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okay. It would even even guys, doctors and medical students. So we'll be waiting a couple of minutes. So that's been general. So you can get started, understand? Some people having issues joining, so I don't want to give them a grease off. 34 minutes. Uh, sorry. Can you hear me? Condoms? Books? Yeah. The, um you can start. Oh. Okay. Yeah, be small. All right, dot G h sure. My script, man. So? So they would just be grants, right? Yeah. So this is the final or dissection. You've had about three speakers? No. So the front section, it's sort of practical session talking about staying stuff practically doing doctors or medical students in Nigeria, you know, we regard I tried to go through the possible steps stopped. Um, I can be doing for each of this fragrance. So you have any questions? You know, you put in the chart books on can help me ask and then, you know, so don't start. So the first it's appropriated checklist, I think for those that ended last session, hadn't talked about you know, something like this about do you know? So let's see your medical student or medical doctor registrar. It's a general spittle Bergholz it took in Nigeria. I mean, I have noticed that before any sort of there's some things are usually I really don't routine before deficient descent. If I If it's for surgery. In many centers, there's no standard checklist. So to see it's mainly business on the experience of value, very distraught or the House officers, you know, medical students, all the consultants. And then this is the list that they use to dust. Um, if there was it checklist, for example, as a document, maybe people anyone, I'm just, you know, take to the chance. Bedside lecture. All those things are Benical potentially preparing percent surgery easier for the team. So I personally I would are many, many units. You know how preoperative checklists on the appropriate checklist is. I become different for different specialties. Different specialties have a checklist for neurosurgery. Lot of official surgery for plastic surgery, because all of these specialty is have your specific nuances. So that will basically be the background for this project. If I don't if I the problem, which is there's no property checklists, sometimes precious proceed. You are counseled by by the anesthetic department because something is missing or the Bloods are love Bring You have of books yet? Oh, nope. It for about a prosciutto, something. So let up the first point. You've seen the idea. I didn't you. So the next thing is, how do you go about it? Okay, you change and make this sort of audience. I went last three sessions. We've had that. What? It should have the specifications guideline. That's against on. But that's true. Nobody has a sort of a lot. But you know, this property so sits right in the middle. So as well, Because that's another card, doctor. The first thing you probably do is to meet our approach, the team or the end of departments about this idea. No, that's you know, this is a problem. Sometimes some things on me seen patients don't get surgery because of the club prevented before hunt on you want to help solve the problem in the office? You know what you have to make sure identify? No problem. Objective. I thought you have to discuss with the members of between because the idea wants that going to help you. Oh know, incorporate this change when the time comes. So the methodology of this one square projects will be a bit different from the regular program methodology. Well, you know, you decide you meet all the senior members off the team. Oh, this, You know, it just draws depending on the level in for a medical student. Immediate house. Besides the general strike scenario, the stress because old times and the units on do you are you ask them what the thing should be in a prophetic checklist. Make its structure. You can't design it. Question here. Once a question. About 10 to 11. So, you know, I tell you, that's the Afterward you should have a list. So you decided you design a question here writing those tendons on, you know, putting check boxes on how important the think you know, this distance are so being a property checklist on, then the liver open space. But it also add whatever you feel is necessary on Do you share among all the Sinemet burns off the department and after some time you collects you collective questionnaires back on. Once you have less, you have about stands up with the rest process. For those responses, you can basically formal it's the things that would be important before percent little surgery. Once you've burned out, the next will be two presents your findings. So again you approach the members of the team on because all times, a huge of the doubt you've completed the first parts. You know, we've identified the teams. That should be a pretty checklist on you, like to present. So let's see. December tightening you presents. You know, your small ones in that distribution. These are the things that would fit into a property checklist. And you like everybody to start using his checklist. You send it from all the checkers on water groups, Prints princess, performer. You place it in different words, replace it in the notes. A station on you tried to make sure everybody in that department for lose this property checklist after some time. About two weeks, two more. You would want to do what it says. So another cycle in court on. Then you design a question here, so ask each of these each member between other on how, um but if you show appropriate of