful and captivating which was no small feat!" Rhiana Menen, resident with the East Bay Surgery Program at UCSF, commented. "I am so grateful to have had the opportunity to attend this wonderful conference. As someone early in my career but very much trying to incorporate an emphasis in global surgery, I now have a much better idea on how to proceed and have made some invaluable contacts."
As one of the few non-governmental organizations presenting at the conference, IVUmed was able to share its perspective on global health. Josh Wood, executive director, provided an in-depth look at how to develop and sustain global partnerships for dynamic change in an economical and efficient manner.
During his presentation, Wood explains, "When you start to become aware of surgery, how much need there is and the potential we have to relieve that need, it may seem overwhelming; but there are extensive opportunities, especially if programs are carried out in a sustainable manner so we can get more bang for our buck."
A staggering one million African infants are estimated to die in the first 4 weeks of life and there are only 24 urologists for the 9 million people living in Haiti. With these, and other outstanding statistics, the developed world recognizes a preventable epidemic. Through technology and innovative collaboration, these leaders are truly developing a paradigm shift in global health.
Discussing the role of surgery in global health, Steve Alder, Chief of the Division of Public Health at the University of Utah, comments, "You have to talk about the elephant in the room; is it the scalpel or the syringe?"
Thursday, March 29, 2012
Resident Scholar Reflections
Reporting on her experience, Dr. Riley stated:in the urology department. During her time in Hue, Dr. Riley was able to experience the differences in international healthcare.
Wednesday, March 14, 2012
Through the generous sponsorship provided by Oceana Pharmaceuticals, Dr. Ogunyemi was accepted as a Traveling Resident Scholar to work in Accra, Ghana under the supervision of mentor, Dr. Sunny Mante. During the trip, Dr. Ogunyemi was able to give back to an area that faced similar issues as her home country, Nigeria.
Reporting on her experience, Dr. Ogunyemi stated:
“Clinic was a fast and furious experience. Each few moments, one of the charts from the stack was pulled, a patient appeared and a story was told.
“My week in Accra was a wonderful experience and one that I will cherish for the rest of my professional career. I truly appreciate the opportunity from IVUmed to make this a reality and look forward to repeating similar endeavors in the future.
“The patients, with teeth gritted and anxious faces, put their care into our hands despite the language barrier between us. It was gratifying to be able to care for these patients and provide comfort.
“My arrival at the halls of 37 Military Hospital was welcoming. I found welcoming smiles and genuine interest in my urologic perspective and actively encouraged to challenge ideas and bring forth alternative treatment plans and opinions. There was a true collegial excitement at exchanging ideas and patient experiences and learning from each other.
"
Thursday, March 8, 2012
Resident Scholar Reflections
Through the generous sponsorship provided by the Resident Scholar Alumni, Dr. Jessica Casey traveled to Mahuva, India with mentor Dr. Sakti Das to participate in a free urology camp organized by the local Indian organization Jeev Sewa Sansthan (“Service to the Living”). During the camp, over 130 patients received much-needed urological care
of the work being done while I was there.During those short six days, I participated in 34 operations which ranged from delicate hypospadias work to minimally invasive percutaneous nephrolithotomy to a reconstructive extrophy repair; and this was only a fraction
roundings. Dr. Das’s influence made me reflect at my own actions. Often at Northwestern, surgeons complain about not having the right gloves, the right assistant, the best light, etc. in order to make excuses for their own
Thursday, March 1, 2012
Haiti - November 2011
1,500 man hours, 15 physicians, nurses and technicians and true dedication compensate for the $320,635 worth of medical services contributed to over 150 patients in Haiti. In November 2011,IVUmed sent two medical teams to Descheppelles and Pignon, Haiti to train local physicians. Partner doctors received training and lectures from volunteer surgeons to create a sustainable program for urological procedures.
“We were there to help pioneer and teach innovative ways to help alleviate a female reproductive issue…They are very eager to learn yet they were filled with tremendous humility and appreciation.”
- Laura Springhetti, Nurse Anesthetist volunteer, Pignon.
Our work there was established through two partnerships, with Promise for Haiti and Hospital Albert Schweizer of Descheppelles.
On March 10th, 2012, a group of IVUmed volunteers are returning to Pignon to focus on female urology. To stay connected with trip updates and volunteer opportunities, “like” us on Facebook.
Wednesday, February 22, 2012
Resident Scholar Reflections
As I stepped off the plane and onto the tarmac in Entebbe, a short distance from Kampala, I quickly realized I was no longer in my familiar world. The air was hot and dry, and though it was the middle of the night, I could see a think dust lingering in the air. I was greeted in the airport by Joseph Musaba, a very bright-eyed and energetic Ugandan in the final year of his fellowship training at Mulago Hospital. Right from the very start, he was so kind and gracious that I felt right at home, even in such an unfamiliar place. The trip from Entebbe to the apartment in Kampala took about one hour. Kampala was busy, bustling with traffic, motorbikes which outnumbers cars three to one, and many people walking along the side of the road, despite it being after midnight. I was immediately struck by the notion that this place is full of life!
