Computer generated transcript

Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.

It was uh it was uh it's been crazy. Hello, everyone. Um We're just Parton and uh and apologies. I've got um Dr Kelvin Memor uh joining us today um apparently is gonna be on, avoided the absence because of um certain reasons. So who is scheduled for his um own session separately? So it's only gonna be um doctor uh that will be um speaking to us today. And um are we introducing right away? So um Doctor Endang is a medical doctor, a public health specialist is currently the general surgeon and assistant professor at uh Gas Tembaga Universal in uh Saint Louis Senegal. Uh after completion of his general surgery residency from Dhaka uh training laproscopic surgery at Queen Mary University of London. He participates regularly as a volunteer in surgical campaigns for the semantic populations and it's particularly interested in minimally invasive and global surgeon. He also aims in, he aims to participate in training the next generation of uh sergeants in Africa and in Senegal, the Osi's efforts will give communities better access to surgery. Um Apologies for the background. Sorry, I'm just, I'm coming back from a conference and uh I'm just in transit so um ignore my background. I'm gonna go muted now and uh Doctor Endang without the stage. Um What about to you? Doctor? Uh uh huh. Just look at this. Thank you very much. Um Hello. Every everyone here. I'm Abdurahman Dong from Senegal. So I'm very happy today to part street today's session of uh monitoring too. I'm sorry, I'm alone at home with my young brother here. Come and say candy bar on you. I'm sorry, I'm sorry, I'm here today alone with my daughter. Um but I'm going to share my, my, my screen and to start the presentation which will be uh about uh general surgery training, particularly in Senegal and how it is going and what kind of training um are, are done and how an international um medical student would do to, to um to be part of this train, obvious kind of training path in my, in my country. And before starting, I just wanted to, to tell you also that uh Senegal is a French speaking country. So uh if my English is not like uh your English, I, I uh I just wanted to tell you that it's only because English is not my, my first language, but I will do my, my best to do the presentation for you today. Um Just to confirm, can you see my, my slides? Can you see my slide? Uh I guess what um can you, can you confirm that you, you are saying my slides, please. Uh I'm not sharing, share your screen. Um Oh, you are not seeing my slide yet. Is it okay? Now? It's like it's lagging a little bit if it's working now you can tell me if if you are seeing my my screen more so like people are not seeing my slide. I don't know why. Mhm Let me check again why people are not seeing my slide. Yeah. Mm uh Yeah. Yeah. Okay. Um, sorry I will discuss to, I can't see, I can't see the slide yet. Think it's logging in. Uh, I think it's, it's a little bit. Uh, can you see my screen now? Uh, can you see my screen next time? Not yet? I think it's, it's, um, it's lagging but I think it's almost gonna come up now. Yeah, I think it's lugging. Yeah. Oh, 3 to 6. Very nice. Find it on the jump. It was like 10 minutes. He said a morning. Uh, okay. Hang on. What sense. Yeah. Mhm. Mhm. Mhm. I don't know what is the problem, but I have already have already shared my, my screen. Mhm. Uh mm. Sorry for the delay. I don't know why it's not working. Let me stop and start again. Hello? Can everyone hear me? Hello, everyone? I'm back. I, I'm trying again. I think it's, um, it's um, yeah, we can see your screen now. Yeah, you can see the screen now. Yes. Yes. Oh, cool. That's cool. Um, the slides. Can you see the slide? Yeah. Yeah. So, so I can stop. Yes, please. Ok. So thank you very much. Thank you very much for, for being here today. I'm very happy to be here and to share with you uh my little experience in general surgery training in my country. And I hope that after this presentation packable, I hope that after this presentation, all, all the all people who are here will be uh very keen to visit my country and also to visit our hospital and university to discover how, how we are dealing with all the same. Uh um the same challenges in Sub Saharan Africa, but also in in the world in in general. So my name is Abdul Rahman Dengue. I'm from Senegal. Uh No, Senegal is a West African country. I'm pleased to um introduce today's topic, the general social training case in in Senegal. Know that the field in of medicine has always been a little component. Uh any healthcare system uh and surgical care plays a significant role in ensuring um the well being of a community. Um However, there is often a shortage in well um of of well trained surgeon, particularly in developing country, uh particularly in Sub Saharan Africa and in my country. Also in this session, we will discuss the detail of the general surgery training program in single included the educational and professional requirement. Um um but also the advantages to be trained in surgery in Senegal, the timeline for obtaining training, position and collaboration with local and international institution. So let's just delves uh into the topic and explore the opportunities and challenges of uh surgical training in Senegal. So, uh we are going to use this, this plan. Uh We will be talking about the background. And after, after that, uh talking about the health system in general in Senegal, after that, the health education system. Um and after that, um talking about all the surgical specialty training that are available in single and how to access