checklist, I was being onda. What's can be done to improve in the appropriate of checklist. If you turn, your Detrol should see some remarkable improvement in service on that closes. The look down means you're basically uh huh. Physically, effect that genes in that department we are doing. You can write up your findings On present. It's arts conferences, conferences that you request for all on postoperative Asians on the right, it up on. Send it to the school, for instance. And you show them the you should have the practical change. I have meat. That department. If you've made this kind of change as high chance that this change is going to be lifelong and eventually it may will become official documents from the hospital appropriated checklists that will be every patient's every surgical patients food to see you. So that practical idea you can do as medical sense of any kind of doctors in, uh, imagine on you this idea of sticking us through the practical steps off looking at giving here for the last three sessions, you identify a problem because the idea of you do on the idea you know, you generous, you collect data. You're on allies on your Friday, you change on. Be sure that it's changed. That's you have sort of recommended to Steve, move this improved clowns, and then you do another cycle. Become permanent. What? We see what you've been yet? So do you have any questions on this appropriate If you checklist for moved next one. Really? At this point, So I think about that's what I don't seem to have any at this point. The books. Okay. Okay. Um all right. So move on to the next practical or gets idea the next time. So, like quality projects done, developed countries are guidelines for everything. Yeah, stand up protocols for everything. Percent on the seizure is a guideline follow in Nigeria. This this does not symptomatic, is that there's a national guidelines on I didn't. Land therapy ends our develops from parking. Oh, research which can be constitutive on. Oh, qualitative guidelines can also be adopted from foreign sources from developing countries. So mostly to use it up. You know, some of them have guidelines that for you on lisinopril obstetrics and gynecology, your greatness like this guideline, you know, board somewhere you need a special memory. You just follow the guideline for his guideline. This happened, actually. Do this. Do that a lot of hospitals don't have love departments. So at the quantity over project Nazi poor quality of service, you can decide to make a good line for your department for your particle. A puppy. Good thing it You don't have to be too knowledgeable. You just have to consider the idea involved because 100 guideline or high progressing. Yeah. Oh introduced me to the members off the endocrinologist on a telemarketer. You think you're a good man? Would be beneficial in helping medical students house off on any copper doctors. You know, probably you managing. You have a glass in there. Those like the same we did appropriate. If that list you know, once it got in ideas for each other about the teen, you create start guideline and then you press it in the departments. Every water for looks good and then you can. But it's on the guideline for so you call this in for their projects, give you the glucose. But subsequent cycles called after load because that's quite good. Girl is on numerous. You can start the guidelines for any and everything is this, especially when there's no guideline that sort so lifting Look, our guidelines the pollutants in general idea like the rest of my mission. And four men bugs off the departments mostly no, um, you shouldn't be worried about approaching them because it starts. You're not a Taliban eyes, and there are such a common to them are young doctor with good ideas on how sweet six Saretta done emphasize the problem, Actually, preferring before more so subject of gallons is another practical idea. But you can do ever cost effective. You don't spend so much. Only just if you use, too, have a good working relationship. Numbers them started gave all the meetings off of these people as members off the audience, members of the team doctor located or it's on. You would also be appreciated off that the thought is anti hypertensive guidelines. So I know I said, Are you There are not many bad names in Nigeria, such what I'm aware we do have. We do have some guidelines particularity, management of potential. Yeah, some guidelines. We got some in the middle of attention, but not many people for mood. Those guidelines as my imagine purpose bezels hospitals. They don't follow guidelines or even if they do for you guys you have different people falling different scared lines, falling JNC ones. I'm still fact that. So this Conservancy were you coming? So if you've chosen, if you've seen that, there's no kind of hospital you can check up for the now your health systems. Guidelines for managing have potential on board. It starts on. See how many people, how many nuclear newly diagnosed about that sufficient are being placed on proper medication. So it was. It was start once you identify together, so to see the next thing is to, you know, arranging methodology of that get your source of detail. The couple patients do you use that were newly diagnosed with hypertension, so you can be, as with the information department of off the hospital to get his notes. Others of laborious nothing that I can use just a small sample size. Maybe about that, it's what keeps notes on you. Go through them to see those are nearly that potential, and then you check because those