goal was to assess compliance, barriers and facilitators ... compliance was only 12% in one university-affiliated clinic
ACR Foundation International Outreach Program
Interlink POINTS OF INTEREST: RADIOLOGY
CELBRATES 100TH
Following the success of the last Haiti Radiology Education Days the ACR Foundation is planning their next educational program to be held in Port-au-Prince in March of 2013. The new program will offer lectures and hands-on training on pediatric radiology and pediatrics.
GRADUATE
GOLDBERG-REEDER
GRANT RECIPIENT RETURNS FROM
https://internationalservice.acr.org
ACR Foundation to hold Second Haiti Educational Program in March 2013
KILIMANJARO SCHOOL OF
WINTER 2013
CHILE
INSIDE THIS ISSUE: Dr. Helmut Diefenthal & Kilimanjaro School of Radiology Celebrate Milestone
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Dr. Mary Wood: Grant Winner Examines Breast Care in South America
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Announcements
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Get Involved!
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Dr. Douglas Brown, Chair of the 2012 program, will be leading the ACRF’s second educational program in Haiti. The program will also include Paul H. Ellenbogen, M.D., Chair, ACR Board of Chancellors and James P. Borgstede, M.D., Chair, ACR Foundation International Outreach Committee as faculty members. The program is currently in the process of being planned. Check back to the International Outreach Program website at https://internationalservice.acr.org and our Twitter and Facebook pages for updates. To learn more about the ACR Foundation’s efforts in Haiti visit http://bit.ly/ ACRFHaiti.
NEW International Outreach Website The International Outreach Program is happy to announce that it has a new and updated website. The new website is located at the same web address https://internationalservice.acr.org and features a fresh layout and much of the same content of the original ACRIVS site. You can also access the website through the ACR website under the Membership and Volunteer tabs. Some features of the ACRIVS site have not moved to the new site including the user account system, Volunteer, Organization, Project, Donation, and Sponsorship sections. A new section will be added to help facilitate the original goals of the ACRIVS site which were to help facilitate the coordination of donations and volunteers. The future Facility Profiles section will feature over 50 facilities from across the developing world. Each facility will have a detailed profile including specific information for potential volunteers and donation needs. The Facility Profiles will be available in early 2013. The new site became officially live on Monday, December 17 th, 2012. We hope you find the new site both useful and informative. If you have any questions or concerns please feel free to contact Brad Short,
[email protected], or Lauren Alfero,
[email protected].
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Dr. Helmut Diefenthal & Kilimanjaro School of Radiology Celebrate Milestone “A foreigner working in Africa who leaves without passing knowledge to nationals does not fulfill his or her job. “
Dr. Helmut Diefenthal and the Kilimanjaro School of Radiology have graduated their 101st student through their radiology AMO and MMed programs. Dr. Helmut Diefenthal founded the Kilimanjaro School of Radiology at Kilimanjaro Christian Medical Center in 1993 after he saw the critical need for trained medical practitioners with working knowledge of radiology in Tanzania. In response to this milestone the ACR congratulated Dr. Diefenthal and KCMC:
-Dr. Diefenthal in his 2003 honorary Fellowship acceptance speech
“The ACR is pleased to learn that the Kilimanjaro Christian Medical Center has graduated a total of 100 students through its radiology AMO and MMed programs. Under the leadership of Helmut Diefenthal, M.D., FACR, these students have been able to provide critical radiological care throughout sub-Saharan Africa filling a significant void before the program was incepted. The contribution of Dr. Diefenthal to medical care in Africa has been tremendous and we congratulate him, his staff, KCMC and the East Africa Medical Assistance Program for achieving this significant milestone.” Dr. Diefenthal dedicated his life to service after serving as a medic during World War II. After the war he met his wife, Rotraut, and together they became medical missionaries. They spent time in Malaysia and in Tanzania where Dr. Diefenthal started his relationship with KCMC. After Dr. Diefenthal retired in 1988 they permanently settled in Tanzania and continued to work with KCMC. He started a radiology practice and founded the Kilimanjaro School of Radiology as well as the East Africa Medical Assistance Foundation to help support the School of Radiology.
INTERLINK
When Dr. Diefenthal started work in Tanzania he noticed that the smaller hospitals could not attract physician specialists and there was a great need for physicians with knowledge of radiology. In response he started the Kilimanjaro School of Radiology which offers a two-year course for assistant medical officers who are licensed medical practitioners. After graduation the new medical officers work in clinics where there is no radiologist. >>>
CALL TO ACTION: The East Africa Aid Foundation accepts volunteer radiologists to help teach and work at the Kilimanjaro School of Radiology. Four past ACR Foundation Goldberg-Reeder Resident Travel Grant recipients have spent time at KCMC. If you’d like to learn more about volunteering visit : http://bit.ly/EAMAFVolunteer.