to those surgical training. And before concluding, I will tell you just a little bit about our residency program in general surgery um here in Serie in our university. Um when we think of Senegal, most of the time, it's uh football and dollar Fry's that might come to our mind. Uh You know, that recently uh United Nations uh determines that gel off, right, originated from Senegal and not Nigeria, not gonna and not uh also as uh West African country. So when we talk about Senegal, most of the time, we think about all of rice on, but also about football. We as a uh the African champion about this, this port. And uh also, uh Senegal has so much to offer in term of travel destination, have very stunning witches in Sally. And uh I think that uh Senegal, it is a good destination for someone who wants to, to explore those cultural um element. But also what you what we are going to talk about, this presentation is about our health system and our surgical residencies program. So uh in in introduction, we can also say that um uh Senegal is a low income country, so a developing country, we have uh something like 15 million of people in the country and in term of health medic, medical uh in term of medical education, uh Senegal is the uh location of the first medical school in uh West Africa, in France, speaking West African countries. And this um the school was founded in 1918 and has played a critical role in training medical professional, not only in Senegal, but also in neighboring French speaking countries like Mali Guinea, um Togo Benin and Burkina faso. Um uh and despite being a low income country, Senegal has made significant stride in providing accessible and affordable healthcare to its citizens. The country has developed a strong network in public hospital and clinic which offer a range of medical services uh to it's people. Senegal's location and history have also made it a hub in, in terms of medical research. Uh and we have something like 14 medical region and uh 76 health district. And uh but uh despite all those good points, we are, we are, we are lagging in term of uh number of physician and and and, and surgeon. We have less than one physician for 10,000 of people. And we have also an unbalanced repetition of medical doctor and specialists that are mostly located in the capital, which is um Dakar. And uh about the health education system in Senegal, public Medical school are the primary source of physician training. So in Senegal, there are uh five public medical school that uh seven year medical doctor program. And after complete completing the seven year medical program, uh physician may choose to specialize in surgery. And uh the surgical specialization program take between four and five years during which time they receive comprehensive training and hand on our experience in surgical procedure. Subs subsequently. Uh Some physician also may choose to pursue uh sub specialization in particular field and to do a master's degree or postgraduate diploma when it's available in Senegal or abroad, mostly in France or in Belgium. Uh Here is the list of uh the surgical specialties that are available in Senegal. So we have general surgery. Uh I did my residents in general surgery. Uh It's the oldest uh training path that is available. And um um we have also pediatric surgery, surgical oncology, obstetrics, urology, orthopedics, um neurosurgery of technology and stomatology. Uh some particularity also, we are the in Senegal, we have the training path about surgical oncology, which is the only one um uh training path available in French speaking country in, in Senegal. So if, if you want to be a surgical oncologists and you are from a French speaking country most of the time you come to Senegal to, to do that surgical specialty. Um after doing the surgical specialization in four or five years, you can, if you want to achieve through a one or two year prosperity, a diploma, sub specialisation like laparoscopy or in virginal surgery. But there are also some kind of mastered degree if you want to do fundamental research like in genetic histology, anatomy. And uh also in public health, the particularity of this uh post graduate diploma in Senegal is that you can do it during your residency. So you do not need to finish all your five or four year of residency to start this this postgraduate diploma. So you can if you want do it during your your residencies. So uh you see here, we published recently an article about the limitation and those challenges about laproscopic surgery in terms of training, but also in terms of uh taking care of, of fashion at the hospital if you want after you can go through it and see how little experience about it and uh how, how to access to the surgical specialty for a national or international medical graduates. So after completing the uh the medical doctor program, the seven year uh medical graduate can participate to uh national residency contests known here as internet is a Pito in French and it's open to all medical doctor. Um but you can do it after you uh finish five years of medical school. So before you finish your medical school, you can do that context and start your specialization if you want. So it's a very particular system. So um you, you will see in, in our country, people who have not finished the medical school but have started the medical specialization. It's a very particular uh path uh that is helping also to train people who will be uh the teachers in the medical school. Um particularity. Also, it's uh it is this context is open to all national but also uh international uh medical graduate from, from Morocco, from Benin, from Malay