are see what medications were placed on. If you were placed on the proper medications, that's good, but some of them will not be placed on part medications by the guidelines and then you present your friends. The departments are okay. Um, what do you do? Your 14. Your cases of potential diagnosed last month, We're only transit sent off there. A little trendy, gentle them are treatments that's followed The Nigerian guidelines for managing have attention. And then you say start, the department should full of the guidelines for money to help Attention alternative. You know, find any guidelines or if the numbers are you seeing have, like, a gallon for you, you can establish the guideline as a form of quality quality were projects. So should I be gallon? Not the official we said everywhere on then audits. That's your That's what audit their practice against that. Actually, she'll hear that. What? It's gonna be missed respective. Oh, perspective. So it's not always that you have to put the depression from your coat on your back on that stuff. If you any units you attend, obviously, like anything that you were also saying, units, you like the 10 most of the clinics. You can look out for new cases that that most is a professional example. You look out for new happen since it gets is that most industrial on which one? The registrar's or the Synergist traveled a couple times to get their management plan on. Everything keeps notes on the road. It's what's the abdomen and then feel it in your collection, book or XL sheets whatsoever. Contest perspective. Easier introspective on this. Gonna be applied? No. Any specialty surgery first, us. Just go for any condition. That's, you know, stagger. Most look very good. What do you do that against the guidelines on week over the tissue? If there's no good life, US tablets, a guideline with the quality of your project, and then it's as a guest. Good light. Um, so I'm just not practical? Yes. Reports there on take questions. Do you have any questions that you have any questions? Type on the comments section so I can invite you to just still is your question. You have any questions? This is what you might not be able to type in the comments section. Yeah, that's another issue. You verified your honey, you might find that difficult access in the comments section too tight. Okay, so I think we can be different if you're able to, uh, type of your question in the comments section. on your own are teaching. You can type in there, so notice other and not your name on them. Call you invited to the stage. We can tell of your question. I think that would be okay, but does that can't access to comment section. But if you can just tap your patient invited to the state. Okay, so before you go to the final, um, final idea, um, so it's are quality of one projects. All you need is our initiatives. It's no, it's not. Be projects. Well, it's It's very, very, very simple. It's also that was busy, cheap projects that you can take on the medical student on. You can evolve a lot of people. You can come together as a group or five and identify a problem. You know, given your Proscar examples, Can you just which you're a posting you are? Try to identify on issue, or if there's no good man, or is it? I started off medical condition or, if you don't know, off surgical condition, America on, you're able to get you provide gambling for the department. You can't see your stomach. Get a life in that department by involved members of the scene scenario destroyed because old time I'm very, very happy. So the last idea that I'm sharing today, so it's sort of these ideas are not needed. I just, um I'm just showing you how we call from one step on the step opens and gets the end on. I hope that whatever ideas come up with this practical station, I'm giving you fair Your part about about it's in the journal. So the last idea is we don't know competition, um is approximately indecent, competitive anything. If they come, you take, their quality of represents can be done. It has really no limits. So what you can do and I really, really important as medical doctors. It was both in Nigeria. Leave it. The country is even more important in *** because it's already it's up the that's the most. Now we can improve clinical sense. So the last idea is our wardrobe documentation. Um, like I said, anything, anything. Many doctors in the department do not have the standard days. We off documents in war drugs. So you see that if seven different members over particle are units, documents for efficient no, no admission, not not clicking for example, I'm talking about actually ordered the competition. Didn't wardrobe book, um, addition by the team. You see that quite different, and everyone gets it from we. Everyone reacts that wardrobe you something we under usually vastly different. He took off, got come up with on idea. So improved quality with you sitting methods I told you about. Your meter must have had the accident, since they feel should be. It's in the water and open addition. It's compared the ideas together. Put it in the question. You send it back to them, I'll let him know secrets or the thing should be included on also have a little space for my ideas. If they are once you've done that, you would present you're finding stuff. This is a lower, the department of said. This is our defense. That should be every believe, order on back in addition, and then you sent a performer through What's up group or you principle for my visits at different points off department on the encourage people are so besides the