We arrived to the apartment, which was adjacent to the property of Dr. Watya, the senior urological consultant at Mulago Hospital. He greeted us
My first full day in Kampala consisted of recovering from jetlag and making a trip to the local shopping center with another urology fellow, Dan. In the daylight, Kampala was certainly a very interesting place - a mix of tall modern glass buildings and slums, where people lived in little more than cardboard boxes. The roads turned from pavement to dirt without any notice, and large potholes were more common than smooth pavement. The sidewalks were mostly dirt, and a thick haze of dust covered the entire city. The traffic was intense, where motocycles (called boda-bodas) darted in and out from between cars and trucks, not seeming to pay much attention to traffic laws, other vehicles or pedestrians. Despite the chaos, I was impressed with Dan's cheeriness. He alaways had a smile on his face, and when he got cut-off by a boda-boda, he just laughed. I found this to be a common theme among Ugandans; they were able to find joy outside of less-than-ideal circumstances.
The next day we went to Mulago hospital - a very large and impressive structure that appeared to have been last renovated in the 1970s. Most of the hospital was open to the air. It was very busy with people, mostly patients and their families, everywhere. In most corners and in open hallways, patients and their families were camped out, women breastfeeding babies, men holding small children. The urology ward consisted of two large
The operating room in Kampala is adequate for most surgical procedures, and I was certainly impressed with the skill of the Ugandan surgeons I worked with. I was most impressed with how they are able to accomplish so much with so little. Poor lighting, old operating tables, limited
We did several endoscopic cases during my time at the hospital. They have a very nice tower and camera, but otherwise are quite lacking of endoscopic equipment. I became frustrated on a couple occasions because simple endoscopic procedures that typically take less than 30 minutes at my home institution took over two hours at Mulago. The excess time was spent looking for pieces of equipment that would adequately finish the job, or struggling through the procedure using something that was barely sufficient. In one ureteral stone case, in particular, we found a large stone in the distal ureter with a semi-rigid ureteroscope. It was easily grasped with a stone basket, but could not be removed because of its large size. Eventually, a stent was placed, and the patient will have to come back and have an open procedure for stone removal. It was difficult for me to grasp being so close to being able to make the patient stone-free, but ultimately being
I was also fortunate to have the opportunity to travel to the small town of Bundabugio on the western border of Uganda to experience what life is like in this very remote region of the country. The region is extremely isolated, about a three to four hour drive over very rough terrain from the nearest "city". There is a small medical clinic in the town. Small clinics like this across the country are run by medical officers, who have the training equivalence of an intern in the U.S. They are responsible for whomever walks through their doors and are expected to perform surgery if required. It is not uncommon for these medical officers to perform C-section and appendectomies on a regular basis. They must take care of every situation they can as there is not a good system of referral and transport to larger
As I reflect on my trip, what I a most impressed with is how Ugandan urologists do so much with so little. They treat a very wide range of diseases, similar to what urologists treat in the US, but with fewer tools at their disposal. I take for granted training at a large hospital where we have essentially everything at our fingertips. Ugandan surgeons use creativity and excellent open surgical skill to bridge the gap. They are truly remarkable surgeons and people, and I have been blessed to learn from their skill, creativity, positive attitude and friendship.
I found my time at Mulago to be beneficial to the urology fellows, in that I was able to share my experiences, provide needed equipment and supplies through generous donations from both IVUmed and Duke University, and teach several endoscopic procedures they rarely perform. I highly recommend IVUmed continuing to assist the Ugandan people by sending more resident and attending urologists, as fellows would be able to travel to the United States. I would be willing to assist in having Duke University be a potential place where international students could come and learn.
Thank you very much for this incredible experience.
Thursday, February 16, 2012
Founder and President, Catherine R. DeVries, M.D - Transform 2012 - Mayo Clinic
Global Surgery and Public Health
Watch on YouTube
Catherine R. deVries, M.D., Founder of IVUmed, Clinical Professor of Surgery and Public Health at the University of Utah School of Medicine, addressed the Transform 2010 Symposium sponsored by the Mayo Clinic Center for Innovation.
Sunday, January 15, 2012
Resident Scholar Reflections
Reporting on his experience, Dr. Bjurlin stated:
“The urology camp patients of Bhopal came from miles away to receive their care. Graciously they would await their turn, one at a time, slowly moving up in the line, until it was time for surgery. There was no complaining of the long wait, no one complained that they wanted to be operated on first. There were no irritable patients being hungry from not eating prior to surgery. Everyone sat patiently with a face that expressed their gratefulness even though I knew no Hindi to communicate.
“The hours of surgery were long but the time passed at the blink of an eye. The pathology, scope and variety of urologic cases was remarkable. Equally remarkable was the efficiency of evaluating patients preoperatively based almost entirely on symptoms, urine analysis and a select intravenous pyelogram.
“Over the course of the urology camp, I learned much about the urologic diseases of India, their ailments, and surgical treatments. I expanded my knowledge of urology in a culturally sensitive manner. Yet, as my knowledge of urology grew through interaction with patients, my understanding of the human spirit matured. Instead of simply operating on patients who had urologic diseases, we provided respect, dignity, and compassionate urologic care to a community that taught me an indispensable lesson.”