The Minnesota Radiological Society has been extremely helpful in recruiting radiologist and radiology residents as volunteers to teach and consult at Kilimanjaro School of Radiology. The East Africa Medical Assistance Foundation.org has continued to coordinate these visits for Dr. Diefenthal at KCMC Hospital in Moshi, Tanzania. According to Michael T. Nelson, M.D. Professor of Radiology at the University of Minnesota, “Dr. Diefenthal's Radiology Training Program [ 101 MD's and AMO's trained to date] has changed the scope of medicine in all of East Africa!"
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Winner Examines Dr. Mary Wood: Grant Breast Care in South America My project took place in Santiago, Chile during International Breast Cancer Awareness Month. My goal was to assess compliance, barriers and facilitators for mammography screening within two different populations of women in Santiago. I became interested in this topic because of work published in 2011 by Dr. Klaus Püschel from the Department of Community and Family Medicine at Pontificia Universidad Católica (PUC) in cooperation with Dr. Betty Thompson from the Fred Hutchinson Cancer Research Center in Seattle, Washington. In their work, they found that mammography screening compliance was only 12% in one university-affiliated clinic in Santiago. The travel grant allowed me to travel to Santiago to distribute breast cancer screening surveys to women in the waiting rooms of an urban university hospital and an underserved, university-affiliated primary care clinic. During this period, I was also invited to rotate in the PUC radiology department by the residency program director, Dr. Álvaro Huete. Pontificia Universidad Católica de Chile is known as one of the premier universities and health centers in the country, so I was fortunate enough to learn a great deal from their patients, residents and faculty during my visit. I spent the majority of my time working with Drs. María Elena Navarro and Dravna
Mammography department with Drs. Navarro and Razmilic.
Dr. Wood with Dr. Catalina Vial at a work station. Razmilic in the mammography division but also rotated in body imaging including ultrasound, CT and MRI. It was very enlightening to observe how many similarities and differences exist in our daily operations. Surprisingly, my experience working abroad in Chile taught me a great deal about our own health care system and myself. First, I was impressed by the versatility and utility of the BI-RADS system and how easily it translated into practice internationally. I was also reminded of how fortunate we are to have access to the variety of resources we have for learning. Most of the radiology texts, journals and research is originally published in English and then subsequently translated into Spanish and other languages. It is easy to forget how lucky we are to have this nearly limitless amount information immediately at our disposal. Finally, by examining healthcare access disparities in Chile, I was reminded of how many comparable disparities there are within our own country. My favorite part of the experience was interacting with the people in the hospital and clinics. From the very first day, I received a warm welcome from the program director, residency coordinator and residents. They could not have been more welcoming and accommodating to all of my needs. My project would not be possible without the selfless help of many people starting from the collaboration of researchers, partnership of residents, instruction from teachers, reception from staff and cooperation from patients. In particular, my project would not have been possible without the collaboration and dedication of my co-resident, Dr. Catalina Vial and our colleague, family physician, Dr. Javiera Martinez, who introduced us to the Ancora clinic and healthcare team.
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For individuals interested in international work in radiology, I learned a few lessons during the course of this project. The first is to be flexible! Innumerable things changed from the conception of my project to the implementation. I found it much easier to adjust to these changes when I was already expecting that my plan would not necessarily go as I expected. The second aspect I found critical was to have local support. As I mentioned above, my project would not have been possible without the help of many individuals already working in Chile. Finally, don’t give up! There will be obstacles along the journey, but the rich experience of working internationally is invaluable. With help from countless individuals, we exceeded our goal of collecting 100 surveys. Fifty-two surveys at the Universidad Católica Hospital and 51 surveys at the Ancora clinic were completed by women 50 and older (average of 63 years old). Preliminary
results show that the two populations differ significantly in education, occupation, income and insurance, as we expected. Surprisingly, mammography screening compliance was not significantly different between the two groups: 56% women in the hospital and 44% women in the clinic reported having a mammogram within the past two years. However, when we grouped the women based on income, insurance and perceived number of barriers to screening we did find significant differences in compliance, with cost as the most commonly reported barrier. Encouragingly, one of the most Breast cancer awareness significant facilitators associated with screening month newspaper ad. appears to be a conversation about mammography with a doctor. We hope to submit our final results for publication to help improve breast cancer screening compliance, early detection and morbidity rates for all women in Latin America.
News & Announcements Help Support EAMAF
Educational Materials Donations
Goldberg-Reeder Travel Grant Accepting Applications
The East Africa Medical Assistance Foundation supports and enhances the radiological services at Kilimanjaro Christian Medical Center and the Kilimanjaro School of Radiology. The EAMAF is in current need of equipment donations for their radiology graduates to use in their new facilities. Most of these facilities have no radiology equipment. To donate or learn more visit www.eastafricafoundation.org.
The ACRF International Outreach Program recently received donations of educational materials from RSNA and AIRP to add to its inventory of materials available for donation. If you know of a facility in need of educational materials please fill out our Materials Request Form.
Goldberg-Reeder Resident Travel Grant applications are being accepted. The grant gives $1,500 towards travel to residents seeking to spend at least one month assisting health care in a developing country. Applications for 2013 are due June 30. To learn more and apply visit http://bit.ly/ACRFGRG.
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