아프리카 등 기타 - 해외활동 - 사회공헌활동 - 서울대학교 교수사회공헌단

사업 소개

사업명	글로벌수술프로그램-의료취약국대상 심장수술 역량강화 사업 (코트디부아르)
사업분류	의료 교육
기간	2019-01-01 ~ 2024-12-31
장소	코트디부아르
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. Heart-related diseases rank 7th of burden of diseases in the country. This is further worsen by limited human resources and infrastructure in the health sector, recording 3 specialist surgical workforce per 100,000 population (2008, CIA World Factbook). JWLee Center for Global Medicine led by Professor Woong-Han Kim has cooperated with a number of middle and low income countries to strengthen the capacity of local medical staffs and to promote 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. For the project conducted in 2019, the institution in Cote d’Ivoire has specifically requested the surgery team to visit them and help in training the medical staff, following a continued medical mission program conducted with Dr. Jin Young Song at Samsung Medical Center. The current program also included basic research on the institution as well as interviews with medical staff and patient caregivers to evaluate its sustainability. 2. Cooperating organizations (2019) Institute de Cardiologie d’Abidjan, JWLee center, Seoul National University Hospital, Samsung Medical Center 3. Activities and Output 1) Surgical intervention/Ultrasound diagnosis/Post-op care Patients with possibility of suffering from CHD are invited for echocardiogram examination during the visit, conducted jointly by cardiologists from Korea and from the local hospital. Then the Ivorian and Korean medical staff work together to classify CHD patients into three categories: surgical operation / cardiac catheterization / follow up. After the selection, Korean team with surgeons, anesthesiologist, scrub nurses and perfusionists and Ivorian local medical staff in the respective departments jointly perform operation. Or those selected for cardiac cath are operated by the Ivorian and Korean cardiologists. After the surgery, post-operative care is given also jointly by Korean and Ivorian PICU nurses. In the 2019 project, a total of 52 patients are diagnosed and treated as following. Treatment Number of patients Surgery 8 Cath 4 Follow up 40 Total 52 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 department (cardiologist, perfusionist, ICU nurse, anesthesiologist) gives lecture on CHD patient care, and there is a case-review conference at the end of the mission, to review the cases of patients who have been diagnosed and received surgery during the visit. This session also gives a chance to review the whole process of surgery patient management from diagnosis to post-op care and the follow-up plan. Every participant of the program openly exchanges his or her view and opinion on the patient care.
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 #HEALTH SECTOR #COTE DIVOIRE #CAPACITY BUILDING #TRAINING AND EDUCATION
참여인원	2023년 기준 에티오피아/네팔/몽골 등 7개국 전체인원 참여교육자 60명 교육수혜자 263명
참여기관	이종욱글로벌의학센터