Grand Round

(Latest Update as of 25th of May 2009)

May
29th Obstetrics & Gynaecology

June
5th Paediatrics
12thOphthalmology
19th A/E & Out Patient,
26th Rural Health / Outreach Team
27th Infection Control

July
3rd Michael Alper’s Clinic / Clinton Foundation
10th Radiology / Radiography Department
17th Pharmacy / Dispensary
24th Human Resources (including Personal or Pay/Salary Section)
31st Administration (Hospital Management/CEO’s office,  Accounts & DMS’  office)

August
7th Nursing Care (All Nurses)
14th PNG Institute of Medical Research (PNGIMR)
21st Pathology (Laboratory Sciences)
28th Dental / Dentistry

*Note: This schedule will be updated regularly because of cancellations & visiting presenters. Please prepare your presentations ahead of your scheduled dates, as last minute cancellations cause a lot of inconveniences for others.

Updated by Dr. Mol, 25 May 2009

Date: Friday 24th of April, 2009
Time: 8 – 9am
Presenter: Robert Schilt
Topic: Technology Update
Venue: Goroka General Hospital

Summary:

Hospital’s IT Manager recently returned from 5 weeks R&R in Sydney and in this presentation Robert gives us a short update on various IT technology developments which have rapidly been adopted by home users and SME’s (Small and Medium Enterprises) alike.

Some of these topics will include:

• Cost and speed of Internet for the home user.
• Emergence of the 3G network.
• Netbook and other cheap hardware.
• The Conficker virus threat.
• Smart guidelines to protect your laptop/PC against Virus threats.

Date: Friday 13th of March, 2009
Time: 8 – 9am
Presenter: Dr. William Mol
Topic: Brief on Dr Mol’s Visit to Japan
Venue: Goroka General Hospital

Summary:

Dr. William Mol, our grand rounds co-ordinator was away for 3 weeks. He travelled to Japan to take part in the Japanese Society for Foot Care and to upgrade his knowledge on reconstructive surgery and to learn about chemotherapy for head & neck cancer. For 3 Fridays, no grand round summary was posted; we apologize to our readers for that.

On the 13th (Friday) Dr. Mol briefed us on his trip to Japan. From January 17th to the 20th, he spent applying for visa at the Japanese embassy in Port Moresby. He flew to Tokyo on the 21st of February (Saturday) via Air Niugini, direct flight from Port Moresby to Narita, Tokyo (6 hours 20 minutes, nonstop). From the 22nd to the 27th February, he spent studying the techniques of orthopaedic and breastta reconstructive surgery at Japan’s oldest and largest private hospital, in Tokyo (National Cancer Centre). On the 28th February and 1st February, he participated in the Japanese Foot Care Society meeting in Yokohama (nearby Tokyo central). There he made a poster presentation about a new and original technique to identify early ingrown nail condition, and to prevent it using acrylic. Acrylic is a substance that hardest within a few minutes, similar to ‘super glue’. This was the first ever reported prevention technique for ingrown nail; therefore it was an eye opener, especially when Dr. Mol presented it using the Japanese language. On the night of 1st March, he flew to Sapporo (1 hour flight). On the 3rd and 4th he spent studying the techniques of chemotherapy at Keiyukai private hospital under Dr. Akihito Watanabe (Ear, Nose & Throat Dr. who is known all over Japan for his effective chemotherapy techniques). He also went to visit his Professors at the University where he used to study (Hokkaido University, Department of Plastic & Reconstructive Surgery).

From now on we should expect a regular update on our grand rounds.

February 6th to June 5th, 2009

February

6^th Radiology / Radiography Department
13^th Anaesthesiology
20^th PNG Institute of Medical Research (PNGIMR)
27^th Administration (Hospital Management/CEO’s office, Accounts & DMS’ office)

March

6^th Nursing Care (All Nurses)
13^th Human Resources (including Personal or Pay/Salary Section)
21^st Michael Alper’s Clinic / Clinton Foundation
20^th Pharmacy / Dispensary
27^th Internal Medicine

April

3^rd Obstetrics & Gynaecology
10^th General Surgery
17^th Dental / Dentistry
24^th Oral & Maxillofacial Surgery

May

1^st ENT, Head & Neck Surgery
8^th Plastic & Reconstructive Surgery
15^th Physiotherapy
22^nd Information Technology (IT)
29^th Paediatrics

June

5^th Ophthalmology

A/E & Out Patient, 12^thRural Health & Infection Control ?? (Not yet on list)

*Note: This schedule will be updated regularly because of cancellations & visiting presenters. Please prepare your presentations ahead of your scheduled dates, as last minute cancellations cause a lot of inconveniences for others.