medical officers. So use this for months. When documented, did the war Jones, you really begin to see how well your bladder is, and there's good improvements can go to the management on. So push um, for official official documents, you know, in a in a case notes. They are There are sheets that I used the committing war you can push the other sheets should have that already printed on the each daily water. And the politicians like that's used you. You know, you improved service so very, very, very, very tight extent I'm basically anyone insisted. I departments were both fine, and it's hard to right wardrobe or two for you. Well, what about the departments is doing That's a lot practical idea that you can do. Request one of the conditions. Another one is operative notes. Your many, many surgeons have different ways or writing the notes. I'm aware that many centers do. There's a lot of trouble for more. Well, that's not pretty good. Uh, so back and 71. So if you're center, there's no time performer. When you see the method that upset you can establish you perform for it in a particular it's on, then audits salmon to par for fully performer. If this on already established performer on your pretty boots, for example, that's eating itself is a form of local guy that so you can decide to go through all your proteins on. See how many people are really feeling all parts off your particular. It's come down a pretty well. You can, you might say, like nine to Pennsylvanians. You know, actually, pretty nuts. You said our most people don't feel all parts of the radiance. Maybe because at least that's had this clinical purchase and stuff like that so you can go to different departments, get about 20 to 30 kiss notes Jagdeo operative notes on See how many people are feeling each aspect on then, you know, analyze the data on them present. Actually, next month, I tell him not see a low for for for you mean you know, everybody feels the name. Everybody feels. Name of the steps list every diffusing him off. Yes, it's not sore. 50% of people are feeling you're pretty findings, but it's really thin. Percent of people are talking about the the complication of the adults coma from surgery on then, you know, incorrigible to feel as much as possible with the soap radiance already pretty nuts. And then you read it again in the mosque to see, even if you're not improvement and then you really think it's a lot more chicken more improvement? Oh, so those are practical ideas, really. You can do a PSA medical students. Ellik are a doctor. Um, destroy old you are. Who's our particle ideas? Like I said, everybody, it's the matter How small a lot can. It's a national national on new coupon. Frances on you would be recognized. I want you presented our conferences. They can be published. Okay, so I'm going to have come to the end off the possible idea session so the next one would be just be answering the questions that you might have, which we got any of his books got. It is so I want you the listeners to think of think of any of the ideas have mentioned was I think you can do on. I'm trying. I'm trying to think off the child. The challenges in my face sort of ask questions and see how we can love it gets any of the challenges that my heart started in the critical. It's really cost effective. You don't have to spend one combo, you know, it's on and off. I'm not, you know, improved service. Sorry. Okay, So you have any questions, please ask away in the box. Okay. How's your bowels? Good night. The guideline. Auditing in the setting of a public university teaching hospital, as in medicals to them. Um, the first thing you should do is identify the parts or topic that does. Not having bad leg can take you off the outside coating cross surgical conditions. Check the management that because all the good idea then go to the department. Let's go to go to urology for money. Right off their process. It goes to the urology department on meats, members of the team about maybe 6 to 10. That's huge of them. About that is they look okay for managing of BPH. I need a lookout. Guideline. A zit hasn't been published in the department in the clinic on ideal weight. Just look, then you extend up okay? You being so how did manage BPH are you? Write it down somewhere. You ask each level above each other. Remember off the urology department until you can draw a flu. Shots are good like then depending. You can't design a question. You know containing the stuff we do it in down or the flu shots. Do you think you know, capacity? The management off BP hit on. You share this question here. So all the members of urology department and see where the angry, you know, with the flu shots and how will they do the flu? Shots on the Livalo. Prosperous deceived. Any changes? Additions of corrections. Once you get the results back, you would have the definite guideline, the next little present. So you get all the 6 to 10 people off the urology department together, maybe before clinics, and then you present your findings. Introduction? Are you did? It's on that. This is a guideline. Everybody has a good upon. Want to get our blessings? Yeah, just simple prints. You make it colorful prints. The guideline on there, you twisted it on in the office is send it to there. What's up? Groups? Remember, you're going to send it to your your, um, classmates as well. And that has saved us our quality project slash on it. Does that answer your question? Um, yeah. So because considering the hierarchy in place, so you're not going with the mind set off the bus or whatever. Which is right. You