Today is Saturday, Jan. 20, 2018

Department of

Surgery

University of Cincinnati Global Surgery Rotation

The University of Cincinnati Global Surgery Program offers an 8-week elective General Surgery Rotation at Mzuzu Central Hospital in Malawi, Africa.

Service

Mzuzu Central Hospital is the Central Hospital and referral center in the Northern region of Malawi serving a catchment area of approximately 2.5 million people.   We currently have a full-time faculty member on the ground for 12 months of the year, along with a rotating senior resident.  During their 8-week rotation, residents participate on rounds, run outpatient clinics, and perform basic and complex general and pediatric surgery cases throughout their time at Mzuzu Central Hospital.

The presence of University of Cincinnati’s faculty surgeon and resident currently double the number of surgeons in the entire region, increasing the surgical capacity for complex surgical care by more than 100%.

Malawian Clinical Officer in training Dr. Jocelyn Logan, MD, Director of Global Surgery Program, operates with Dr. Carey Watson (4th year surgical resident) and a Malawian Clinical Officer in training.

Education

In addition to the clinical services provided, University of Cincinnati staff and residents actively participate in educational programs for the Malawian clinical officers and nursing students in every aspect of patient care. The University of Cincinnati General Surgery training program.  Currently we participate in the training of 9 Malawian clinical officers who, upon completion of their training, will travel to more rural district hospitals to perform basic elective and emergency surgeries.

morning teaching rounds with Dr. Charles Park Medical students, nursing students, clinical officers gather for morning teaching rounds with Dr. Charles Park, Assistant Professor of Surgery and Supervisor for the Global Surgery Rotation.

Malawian clinical officer in training Dr. Charles Park, reviews the anatomy of the inguinal hernia with the Malawian clinical officer in training and a Sudanese medical student.

Dr. Phylicia Dupree performs surgeryDr. Phylicia Dupree (4th year surgery resident) works with Mr. Franicis Masoo (Head Nurse Anesthetist) and a clinical officer student prepare an infant with a ruptured omphalocele for surgery.

Dr. Phylicia Dupree with patientDr. Dupree and her patient, a 20-year old man in a motor vehicle accident who arrived with severe head trauma.  Dr. Dupree performed a Burr-hole craniotomy to release the accumulated blood around the brain, saving his life.

Partnership

Our program emphasizes a bidirectional partnership with our host-institution to ensure that in exchange for an unparalleled educational experience in General Surgery we are able to provide and enhance much-needed surgical services consistently over time, while also providing educational opportunities for nurses, staff, and trainees. Residents perform, over 100 operations in a 2 month period of time, including a plethora of pediatric, gastrointestinal, urology, endoscopic, and head and neck cases.

The educational experience for our General Surgery residents to evaluate, diagnose, and surgically treat both basic and complex surgical diseases in an austere environment, without the use of CAT scanners or other advanced technologies widely available in the United States.   While working with our partners in Mzuzu Central Hospital, we learn to do surgery a more efficient and adaptable way, also learning to treat tropical diseases not seen as often in the United States.

Through advocacy, service, education, we are able to support to our friends who provide the best surgical care they are able to, under very difficult circumstances, with the knowledge that without them there would be no surgical service available at all.

Drs. Logan and Jernigan with staffDr. Jocelyn Logan, MD and Dr. Peter Jernigan, MD, 4th year surgical resident celebrate the end of a day of operating with the Mzuzu Central Hospital Surgery team consisting of anesthetists, surgical clinical officers, surgical nurses, and clinical officer students.

Dr. Elizabeth Dale performs burn surgery University of Cincinnati visiting Plastic Surgeon, Dr. Elizabeth Dale, has educated and empowered nursing staff at Mzuzu central hospital, resulting in dramatically improved outcomes in skin graft success for burn patients at Mzuzu Central Hospital.  (Food is cooked over open fires in most of Malawi, so burn injuries are common, especially among children).

University of Cincinnati Global Surgery Program

Where and Why

Malawi is known as the warm heart of AfricaMaps of Malawi

  • Third poorest country in the world.
  • Most of the population live in rural mud hut, thatched roof villages with no running water or electricity.
  • 40% of the gross national product is agriculture, 90% of the country’s export earning.
  • 80% is grown on small family farms.

Where there is no surgeon….

  • In many places of the world, there is minimal access to health care.
  • Malawi has 0.018 physicians/1000 ... USA has 2.5/1000.
  • Surgical diseases make up 18% of the global disease burden.
  • Access to surgical services is nonexistent in many areas of Malawi.

University of Cincinnati Global Surgery Program

Vision

  • That all in Malawi may have access to quality surgical care.

Mission

  • To enhance surgical care and capacity in Malawi by utilizing senior U.S. surgical residents and consultants to support the infrastructure in place at Mzuzu Central Hospital.
  • To provide shared learning experiences and unparalleled educational opportunities in an austere environment.
  • To inspire a transformative approach to global health.

 


Core values

 

  • Excellence  in clinical services provided.
  • Respect  for colleagues and staff at all levels.
  • Compassion for patients and their families.
  • Advocacy for those who are dedicated to improving healthcare in Malawi.
Drs. Sarah Atkinson and Charles Park in surgery