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Trauma training in low income countries
Sanjay Gupta MD sanjaygupta99_91 at yahoo.comWed Apr 25 14:25:04 BST 2007
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I will let you know soon. I just completed an instructor course. Sanjay --- Ronald Gross <Rgross at harthosp.org> wrote: > $1,400 for an ATLS course??????????? Who the heck > is running those courses and getting away with that > fee? > Having said that, can I get in on that one? My > guess is that with that high a tuition, your > instructors are making a pretty penny....... > Ron > > >>> Sanjay Gupta MD <sanjaygupta99_91 at yahoo.com> > 4/23/2007 11:45 PM >>> > I left India about 6 years ago. I keep a close tab > on > medical systems in India and to the best of my > knowledge, there is no community based trauma > training > which is appropriate for most doctors. And that is > exactly my point - getting a course by ACS or any > other organization is not going to help. The > training > program has to be developed in the country and > training imparted to everyone by easily available > resources and by major organization efforts by > thought > leaders in India, rather than by paying for the > $1400 > ATLS course for every doctor in the country. It is > not the lack of knowledge or training, but rather of > organizing and implementation. > > > Sanjay > > > > --- "Joel U. Macalino, M.D." <jamac at pacific.net.ph> > wrote: > > > In the Philippines, we have adapted a national > > trauma course we now call the > > B.E.S.T. (Basic Emergency Skills in Trauma). The > > course was developed > > through the efforts of the Philippine College of > > Surgeons and is now offered > > almost monthly to accommodate all the trainees in > > surgery. It features > > didactics and skill stations on knowledge we have > > identified to be necessary > > from national injury census and studies. The > course > > likewise includes > > disaster management and mass casualty incidents as > > our country is one of the > > most disaster prone area in the planet. > > Joel U. Macalino, MD > > > > ----- Original Message ----- > > From: Miranda Voss <mvossak at yahoo.co.uk> > > To: <trauma-list at trauma.org> > > Sent: Monday, April 23, 2007 8:12 PM > > Subject: Re: Trauma training in low income > countries > > > > > > Dear Sanjay and others, > > > > I have only spent 4 months in India but did have > the > > impression that you are in the same situation as > we > > are in SA: while the urban teaching institutions > > (such > > as AIIMS and Tygerberg) are world class, there are > > many peripheral government hospitals which > struggle > > to > > provide a good service and some are frankly awful. > > It > > is in these environments that a systematic > approach > > to > > trauma training should be useful. > > > > I am not suggesting that Indian trauma surgeons > need > > US style training, but that GPs working in > > peripheral > > hospitals and occasionally (but increasingly) > seeing > > severe trauma would find a taught system of > managing > > severe trauma useful. I certainly did in my GP > days. > > > > Have any of your teaching hospitals developed > trauma > > training outreach programmes yet? > > > > Miranda > > > > Dr M Voss FCS(SA) > > Eben Donges Hospital, > > Worcester > > W. Cape, RSA. > > > > From: "Robert F. Smith" <rfsmithmd at comcast.net> > > Subject: RE: Trauma training in low income > > countries. > > Date: Fri, 20 Apr 2007 18:15:39 -0400 > > To: "'Trauma & Critical Care mailing list'" > > <trauma-list at trauma.org> > > > > Plain Text Attachment [ Scan and Save to Computer > | > > Save to Yahoo! Briefcase ] > > > > IMHO your thoughts are totally correct. > > > > R. Smith > > > > -----Original Message----- > > From: trauma-list-bounces at trauma.org > > [mailto:trauma-list-bounces at trauma.org] > > On Behalf Of Sanjay Gupta MD > > Sent: Friday, April 20, 2007 5:36 PM > > To: Trauma &, Critical Care mailing list > > Subject: RE: Trauma training in low income > > countries. > > > > Hi Sohail and other members of the trauma list who > > work in India and other "soon to be rich > countries" > > > > I have worked in India as a surgeon for 12 years > and > > then I trained in US and I am working as a trauma > > surgeon now. I think that the trauma surgeons in > > other parts of the world (outside the rich > > countries), > > should keep on doing whatever they are doing. I > > think > > they (until very recently we), do an excellent job > > of > > assessing and managing these patients without > > overinvestigating and over diagnosing non-existent > > conditions. The money to take the ACS trauma > course > > and then to do CT scan for (almost) everyone would > > be > > much better spent in buying some good trauma > > textbooks > > and in organizing teams in hospitals where all > > specialists needed are easily available, blood and > > other resources are defined and made available and > a > > good ICU with all resources is available. My > > professors and other much junior faculty members > in > > All India Institute of Medical Sciences (just > taking > > an example) are as good surgeons and organizers as > > any > > in the Western world. Rather than getting an > > outside > > organization get the money to run the course, > > organize > > it with local talent which is abundant and > > excellent. > > Remember also that in many parts of the world, the > > trauma patient is primarily taken care of by ED > > physician who then calls the surgeons of various > > specialities as needed. Most surgeons in India > (at > > least if they train from a standard institute and > > make > > the effort to do a