아프리카 등 기타 - 해외활동 - 사회공헌활동 - 서울대학교 교수사회공헌단

사업 소개

사업명	글로벌수술프로그램-의료취약국대상 심장수술 역량강화 사업 (에티오피아)
사업분류	의료 교육
기간	2013-01-01 ~ 2024-12-31
장소	에티오피아
사업내용	중저소득국가에서 선천성 심장질환을 갖고 있는 환자들이 해외 병원을 찾거나 외국 의료진에 의존하지 않고, 자국 의료진에게 수술 및 치료를 받을 수 있도록 다양한 방식의 교육(현지 연수, 초청 연수, 온라인 연수)을 통해 현지 의료진의 의료 역량 강화를 도모하고 있습니다. 1. Background Congenital heart disease (CHD) is the most common type of congenital anomaly and the second leading cause of death in infancy and childhood, particularly in developing countries. Ethiopia lacks comprehensive medical and surgical care for CHD due to limited human resources, capacity of medical staff and infrastructure. According to the World Bank, there were only 0.56 specialist surgical workforces (specialist surgical, anesthetic, and obstetric (SAO) providers) per 100,000 population in Ethiopia in 2014, much lower than high income countries such as South Korea, which had 49.63 per 100,000 people. JW Lee Center for Global Medicine led by Professor Woong-Han Kim has been cooperating with a number of countries including Ethiopia, to strengthen the capacity of local medical staff and to promote a team-based approach in congenital heart surgery and patient care. The program includes dissemination of medical knowledge and hands-on experience to the local medical staff, from diagnosis, surgery, to post-op care. Furthermore, an evaluation research has been conducted to investigate the performance and the impact of the program. 2. Cooperating organizations (2018) KOFIH, JW Lee Center, Tikur Anbessa Specialized Hospital(TASH), SNUH 3. Activities and Output 1) Surgical intervention/Ultrasound diagnosis/Post-op care The whole progress beginning forms the echocardiogram, surgery to post-operative care is done jointly by the multi-professional Korean and Ethiopian medical staffs, including cardiothoracic surgeons, cardiologists, perfusionists, scrub nurses and ICU nurses. 2) Medical staff training All of the processes of the ultrasound diagnosis, surgery and post-op care are part of hands-on training. Throughout the whole patient-care process, Korean staff share their knowledge and skills that can be applied in local setting which requires active communication with the local staff. During the program, each medical profession (cardiologist, perfusionist, ICU nurse, anesthesiologist) gives lectures, and there is a case-review conference by the end of the mission to review the cases of surgical cases during the visit. This conference provides a space and opportunity to review the whole process of surgical patient management, which includes diagnosis, post-op care and the follow-up for each patient. In addition, local medical staff are invited to Korea to continue the training in the Korean medical setting. Invitational trainees are composed of the whole surgical team, including cardiologists, anesthesiologists, perfusionists and nurses. From 2015 to 2018, 29 invitational trainees from Ethiopia had visited SNUH to learn from and experience highly technical and advanced tertiary healthcare, established within an exemplary healthcare system in a high-resource setting. 3) Program evaluation research To evaluate the performance and the impact of the program, evaluation research is conducted. The formative evaluation includes building a logic model of the program, mapping out the processes from input to output, and analyzing the contextual factors that influence the performance of the program. Surveys and interviews were conducted to measure the satisfaction, motivation, confidence and teamwork of local medical staff. Furthermore, the study examines the effect of cardiac surgery on the patient caregiver’s the quality of life. Caregiver of the patient who gets surgery on the mission and who come for follow-up check is encouraged to participate in the survey and the interview.
주요활동	TEAM BASED LEARNING : 의사, 간호사, 수술방, 중환자실 등이 유기적이고 체계적으로 움직일 수 있도록 팀 기반 교육을 진행하고 있습니다. 1) 현지연수 현지 의료진들과의 협업을 통해 초음파 진단, 수술 환자 컨퍼런스, 이론강의, 핸즈온(HANDS-ON) 교육 최신 의학 지식과 기술을 전수하고 각 국가의 상황에 맞게 활용할 수 있도록 교육하고 있습니다. 2) 초청연수 국내에 현지의료진들을 초청하여 수술 및 환자 관리 참관, 그리고 교수진들의 이론강의 제공을 통해 우리나라의 의료 체계를 직·간접적으로 경험하고 이를 자국에 적용할 수 있도록 하고 있습니다. 3) 온라인연수 심장수술과 관련된 8개의 분과 전공과목(소아심장학, 마취통증의학, 흉부외과학, 체외순환학, 수술장 간호학, 중환자 관리학, 소아 중환자 간호학, 영상의학)을 교육하는 비대면 온라인 강의를 진행하고 있습니다. *** 관련 출판논문: Han S, Choi S, Heo J, Park J, Kim WH. Evaluation of a Ten-Year Team-Based Collaborative Capacity-Building Program for Pediatric Cardiac Surgery in Uzbekistan: Lessons and Implications. Ann Glob Health. 2020;86(1):107. Published 2020 Aug 25. doi:10.5334/aogh.2883
해시태그	#global surgery #pediatric cardiac surgery #congenital heart disease #medical staff education #program evaluation
참여인원	2023년 기준 에티오피아/네팔/몽골 등 7개국 전체인원 참여교육자 60명 교육수혜자 263명
참여기관	이종욱글로벌의학센터