HAITI PILOT TRAINING PROGRAM IN OBGYN ULTRASOUND

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HAITI PILOT TRAINING PROGRAM IN OBGYN
ULTRASOUND

• Lisbet Hanson MD, FACOG
• Virginia Beach OBGYN,
• A Division of Mid Atlantic Womens Care

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Belladere Hospital 2006
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Patient 1. HOW PREGNANT AM I?
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Pt 2. WHICH WAY IS THE BABY PRESENTING?
Madame Benit
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MADAME BENITA GERMAIN AND DR RENNEL SAINTARD
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DONATED ULTRASOUND
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Collaboration
MSPP
Dec 16 20, 2008
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COURSE CONTENT

• PRE AND POST TEST
• POWER POINT PRESENTATIONS
• POSTERS
• PROTOCOLS
• CD WITH COURSE CONTENT
• TECHNICAL USE, TROUBLESHOOTING, CARE OF EQUIPMENT

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OBSTETRICAL GOALS

• PRESENTATION OF FETUS (VERTEX, BREECH OR
  TRANSVERSE LIE)
• MEASUREMENTS OF HEAD, FEMUR AND ABDOMINAL
  CIRCUMFERENCE SO THAT GESTATIONAL AGE CAN BE
  DETERMINED
• LOCATE PLACENTA
• DETERMINE AMNIOTIC FLUID INDEX

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GYNECOLOGIC GOALS

• DETERMINE POSITION AND SIZE OF UTERUS
• EVALUATE ENDOMETRUM
• LOCATE AND EVALUATE OVARIES
• EVALUATE OTHER POSSIBLE FINDINGS IN PELVIS SUCH
  AS FLUID AND MASSES

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DECEMBER 2008 PROGRAM

• 21 health professionals (OBGYNs, Surgeons, Nurse
  Midwives, Nurses) participated
• They represented 10 medical clinics/hospital in
  Central Plateau of Haiti
• 97 patients scanned. Twins, polyhydramnios, fetal
  demise, placenta previa,uterine fibroids, ovarian
  masses and other medical conditions were
  diagnosed
• 4 days involved lectures, pre and post tests,
  demonstrations and hands on practical training

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Pretest
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SHARON HORTON, DRS SAINTARD AND JONAS,

YOUDY GASTON, SARAH MARSH
Sharon Horton, Drs Saintard and Jonas, Youdy (PIH
BioTech), Sarah Marsh,
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Hands-on scanning
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Trainees Physicians Midwives
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TEST RESULTS

• PRETEST 7/15 1ST TRIMESTER
• 6/15 2ND TRIMESTER
• POST TEST 12/15 1ST TRIMESTER
• 12/15 2ND TRIMESTER

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PART II Ultrasound Training

• May 19, 2009
• Adding a clinical trainer
• Review of Intro
• Fetal Anatomy
• Placental pathology
• Technical Troubleshooting

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FUTURE

• DEVELOP ON LINE IMAGE CONSULTATION
• DATA COLLECTION TO ASSESS CLICINCAL IMPACT
• EXPAND PROGRAM COUNTRY/ WORLD WIDE
• CERTIFICATION

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• TECHNOLOGY SHOULD BE THE SERVANT OF HUMAN NEEDS

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• TECHNOLOGICAL ADVANCES CONSIST OF THREE STAGES,
  LINKED TOGETHER INTO A SELF-REINFORCING CYCLE.
• FIRST, THERE IS THE CREATIVE , FEASIBLE IDEA.
  SECOND, ITS PRACTICAL APPLICATION. THIRD, ITS
  DIFFUSION THROUGH SOCIETY.
• THE PROCESS IS COMPLETE, THE LOOP CLOSED, WHEN
  THE DIFFUSION OF TECHNOLOGY EMBODYING A NEW IDEA,
  IN TURN HELPS GENERATE NEW CREATIVE IDEAS.
• ALVIN TOFFLER(1928-). FUTURE SHOCK, 2, 1970