Updated by Dr. Mol, 3February 2009

Date: Friday 30th of January, 2009
Time: 8 – 9am
Presenter: Dr. William Mol
Topic: Audit of all the Plastic & Reconstructive Surgery cases.
Venue: Goroka General Hospital

Summary:

The above date was schedule for the radiology/radiography department to present. However, due to some unavoidable circumstances they were unable to present. Because of such reasons & visiting presenters, our grand round schedule is updated regularly. For last minute cancellations it may be inconvenient & unfair to pressure another department to present as a substitute. Therefore, the co-ordinator (Dr. William Mol) attempts to fill in this gap with his own presentations that he prepares in advance.

Last Friday Dr. Mol presented an audit of all the Plastic & Reconstructive Surgery cases, he has done in 2008. The commonest cases were lumps & bumps in the head and neck area. Most of these cases were done under local anaesthesia in the surgical ward. For cystic lesions they were all sclerosed as day cases, also in the wards. This approach was an improvement in saving manpower-time and cost for bringing patients into the operation theatre thus leaving time & space for the limited staff to deal with major cases & emergencies. The complications following these procedures were minimal. Plastic & Reconstructive surgery services works side by side, mainly with the ENT, Head & Neck, Maxillofacial and the general surgery department as a team approach. Team surgery improves the outcome while shortening the anaesthetic time. Goroka General Hospital is a frontier in such approach to managing patients in PNG, especially cancer patients. We encourage other hospitals to adapt such an approach too.

Date: Friday 31st of October, 2008
Time: 8 – 9am
Presenter: Mr. Marcel Pool – VSO (Voluntary Services Overseas) Volunteer, Physiotherapy department
Topic: Community Based Rehabilitation – A New Challenge For The Physiotherapy Department.
Venue: Jessie Griffiths Hall (Hospital Mess)

Summary:

VSO Volunteer Marcel Pool has been working at the Goroka General Hospital for the last 2 years. As the Officer In Charge (OIC) of the Physiotherapy Department he has worked on capacity building for National Physiotherapist and Physio-technicians. The department is fully operational now and the nationals are very capable of providing quality services to the people of the Eastern Highlands Province (EHP). Per 1 January 2009 Mr. Bill Iyape, one of the National Physiotherapist who finished his study at the DWU in March 2008, will be taking of the OIC position of the Physiotherapy Dept.

VSO stand for Voluntary Services Overseas and Marcel is working for the Disability Program of VSO PNG. This Program has the following main objectives:

1. To enable disabled people to access appropriate hospital and Community Based Rehabilitation (CBR) services.
2. To promote disability as a rights-based mainstream development issue amongst VSO volunteers, partner organizations and communities.

As part of the first objective, Marcel has just extended his contract with VSO and the hospital to work as a CBR coordinator. To do this work he will be working with the CBR Unit of Mt.Sion Institute for Disabled Persons. CBR is a concept that aims to provide services for people with disabilities in their communities. It is based on a rights-based approach, which means that people with disabilities have the same rights as others to be included in their society. CBR will just work if a collaboration of organizations from National, Provincial and Local level support CBR to empower people with disabilities in the community, and the community itself, to create an inclusive barrier-free society.

During his presentation Marcel explained what CBR stands for and how he and the Physiotherapy Dept. want to take up the challenge to improve CBR services in the EHP. One of the priorities will be to set up a management system to support CBR-volunteers. They will be key-persons to make CBR work in the rural areas of this province. Support from Provincial Level Government and other NGO’s will be needed to develop this management system.

Date: Friday 24th of October, 2008
Time: 8 – 9am
Presenter: Dr. A. Malagisa and Team (Obstetrics & Gynaecology Dept)
Topic: Summary of O&G Statistics for the last 4 years
Venue: Jessie Griffiths Hall (Hospital Mess)

Summary:

The statistics have indicated that the services we provide have improved a lot. This may be due to the increased number of hard working staff. For example, 82% of mothers who delivered at Goroka General Hospital are booked, following that the still birth rates have reduced from 30.2 in 2004 to 21.9 per 1000 total births. Amazingly, the rate of instrument delivery is the same as caesarean sections at 5.1%. This means that the staff do not take short cuts into doing caesarean sections but go the harder way. The leading cause of maternal death was puerperal sepsis from septic abortion. The practice of illegal abortion by unqualified staff or traditional healers is quiet common in Goroka. The dilemma of wether abortion should be legalised or not was also discussed in the PNG medical symposium in Rabaul. However, a rigid conclusion was not reached yet. Comparing our centres with other centres and Port Moresby, we firstly realized that our statistics are up to date and our performance is supreme, only next to Port Morsby General Hospital. We would like to comment our O&G staff, especially Dr. Malagisa and his team for the tremendous efforts put in to improve the services.