Summer Elective University Teaching Hospital (CHUK), Kigali, Rwanda - - PowerPoint PPT Presentation

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Summer Elective University Teaching Hospital (CHUK), Kigali, Rwanda - - PowerPoint PPT Presentation

Non-Credit Pre-clerkship Summer Elective University Teaching Hospital (CHUK), Kigali, Rwanda Lana Rothfels & Rebecca Barnfield Rwanda Population: 11,610,000 (2015) GDP per capita: 702 USD Currency: Rwandan Franc


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Non-Credit Pre-clerkship Summer Elective

University Teaching Hospital (CHUK), Kigali, Rwanda

Lana Rothfels & Rebecca Barnfield

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Rwanda

  • Population: 11,610,000 (2015)
  • GDP per capita: 702 USD
  • Currency: Rwandan Franc

○ Conversion $1 CA = ₣ 670

  • Language: Kinyarwanda

○ Post-1994 genocide: Children learn English in school ○ Older generation learned French

  • Climate: Dry season (June-Sept) - Hot, sunny and dry

during the day; a bit cooler at night

  • Landscape: Country of a thousand hills
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Kigali

  • Population: 859,000
  • Comprised of many neighborhoods, large

downtown

  • Geographically small - can get anywhere by

moto in 15 minutes

  • Relatively safe (normal precautions necessary)
  • Many large markets, great restaurants and

cafés

  • HUGE expatriate community

○ Trivia at pizza restaurant Monday night ○ Volleyball Tuesday nights ○ Art gallery yoga class Wednesday night ○ Live music at art gallery Thursday nights

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Health and Healthcare in Rwanda

  • Life expectancy at Birth: Males – 61; Females – 71
  • Near-Universal health coverage: Mutuelle de Santé

○ Tiered premiums based on incomes ○ High coverage rate: >90% by 2010

  • Making great improvements in health outcomes!!!

http://www.who.int/gho/countries/rwa.pdf

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CHUK - University Teaching Hospital of Kigali

  • Tertiary-care hospital (receives referral from

district hospitals)

  • Academic language is English

○ Patients predominantly speak Kinyarwandan

  • Many local and international medical and nursing

students ○ Belgium, Germany, France mostly

  • Attended rounds, academic afternoons,

department meetings

  • Hospital canteen lunch was less than $3CDN!!!
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Our clinical experiences

  • Lana: Paediatric surgery, paediatric

cardiology

○ ‘Take Aways’: Language barrier was difficult, don’t be afraid to ask questions (some residents are less inclined to teach without being prompted) and switch specialties by talking to the department chair directly if you want a variety

  • f experience
  • Rebecca: Obstetrics & gynaeocology,

emergency medicine

○ ‘Take Aways’: Try to stick with local students or residents who can translate especially when invasive physical exams required; I learned a lot attending M&M rounds, case presentations etc.; First cohort of emergency physicians in Rwanda just completed their residency this summer!

Top: Neuroblastoma Bottom: Gangrene after failure to remove tourniquet

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What to Bring

For all specialties:

  • White coat
  • Name tag
  • Stethoscope

For surgical specialties:

  • Scrubs
  • Surgery shoes (crocs)

Other helpful items:

  • Note book
  • Toilet paper (not many washrooms have it)
  • Hand sanitizer
  • Extra pens
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Accommodations

  • Ivuka Arts Studio

○ Found on AirBnB, in Kacyiru neighbourhood (great location) ○ Local artists working in the studio during the day ○ Made friends we would not have met otherwise!

  • Other students lived in Convent beside hospital or in

Kimihurura with other expats

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Local Travel

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Questions?

Email: rbarnfield2020@meds.uwo.ca or lrothfels2020@meds.uwo.ca