or from all as a country in West Africa can come and participate to do that context contest. And uh um for international medical graduates seeking to practice in this country in Senegal, there are also eligibility requirement but generally, generally no exam are required. African must submit an application and uh if they are accepted, they can begin practicing uh medicine and, and doing their training for African graduate from countries within the economic community of West African state because there is no need to have a visa or to have a work permit. So it's really open to all people who are in West Africa and who want to explore more in terms of surgical training to come uh in Senegal. So what about the timeline to obtain uh opposition for as a social resident? The timeline uh in the country generally begin in, in uh uh in August and September each each year. And this is a period where medical graduate can apply for residency program position in different medical specialty and uh medical graduate uh generally and encouraged to apply early uh to increase the chance of being accepted into the preference specialty. The application process process generally uh include the submission of academic transcript, uh CV and letter of recommendation and also the application period has closed. The selection process begins. The selection process typically involve reviewing the African academic performance, extracurricular activities and letter of recommendation. And after the selection process is completed, successful applicants are notified and training generally begin in October each year. And medical graduates who are accepted into residency program uh are expected to complete the training of a specified period and meet the program requirement before they can graduate. Uh There are also some exchange program you can do during the residency to go abroad and complete and do some internship. Uh you know that uh Senegal is also part of West African College of Surgeon. Um but most of the, most of the surgical residency programs are not part of the training program of West African College of Surgeons. Uh It's not the case at this moment, but we are working um into it because you know that we do not have the same uh university organization and we do not share the same language of study. That's why uh most of the French speaking country do not uh do not uh are not part of the West African College of Surgeon training program, but some hospital are a credit eight to buy, buy the West African collections of surgeon. And, and if you are resident from works country, you can come in Senegal in those department, those hospital to do some of your, some of your training. And um for those who speak French, you can do during your residence also uh one year or two year of, of your training in France or in Belgium to depend on uh on your uh on, on the board of your specialty. And if you have a good uh a strong uh you know, if you, if you show uh uh if you are very keen to, to learn more, you can apply for this kind of program and go abroad like in, in French or in Belgium to do to do your, to do an exchange program. And it will be accepted by, by your surgical residency boat. Before concluding, I wanted to give you some advantages or benefit uh medical training in a in Senegal. Uh you know, in Senegal is a rich cultural and historical country. And first, it is a country or for an overview of local culture, which is essential for medical professional to understand the social and cultural uh factors that influence healthcare uh deliveries. And I think this understanding of uh of the cultural background is vital in providing bastion central care that is respectful of patient's cultural belief value and and and practices. And secondly, cultural immersion is also important for medical professional to gain a better understanding of the local community, health need and challenges. And this experience is crucial uh in preparing medical professional to work in diverse healthcare environment. Also, collaboration between local and international institution uh is a significant benefit in medical training in Senegal. So this collaboration allows medical professionals to gain exposure to different healthcare practices and medical perspective, which can improve the quality of care provided. And for the more the country's official language is French. So medical professional who train in this country have also the opportunity to improve their French language skill. I know that you will tell me that the most most must speak um spoken uh language in the world is English. Why do you need if you are uh English speaker to go to do your training in a French speaking country? But I think that uh the more you are exposed to language is the more you will have opportunity to go and to learn more from, from other uh from the uh so this language exposure is beneficial in providing medical care in French speaking countries and collaborating with friends, speaking healthcare professional. And lastly, uh the country has a diverse special populations that improve medical um professional with exposure to a variety of medical condition. And this is so this exposure is valuable in improving uh your diagnostic and treatment skill and uh probably will prepare you to work in a di diverse healthcare uh environment. So also before concluding, uh here in ST Louis, where I am working as an assistant and other surgeon. So, Saint Louis is the second city in Senegal. So it's like uh 230 kilometers from Dakar, which is the capital. And historically, there was only one surgical residency program which was located in Dakar. And you know that to improve