Mwango Gladys,  Nyabanda Rose,  Kawooya Michael

Final Pr. ID: Poster #: SCI-087

Radiation safety is a critical component in pediatric imaging. In Africa, radiation-safety is championed by the AFROSAFE campaign under the umbrella of the African Society of Radiology (ASR). AFROSAFE was launched on 17^th February, 2015 during the 8^th biennial Pan African Congress of Radiology and Imaging (PACORI) which was held in Nairobi, Kenya. The mission of AFROSAFE is to ensure favorable benefit-risk ratio in the use of ionizing radiation in medicine through encouraging adherence to safety standards and guidelines as per the “Bonn Call for Action”. Through this Campaign, all the radiation health workers of Africa have agreed to unite with the common goal of identifying and addressing issues arising from radiation protection in medicine.

This is an educational poster that outlines the signifcant Milestones AFROSAFE has achieved one year later, the pertinent issues, challenges and success. Read More

Authors:  Mwango Gladys , Nyabanda Rose , Kawooya Michael

Keywords:  AFROSAFE, radiation safety, Africa

Osman Radya,  Ahmed Ilham,  Yagoub Shima,  Bakeit Mohamed Salih,  Mustafa Elrayah,  Gabir Abdalla,  Marine Megan,  Karmazyn Boaz,  Gunderman Richard,  Heitkamp Darel,  Hibbard Roberta,  Miller Aaron,  Mohammed Alaaeldeen,  Satti Satti

Final Pr. ID: Poster #: EDU-053

To assess the awareness and knowledge of Radiologists, Pediatricians, Orthopedists and Emergency Physicians regarding child abuse incidence, imaging, and management in Sudan, Africa. Read More

Authors:  Osman Radya , Ahmed Ilham , Yagoub Shima , Bakeit Mohamed Salih , Mustafa Elrayah , Gabir Abdalla , Marine Megan , Karmazyn Boaz , Gunderman Richard , Heitkamp Darel , Hibbard Roberta , Miller Aaron , Mohammed Alaaeldeen , Satti Satti

Keywords:  Child Abuse, Africa, Imaging

Rooks Elizabeth,  Rousslang Lee,  Meldrum Jaren,  Ishikawa Kyle,  Chen John,  Rousslang Nikki,  Nayiga Joyce,  Destigter Kristen

Final Pr. ID: Poster #: SCI-015

Resident trainees in East Africa are challenged in learning pediatric radiology due to limited access to subspecialty knowledge and mentorship. The ubiquitous use of smartphones provides the opportunity to use free instant messaging apps to deliver medical education. To test this approach, we delivered case-based modules via WhatsApp to residents to assess knowledge of pediatric radiology and elicited their feedback for evaluation. Read More

Authors:  Rooks Elizabeth , Rousslang Lee , Meldrum Jaren , Ishikawa Kyle , Chen John , Rousslang Nikki , Nayiga Joyce , Destigter Kristen

Keywords:  Pediatric Radiology, East Africa, Education

Darge Kassa,  Tomlinson Chris,  Debebe Tequam,  Gorfu Yocabel,  Zewdneh Daniel,  Bedane Alemayehu,  Kebede Tesfaye,  Renjen Pooja,  Boechat Ines,  Dehaye Amanda,  Reid Janet,  Cahill Anne Marie,  Jaramillo Diego,  Keller Marc,  Mahboubi Soroosh,  Mong Andrew,  Servaes Sabah,  Shekdar Karuna,  Victoria Teresa

Final Pr. ID: Poster #: EDU-134

Pediatric radiology focuses on appropriate and safe diagnostic imaging and intervention in children of all ages. In Ethiopia, a sub-Saharan developing country in East Africa, almost 60% of the population is in the pediatric age group. In the main referral general hospital of the country children make up 48% of the patient population. Currently, there is no pediatric radiologist in the country. The aim of this presentation is to describe the undertakings of the International Outreach in Pediatric Radiology Education Program in Ethiopia of the Department of Radiology, The Children’s Hospital of Philadelphia (CHOP), which is aiming to improve the existing situation. This program is carried out under the auspices of the World Federation of Pediatric Imaging (WFPI). Read More

Authors:  Darge Kassa , Tomlinson Chris , Debebe Tequam , Gorfu Yocabel , Zewdneh Daniel , Bedane Alemayehu , Kebede Tesfaye , Renjen Pooja , Boechat Ines , Dehaye Amanda , Reid Janet , Cahill Anne Marie , Jaramillo Diego , Keller Marc , Mahboubi Soroosh , Mong Andrew , Servaes Sabah , Shekdar Karuna , Victoria Teresa

Keywords:  Education, Fellowship, International Outreach, Continuing Medical Education, Ethiopia, Africa

Rooks Veronica,  Rosman David,  Kim Sung,  Harris Robert

Final Pr. ID: Poster #: EDU-056

Review the experience teaching pediatric radiology to first year radiology residents in the first year of a new residency program in Rwanda.

One of the goals of the Human Resources for Health (HRH) program is to build a residency-trained physician workforce to create a sustainable health education infrastructure in Rwanda. Establishing a radiology residency program in a resource-poor African nation is a challenge being addressed by combining curricula from South Africa, Kenya, and United States and supplemented with ACGME materials. In Rwanda, the pediatric specialty is especially critical due to the high pediatric population as the country continues to recover from the 1994 genocide.

Approximately 12 months of general radiology training, visiting faculty offered a two-month rotation in pediatric radiology. To assess efficacy, a pre- and post-rotation evaluation program was implemented. Objective, case-based tests consisting of 100 cases were implemented on the first and last day of the eight-week rotation, which comprised from nine to fifteen hours of formal lecture and case-based teaching each week. A paired t-test was used to compare pre- and post-rotation test results.

View box examination scores for four first-year residents were recorded. Pretest mean: 27% (range 12-33% correct), Post-test mean 49% (range 27-62% correct), Average overall improvement: 22 percentage points (95% CI 12-32, p=0.005).

Pediatric radiology knowledge did not increase as much as would be expected for developed world learners under the same curriculum. Complicating factors leading to complexity include basic medical knowledge, number of learning hours at view box vs didactic lecture, and the inconsistent caseload mix at local hospitals. Expected routine cases in the Western world are not commonplace in Africa; however, more challenging cases such as ischiopagus tetrapus, accessory limb, and extensive fat necrosis are seen. Language and cultural barriers impede teaching and uptake of new information. Diagnosis and communication must consider social, financial, and nutrition limitations. Equipment limitations, coupled with supply shortfalls, frequently influenced the exam recommendations.

The challenges identified during this two-month experience should inform future efforts to teach medicine in low-resource countries. Curricula modifications may be needed to address language, social, financial and caseload challenges as well as equipment/resource shortages. Read More

Authors:  Rooks Veronica , Rosman David , Kim Sung , Harris Robert

Keywords:  Rwanda, Africa, Education