CLUBS & ELECTIVES
- Fourth Year Clinical Elective: The Global Surgery Elective will be offered in collaboration with ISHI (International Surgical Heath Initiative) in several Low and Middle Income countries (LMIC) where surgical missions are organized. Each country offers a unique surgical and cultural experience for the student to experience in-person.
In order to receive credit, satisfactory completion of the following three components is required:
1. Development of a scholarly project
2. Participation in a surgical mission
3. Provide feedback
- Surg 9100 Global Surgery: http://njms.rutgers.edu/education/registrar/documents5/20152016FourthYearElectives.pdf
NJMS ISHI CLUB
The NJMS ISHI Club is the student chapter of the International Surgical Health Initiative (ISHI); a humanitarian non-profit organization dedicated to providing free surgical care to underserved communities around the world. ISHI was founded by two attendings at NJMS, Dr. Ziad Sifri and Dr. Asha Bale in order to address the overwhelming need for international surgical health care. The ISHI club runs a year-long non-credit elective, providing students with an opportunity to learn more about various aspects of international health and global surgery.
For more information visit: www.facebook.com/njmsishiclub or www.ishiglobal.org
On February 11, 2019, the NJMS ISHI Club hosted an Imaging &Ultrasound in Global Health Workshop which was attended by about 30 students.Dr. Ankur Parikh, from the Department of Radiology, gave a lecture on "Global Health & Imaging: A Case Report on Haiti," and talked about various challenges within imaging and radiology in the context of global health, focus specifically on Haiti.Dr. Navin Ariyaprakai, an emergency medicine physician and the director of the EMS fellowship at Newark Beth Israel, spoke about disaster medicine and EMS. Following the guest lectures and presentations, Joslyn Joseph, an EMS fellow at NBI, and Dr. Ariyaprakai gave a live demonstration using the portableultrasound and allowed students to see different views of various organ systems using the ultrasound.
INTERNATIONAL HERNIA DAY
NJMS’s ISHI club presented an International Hernia Day event to raise awareness about the surgical burden of hernias in underdeveloped nations and to instruct first and second year students on their repair.
On October 19, 2017 the NJMS ISHI Club hosted its annual International Hernia Day. Guest speaker and Global Surgery Fellow, Dr. Peter Johnston MD, gave a group of roughly 50 medical students a lecture on hernia and its significant contribution to the global burden of surgical disease. Following the lecture, students broke off into groups to learn practical surgical skills. The event was well received and will hopefully help to inspire the first year student to get more involved with Global Surgery.
Stop the Bleed in Sierra Leone
The #StopTheBleed campaign’s Basic Bleeding Control Course (B-Con) sponsored by the American College of Surgeons is being disseminated to provider and layperson alike throughout the US. This is based on the fact that life-threatening bleeding leads to preventable deaths, and bystanders can become lifesavers. However, injury is not just an American problem and remains a leading cause of mortality across the globe, hitting the poorest countries especially hard.
Beginning in December 2017, NJMS faculty have been involved in the training of Sierra Leonean nationals including healthcare professionals, police officers, military personnel, and motorcycle taxi drivers. One instructor was trained and has since taught the B-Con course to several hundred other participants. It was so popular that there are plans to make the course mandatory for all staff at Connaught Hospital, the largest hospital in the country, and to expand beyond to the community.
NJMS will continue to support this endeavor to share knowledge and skills with the people of Sierra Leone via instruction, donation, and research. Given the high number of road traffic incidents in the country, we expect that these techniques will be put to use to save lives early and often.
Using repurposed materials to create affordable Bleeding Control (BCON) model limbs for skills training in low resource environments
This video, entitled “The use of repurposed materials for Bleeding Control training limb prototypes in low resource environs" was presented in April, 2019 at the Association of Surgical Education annual meeting's "Thinking Out of the Box" Session in Chicago, Illinois. While B-Con skills are applicable in low to middle-income countries where traumatic injuries represent a significant burden of morbidity and mortality, the state-of-the-art mannequins and combat application tourniquets utilized by the Stop the Bleed workshops are not affordable or widely available abroad, presenting the need for a low-fidelity limb prototype model to teach the course abroad.
In this instructional video, limbs are made by New Jersey Medical School (NJMS) instructors and consist of recycled materials from the ReCOVER Initiative (Recovery for Capacity Building Overseas). B-Con techniques are demonstrated using these prototype models that can be utilized as teaching materials for courses in low-resource settings.