the access to training and the access to health, health healthcare to the population, our university open uh in 2020 surgical residency program. So this program is currently in its third core and has welcomed surgical resident from Senegal, uh Guinea Conakry Burundi and Cameroon. And uh the program is a collaboration between University of ST Louis Castle Burger University, but also all the University in Senegal in Mali *** and Guard, as well as the International Universities, Asthma Kill University in Candida or to lose University in in French, you know, in France. So you see here the uh Arian view of uh salary. So salary is known like the African Vernice because it's an island between the river you can see here and the c. So it's a very beautiful part of the country. And I would be very happy one day if you can come to visit me here. And um our surgical residency is uh mainly focused on using simulation before doing surgery on patient. So we are doing our best to use virtual realities. So here you see one of our surgical resident using uh virtual reality headset to uh to be trained in a case of normal to racks. And here another surgical resident using with his head camera doing some simulation in uh internet of an intestinal anastomosis during um during a simulation case. So we are doing our best to use simulation with cost effective material. But also we we want to develop everything that is oriented to virtual reality in um in health and particularly in surgery. Um I will be very happy if I can welcome resident from as a part of the world. But also as a part of Africa, we are open. If you want to visit us for an internship or for observer ship or to do your training, you can just email me or email or email one of my colleagues. So you will have the authorization to come to do your observer ship. And I think that those kind of observe worship will be uh give benefit for both to to you, but also to us. But because we will learn from you and uh you will learn from us and discover another kind of uh surgical environment. And uh to conclude, uh you can take here my contact if you want my email and my phone number with this um clear cut. And uh before concluding, I wanted also um to think to thank everyone who is here today and to tell you that I'm very 100 very, very happy to do this presentation. And uh thank you to everyone. Thank you. Thanks, sweets. Thank you. I don't know. Yeah, if uh are you uh so you can, you can take my, my contact using this QR code? Thank you very much. Um It's like that. Uh Yeah, yeah. Um Yeah, so if you have questions, you can uh you can uh ask your question in the chat and yeah, thank you, David. Uh Like I said in the beginning, I'm sorry for my English. I'm doing my best but my primary language is uh is French. So it will be my pleasure to welcome you also or to learn more from you if you want to develop your friends also. I want also to develop my more my my English. So thank you, David. Thank you. Um voluntarily. If you have questions, you can, you can write it on the chart. Thank you. Yeah. Mhm And the gender. Yeah, Dada Lisa. Okay. Uh huh. Yes. Yeah. So I it's like I've seen one question here from David. How is the female gender representation in surgical training and practice in Senegal? So, yeah, thank you for the question. I think it's a very important and very interesting question. And uh I would say that it's the same as in other countries in, in South South Africa. But also in the world, I would not say that uh woman are not represented. But uh if you take the ratio, I would say that you will have one woman for something like four men or uh or 66 men. Um But it's uh not only in surgery but in uh medical specialty in, in, in, in uh not only in general surgery but general in um all the surgical specialty. But there is a change in the last year because I've seen a lot of people, a lot of female in our residency program. For example, for our residency program in ST Louis, we have uh something like uh uh 20 resident. Uh No, we have a third. Um So we have 18, 18 residents and we only have two female surgical resident. So you, you see that they are present but they are underrepresented uh in term of uh proportion. Uh It's a very interesting uh subject because I can tell you if you want, uh I will tell to uh to allow Alhua Xena if you want a presentation about surgery and um female gender representation in Senegal. I think the, the most uh uh the person who will be very keen to do that presentation is uh one um surgical oncologist. I know who is now doing his uh training in uh UK. So I think that after it will be very good to, to ask her to come and to do a presentation about this and I think it will be a very, very interesting and nice to, to discuss with all the as a medical student and uh and surgical resident. I don't know if I have uh answered to your question. Um David, I David. Yes. Yeah. Thank you for the question, David. Um And thanks for the answer, Doctor Endang. Do we have any other questions? Just drop your questions in the chat box. But Don Dong is more than happy to take as many questions as possible. What? Yeah, yeah. So David just replied that thank you. I think he's up here with uh Yeah, if you want a Yeah, if you want a presentation on that subject, just tell me I will send you the contact of that surgeon who is very uh engage into uh surgery and um gender, uh female gender representation. Okay. Yeah, that would be nice. So, and I'll just, I'll just give us a few more minutes in case there's any other person that is typing question. So um thanks again, Doctor Window for the awesome presentation. This is um session, one of