Providing Continuing Education

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Providing Continuing Education In Countries with
Limited Resources
Kaye E Wilkins D.V.M.,M.D
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What do the orthopedic surgeons in those
countries with limited resources desire ??
NO
For the visiting surgeons to do the surgery ?
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What do the orthopedic surgeons in those
countries with limited resources desire ??
NO
To have a team visit and do all the surgery?
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We want to upgrade our knowledge base
We want to upgrade our knowledge base
What do the orthopedic surgeons in those
countries with limited resources desire ??
We want to upgrade our knowledge base
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How is the best way to accomplish this goal?
NO
Pay to bring the physicians to attend meetings
in the countries with great resources
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How is the best way to accomplish this goal?
NO
Pay to bring noted speakers with special
expertise from the countries with lots of
resources
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Many time, these alternatives are too expensive
for physicians from countries with limited
resources
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The
is trying to address this challenge
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A tri-lingual course
It started in 1998
The simultaneous translation was provided by the
participating faculty
Haitians
Dominicans
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There was a lot interactivity with the
participants
France
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Puerto Rico
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It was so well received that it was repeated 18
months later
This time there were some improvements
A larger faculty
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Speak slowly and clearly !!
This time there were professional interpreters
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The faculty included world renowned speakers
David Green noted hand surgeon and textbook
author
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Interactive sessions still a major part of the
course
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Yo pienso es mejor a operar
Je pense non!!!
There was a lot of exchange of ideas with the
faculty
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Yo no Hablo Creole
Aurelio Martinez from Monterrey, Mexico
Truly an international faculty
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This experience in Haiti demonstrated that
effective Outreach Continuing Education Courses
can be conducted in countries with limited
educational resources
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Since 2000, The POSNA Committee on
Orthopedics in Underdeveloped Regions (COUR)
Has expanded this program by conducting
25 Outreach Continuing Education Courses in 17
countries
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The protocol

• After a pediatric orthopedic organization
• agrees to host a POSNA
• Outreach Continuing Education Course
• in their area, the COUR committee
• recruits volunteer faculty to participate
• in the course or courses.

One of the POSNA volunteers is selected to serve
as the coordinator to work with local country
host
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The POSNA faculty members pay their travel
expenses to and from the host country
The organization in the host country is then
responsible for providing local travel, food,
housing and the local venue for the course.
All of the expenses and income derived from the
course are the property of the host individuals
or organizations.
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With one exception, Outreach Continuing
Education Courses have been conducted in the
major continents
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In 2007 POSNA established a cooperative
program to jointly organize these Outreach
Continuing Education Courses
With the European Pediatric Orthopedic
Society (EPOS)
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Peru 2008
Ecuador
Courses completed Or In the planning stage for
South America
Bolivia
Paraguay X2
Uruguay 2008
Chile
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India with Pediatric Orthopedic Society of India
X4 5 and 6 in 2008
India and Southeast Asia
Thailand (again in 2008)
Shanghai
Vietnam (again in 2008)
Malaysia with ASEAN
Singapore with ASEAN
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Estonia
EPOS
Eastern Europe
Romania (EPOS) 2008
Slovakia (EPOS)
Bulgaria (EPOS) 2008
Croatia
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Basra, Iraq 2005
Middle East
Erbil, Iraq 2008
Egypt (EPOS)
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We are free to perfect the work of the revolution
Lenin
Engels
Marx
The Caribbean Haiti Cuba
He had the blessings of
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Is this more than Pediatric Orthopedic Tourism??
What are the benefits?
What are the downsides of this project ?
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Both groups of individuals benefit
For example the POSNA Faculty members
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See severe neglected deformities not seen in
North America
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Chronic Osteomyelitis
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They have the opportunity to meet orthopedists
from many other countries
France
Equador
Peru
El Salvador
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In addition to becoming more acquainted with the
local culture,
There are many other positive aspects for the
POSNA faculty
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• Develop long term relationships
• India, Vietnam, South America, Iraq
• Learn how to treat complex problems with limited
  resources
• Be away from their practice for just a week
• Return to spread the word among other POSNA
  members the joys of participating in outreach
  activities

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The benefits to the participants go beyond just
the knowledge gained from the courses
Upon arrival to the hospital, we immediately went
to work seeing patients
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Some of the young orthopedists
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have been identified to participate in
1. POSNA Scholarship programs
2. Short-term obseverships
3. Formal Fellowships
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The faculty members need to be preparedfor the
unexpected events beyond their control

• Obtaining visas
• Exposure to unusual diseases
• Language differences

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Clubfoot Treatment Project Organizing
conference Hotel Creole Port au Prince Saturday
11 June 2005 Sponsors Pediatric Orthopedic
Society North America Haitian Orthopedic
Association
Cancelled
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UN peacekeepers killed in Haiti UN peacekeepers killed in Haiti

Gun battles in Haiti between UN troops and rebels
have left four people dead, including two
peacekeepers.
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Important things we have learned

• 1. Ask the host individuals what subjects they
  want covered.
• Do not tell them what they need.
• 2. Try to find POSNA faculty to meet the needs of
  the subjects to be presented.
• Try not to comprise the faculty totally based
  upon ones friends.
• 3. Always include local individuals as faculty.
• Everybody has something to contribute
• 4. Build inter-action with the audience into the
  program
• This will assure that your audience is awake.
• Dont Simplify the lectures.
• Most want to learn about the state of the art
  treatment.

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In conclusion. POSNA has demonstrated that
Continuing Education can be provided cheaply and
easily to Countries with limited resources
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Future plans

• If there is a need, we would like to
• expand into Africa and our programs
• in the Middle East

2. Encourage other organization to develop
similar programs
American Society of the Hand
Shanghai Childrens Hospital
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Thank you for your attention.