Abstract:
BACKGROUND:Levels of endoscopic demand and capacity in West Africa are unclear. OBJECTIVES:This paper aims to: 1. describe the current labor and endoscopic capacity, 2. quantify the impact of a mixed-methods endoscopy course on healthcare professionals in West Africa, and 3. quantify the types of diagnoses encountered. METHODS:In a three-day course, healthcare professionals were surveyed on endoscopic resources and capacity and were taught through active observation of live cases, case discussion, simulator experience and didactics. Before and after didactics, multiple-choice exams as well as questionnaires were administered to assess for course efficacy. Also, a case series of 23 patients needing upper GI endoscopy was done. RESULTS:In surveying physicians, less than half had resources to perform an EGD and none could perform an ERCP, while waiting time for emergency endoscopy in urban populations was at least one day. In assessing improvement in medical knowledge among participants after didactics, objective data paired with subjective responses was more useful than either alone. Of 23 patients who received endoscopy, 7 required endoscopic intervention with 6 having gastric or esophageal varices. Currently the endoscopic capacity in West Africa is not sufficient. A formal GI course with simulation and didactics improves gastrointestinal knowledge amongst participants.
journal_name
Afr Health Scijournal_title
African health sciencesauthors
Perl D,Leddin D,Bizos D,Veitch A,N'Dow J,Bush-Goddard S,Njie R,Lemoine M,Anderson ST,Igoe J,Anandasabapathy S,Shah Bdoi
10.4314/ahs.v16i1.44subject
Has Abstractpub_date
2016-03-01 00:00:00pages
329-38issue
1eissn
1680-6905issn
1729-0503pii
jAFHS.v16.i1.pg329journal_volume
16pub_type
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