know, the first thing is to meet the most in your head of department on. Tell him about your idea on what you intend to do on out. This is a project I want to work on on. Do support you. You can answer you like to also present inside. The national Conference is on you like then. It's also be use for varices so you can get hit with the your consultants of ice on the project. We can make that you for destroying units with the chief of Erection. Register off top article A project Are you making about? Make it about improving the units on. It's not like you're coming to change things. You're coming to help them improve units using the I want, I guess on. But I'm sure nobody is going to No. Nobody will start enough to turn you down. It's on your down, you know. You know, stretching. Go. One of the idea of the department Fortunate everyone. Everyone who will be nice. But depending on how you approach, you can't. No one is to you about it. Uh, cardio ways anyway. Uh, so Yeah, that's not, um, we have any, Like what it's doing in private hospitals. Recognized? Yes. Audits on anywhere in the healthcare setting is recognized. The A more velocities to improve service about it. You can sure that you have improved service with our privates. Probably take sherry secondary. Comprehensive. Okay, center once you can shoot that, you proved 70. Very. With regards to care, it's a recognized into a cold because it means you're contributing to service improvements on which is one off the sense that we're really lucky. Nigeria. We always talk about the problems nobody really comes with. So me show you on here, you are coming with an idea to improve service in your own capacity. So, yeah, it's a miracle. Nice. Anyone told? So we have it. Looks like there's a new message. Okay. Do we have any other questions? Oh, I'm sure, Like I think it's it's, you know, quick shown teacher way. Don't have any other one we want said majority of the patients. And I think, uh, do you have enough thing like to share with us? Yeah, I would just like to encourage everyone. So start conceiving. The idea would it's a day end of this end of this session with our go through four sessions on how to conduct clinical it, it's on the next best thing is put it into practice so you can get some more. If I decide on a really small it or quality of projects that you can do, I'm you know, you have to include it to stop the first one. Once you've done the first one on, you seem to change. That does much better to do more right also presented a corporate system. I just seen the force is different, but the people up, it's good somewhat to get you. I'm give you a good skill in your career. Own words on If you decide to apply for foreign exams or to walk outside the country beneficial. This these different wanted start you have done common handy with giving you on edge. Oh, over people who have not done what? It's one minute here for scratching proof. Seven. Yeah, thank you. So I would like to encourage everyone to also provide feedback. The feedback forms in the comments section Um, the feedback from the only we Easter only way you can get certificates. So once you feel the feedback from this is going to be generated, you have that as evidence I tended, um, first teaching. Put it off from Cigna on. We would hope to do more projects with regards to order things like research, teaching more. It's on more projects that would leave any kind of doctors. Uh, thank you very much. Like you said, it's literally goes down. So you just think you know any tropical told that you want to write a note is from on the Yaz highlighted a few That's could be easy. Last week Friday, we talked about management off something around DVT, like those prophylaxis for DVT in patients that you know will be mobilized for a long period of time on then. Today, like hypertension, which is quite common, you can easily have access to a good number of patients with that in your hospital. So and then a size that will still also be available in case you still want to have you come up with an idea. You're not so clear about how to go about it. Ah, you can always message any of us on. We'll see how you can put your true on. Then I'll share the feedback form. Currently, it's in the chart books if somebody is asking, but I'm sure he'd already so you can check. Just check the chart books, messages you see there. Just treat on the feedback. It would generate your certificate automatically. Uh, catches asking. I don't know. Just cool up. You see, it's it's just a boot, Daniel. Aries comments. So you just feel it only to generate your certificates immediately. So this would be close to the end off this Siris onto this session. Ah, want to thank everybody for joining us? We have many other programs off this nature that we're working on on. We always shedded link on. You can join us because it's definitely going to profit you your career on then your own your own good as the clinician. So I'll see you. We'll see you guys in the next session. For now, it's be a good buy from us. Okay? Somebody is asking a question. Please. Can we have access to the virus resources used by the trainers? Oh, yes, we've been sending. So we sent the first two on the jar. Good shots. The group chops with the teaching, uh, sessions. So the share this particular one is just we just wants, like that time you say involved, Posted on a good chat also. So don't be often. Now, See you guys on with that thing. Thank you very much of a wonderful weekend. But I'm sure you feel the feedback for more. If not, you know, get that kids.