In the United States disposable, sterile, single-use supplies are the norm in the operating room (OR), emergency department (ED), and intensive care unit (ICU). Before an operation starts, the back table is prepared with all of the drapes, gowns, sponges, etc needed for the case. In the ED or ICU an excess of supplies may be brought to bedside for a procedure or wound care. But what happens when the case is cancelled, plans change, or a different set of supplies is needed? Supplies opened in the OR, and thus no longer sterile, but clean and unused become trash. Likewise with materials, opened or not, that are brought to a patient’s bedside but never used.
It has been estimated that two million pounds of recoverable materials worth over $15 million are disposed of annually at the average academic medical center. These supplies end up incinerators or landfills at a significant cost to the hospital as well as the environment.
The RECOVER (Recovery of Equipment for Capacity building OVERseas) initiative involves donating, clean, intact, and unused medical supplies that would otherwise be discarded from University Hospital to those desperately seeking those supplies abroad.
Similar to the REMEDY model established in 1991 at Yale University School of Medicine, we created a program to recover and donate unused supplies from the operating room, surgical ICU, and trauma bay for use in LMICs in the setting of humanitarian surgical missions, disaster relief, and capacity building. The material is collected, sorted and packed by the volunteer RECOVER staff led by the Rutgers New Jersey Medical School (NJMS) Global Surgery Fellow and consisting of NJMS medical students.
In the first 6 months of the program 750kg of supplies worth approximately $6,000 were recovered for donation, saving the hospital $125 in disposal costs. The recovered materials have since been used for support of humanitarian surgical missions to Ghana and Peru by the International Surgical Health Initiative (ISHI), sent to Haiti and Ecuador for disaster relief, and sent to a partner organizations in Jordan and Jamaica to support low resource hospitals.
RECOVER Initiative Update: Recent shipment to Freetown, Sierra Leone
On February 6, 2018 a shipment of 700 lbs of medical supplies is officially on its way to our friends and colleagues in Freetown, Sierra Leone to support medical care for those in need. Often times, despite free healthcare services, supplies may be short which prevents delivery of adequate care. Our donations help address this problem. Four hospitals in Freetown * will receive a delivery of various needed medical supplies salvaged by the NJMS RECOVER Initiative. Donations are tailored to the specific needs of the hospitals based on feedback obtained in person and electronically after a previous shipment of supplies. Medical student volunteers once again arranged collection, sorting, and packaging of supplies. Supplies will reach Freetown in approximately 6 weeks, where our in-country partner Dr. Samba Jalloh will oversee distribution of supplies to the hospitals. Data regarding the use of the donations will be collected to improve the system and provide more much needed supplies.
Thank you to all of our medical student volunteers and collecting staff, without whom RECOVER could not succeed!
*Connaught Hospital, Princess Christian Maternity Hospital, K’s Memorial Hospital, Police Hospital – Freetown
INTERNATIONAL TELECOMMUNICATION PROJECT
Telemedicine at TQMH: The Global Reach of NJMS//Global Connections//Building Partnerships
Last year, the Center for Global Surgery at NJMS was awarded a $10,000 Global Health Seed Grant by the Rutgers Global Health Institute for a new collaborative telemedicine project with Tetteh Quarshie Memorial Hospital (TQMH) in Mampong, Ghana.
Several NJMS educators have just returned from a trip to Ghana along with the International Surgical Health Initiative (ISHI). While ISHI was busy providing much needed surgical care, a small team engaged the local family medicine residents, nurses, CRNAs, and other healthcare workers to build a platform of education. While delivering daily lectures and practical training, the team performed a needs assessment to best guide future curricula for remote education. Based on the stated need, we aim to deliver subspecialty education in emergency medicine, surgery, radiology, and anesthesia.
A satellite internet connection was installed for the first time at TQMH and teleconferencing hardware acquired for this project using local and international donations. The visiting NJMS team tested various aspects of the project including the uploading of X-ray and ultrasound images to be read by remote radiologists and used for teaching. The last few technical kinks are currently being worked out and should be up and running soon.
Once running, remote education modules and courses, scheduled real-time consultation, and collaborative projects will be initiated to facilitate knowledge exchange between NJMS and TQMH year-round. Several global heath players at Rutgers interested in Trauma and Nursing care have already reached out to us to collaborate and capitalize on this major advancement. In the future, to boost the impact of this collaboration, we plan to broadcast educational modules to the healthcare workers at the 60 district hospitals throughout Ghana in collaboration the Ghana College of Physician and Surgeons.
Special thanks to NJMS staff participating in this project.