senior residency) are very well > > trained and competent to do all sorts of trauma > > surgery. Just my opinion and an advice to save > some > > money. > > > > > > > > > > > > Sanjay Gupta > > > > > > > > > > > > > > --- Thomas Anthony Horan <thoran at sarah.br> wrote: > > > > > Sohail, > > > I can certainly support that sentiment, the > people > > > who most need the course are in governemnt > > hospitals > > > that are cash poor for this sort of thing. > People > > I > > > talk to here say it , (as well as the vast > > majority > > > of other NA and european CME), is simply priced > > out > > > of their budget range. Tom > > > > ---------- > > > > From: > > > > > > trauma-list-bounces at trauma.org[SMTP:trauma-list-bounces at trauma.org] > > > > on behalf of Sohail > > > Muzammil[SMTP:sohailmuzammil at hotmail.com] > > > > Reply To: Trauma & Critical Care mailing list > > > > Sent: quinta-feira, 19 de abril de 2007 15:10 > > > > To: Trauma & Critical Care mailing list > > > > Subject: Re: Trauma training in low income > > > countries. > > > > > > > > > > > > The ACS has enough money so why can they not > > earn > > > some goodwill and waive > > > > the franchise and other fees for third world > > > countries? Beats me. > > > > > > > > S Muzammil, FRCS > > > > > > > > ----- Original Message ----- > > > > From: "Matt Oliver" <moliver1 at iinet.net.au> > > > > To: "'Trauma & Critical Care mailing list'" > > > <trauma-list at trauma.org> > > > > Sent: Thursday, 19 April, 2007 2:15 AM > > > > Subject: RE: Trauma training in low income > > > countries. > > > > > > > > > > > > WHO was promoting PTC (Primary Trauma > Care)some > > > years ago, this may also be > > > > worth looking into as India is on the list of > > > countries participating. See > > > > http://www.primarytraumacare.org/ > > > > > > > > Matt Oliver > > > > Bendigo > > > > Australia > > > > > > > > -----Original Message----- > > > > From: trauma-list-bounces at trauma.org > > > [mailto:trauma-list-bounces at trauma.org] > > > > On Behalf Of Miranda Voss > > > > Sent: 18 April 2007 22:07 > > > > To: trauma-list at trauma.org > > > > Subject: Trauma training in low income > > countries. > > > > > > > > The International Comittee of the Red Cross > also > > > > offers the Emergency Room Trauma Course (ERTC) > > as > > > a > > > > cost effective alternative to ATLS in lower > > income > > > > countries. > > > > > > > > Miranda. > > > > > > > > Dr M Voss > > > > Eben Donges Hosital > > > > Worcester > > > > W Cape, RSA. > > > > > > > > > > > > From: "Hardcastle, Tim, Dr <tch at sun.ac.za>" > > > > <tch at sun.ac.za> > > > > Subject: RE: world road safety.org (was - > > Disaster > > > in > > > > Roanoke - Proximity oftrauma centers) > > > > Date: Tue, 17 Apr 2007 10:49:18 +0200 > > > > To: "Trauma & Critical Care mailing list" > > > > <trauma-list at trauma.org> > > > > Plain Text Attachment [ Scan and Save to > > Computer > > > | > > > > Save to Yahoo! Briefcase ] > > > > Rajesh > > > > > > > > You do, however have NTMC - the IATSIC lower > > > income > > > > country trauma > > > > course. If yuor passion is strong get > involved. > > > > Contact through Indian > > > > Trauma Society. > > > > > > > > Tim > > > > Dr T C Hardcastle > > > > M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA) > > > > Senior Surgeon / Senior Lecturer: Surgery > > (Trauma > > > and > > > > ICU) > > > > ATLS instructor and DSTC Cape Town Course > > > Director > > > > Intern program Coordinator: Surgery > > > > M.Med (Emergency Medicine) Executive Committee > > > member > > > > Clinical Head (Director): Diana Princess of > > Wales > > > > Trauma Unit > > > > Division of Surgery (General) Room 4064 > > > > Department of Surgical Sciences > > > > Tygerberg Hospital / University of > Stellenbosch > > > > PO Box 19063 > > > > Tygerberg 7505 > > > > Western Cape > > > > South Africa > > > > e-mail: tch at sun.ac.za > > > > Cell: +27824681615 > > > > Office: +27219389281 or 4911 pager 0302 > > > > > > > > > > > > > > > > > > > > > > > > > ___________________________________________________________ > > Yahoo! Mail is the world's favourite email. Don't > > settle for less, sign up > > for > > your free account today > > > http://uk.rd.yahoo.com/evt=44106/*http://uk.docs.yahoo.com/mail/winter07.htm > > > l > > -- > > trauma-list : TRAUMA.ORG > > To change your settings or unsubscribe visit: > > http://www.trauma.org/index.php?/community/ > > > > > > -- > > trauma-list : TRAUMA.ORG > > To change your settings or unsubscribe visit: > > http://www.trauma.org/index.php?/community/ > > > > > Sanjay Gupta MD > Tel: 412 335 6304 > > __________________________________________________ > Do You Yahoo!? > Tired of spam? Yahoo! Mail has the best spam > protection around > http://mail.yahoo.com > -- > trauma-list : TRAUMA.ORG > To change your settings or unsubscribe visit: > http://www.trauma.org/index.php?/community/ > > Confidentiality Notice > > This e-mail message, including any attachments, is > for the sole use of the intended recipient(s) and > may contain confidential or proprietary information > which is legally privileged. Any unauthorized > review, use, disclosure, or distribution is > prohibited. If you are not the intended recipient, > please promptly contact the sender by reply e-mail > and destroy all copies of the original message. > -- > trauma-list : TRAUMA.ORG > To change your settings or unsubscribe visit: > http://www.trauma.org/index.php?/community/ > Sanjay Gupta MD Tel: 412 335 6304 __________________________________________________ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com
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