this mentorship series. Um apologies ago again, on behalf of um uh Kelvin member who couldn't make it uh the presentation today due to unforeseen circumstances um is promised to make it up to us. Um and we would um arrange another session for him to speak to us next week. We would be having another set of uh awesome speakers. That will be talking to us on, uh, facing topic and it's, that's gonna be the session to, uh, and hopefully we, we would all gain one or two things, um, from the expertise and from their wealth of experience. Um, before we call it a day, let's all remember to fill the feedback form. And if, after I haven't posted a feedback from here, everyone has attended would get, um, it's sent to your email. If you don't get it filled, we won't be able to, you know, what we've done well and what, what we've done wrong, what we need to um sort of um improve on, on and so on and so forth. And also that would also get you a certificate once you um put in your feedback. Okay. Uh I think there is a question on the in the chat box now from Mauer. Thank you for insight for presentation. Are we, how, how could we improve our skills and help with our colleagues in our country by collaborating with international society? Uh Doctor undone still there? But the door I think is locked out. Let me have a leak. Yeah. Yeah. He's still, he's still locked in. Doctor Endang. Can you, can you see the question? You need to um mute your mic. We can't hear you, sir. Yeah. Yeah. Can you hear me now? Yes. Yes, we can hear you now. Did you see? Yeah. Question I just read it out. Yeah. Yeah. Yeah, there is a question here saying, asking if how could we improve our skills and help other colleagues in our country by collaborate with international society. I think it's an important, very important topics. Uh And I would respond to things that uh uh one day I heard a quote about a quote from uh Paul Kagame saying that uh we young African, we have to say is any opportunity available for us to improve our situation. So I think that it's very important, it's a very important state of mine. So do not minimize the opportunities that are available. Most of those opportunities are here, but most of the time we neglect them or do not want to participate on it. Uh That's why I think that it's very important to participate in any, any kind of opportunity you see um in terms of surgical training and do not uh surgical training or medical training in general, do not only focus on gaining clinical skills. So you need also to, to do your best to gain all the kind of skills uh that are not always uh thought during your training at, at medical school. But because if, if you see a medical school, most of the time, we are well trained to be a good doctor, we are well trained to be a good surgeon. But what about managing skills? What about leadership skills? What about learning a new language? What about how to deal with problem how to deal with conflict in, in a professional environment. All those skills have to be uh learned for, for, for, for people. So that's why I think that um we medical student or surgical resident, we do not need, we do not have to only focus on gaining clinical skills or surgical skills. Those soft skills are very important and do not neglect any opportunities that can help you to gain those skills. It can be online or doing some internship, some observer ship some uh activities uh to help your community and uh to uh uh to be part for in, in all the big uh organization like like surgical interest group for, for Africa. So I think take any opportunity available for you and you do not minimize or neglect any opportunity you see online or in your country to help other people on uh to help uh as a medical student. That's what I would say in terms of improving your skills and helping your colleagues uh to collaborate with international society. So uh you said also to improve surgery field as well like in facility and limited resources country. Yeah. Uh You know, we when, when we have a problem, like limited resources or limited human resources, uh we have two choice. You can take it as problem or you can take it as opportunities. So if you take it as problem most of the time you want uh face those problems or you won't change it. But if you take it as opportunities, you will see it like there is something to do here and I am in a position that I, I could change that situation. So if you see the the situation in, in uh in this point of view, I think that you can do uh very, very interesting things. Just an, an example from my own perspective when I started my practice in celery, you know, I told you that salary is not a primary city in central, the capital is the card. And when I started my practice in celery, uh we have, we didn't start it minimally invasive surgeries in salary. So we were, we were not doing laparoscopy for anything, all that kind of surgery, we were doing work open surgery. And the um the paradox of that is was that in the hospital, the material, the laproscopy column was available. But the surgeon who were here, most of the time they were, they had an overload of passions and most and they did not have the time to use the laparoscopy uh fight to have the equipment to complete the column. But when I, when I, when I was there, I, I I've seen it like an opportunity to develop an activity that wasn't available there. So, and, and I did my best to, to start that activity with some of my uh mentor, Professor Conaty, Doctor Zhao and Professor Dr Ajay Kumar Jaro. And we did our best. And now I can say that three year after that Saint Louis is becoming one of the center in uh in term of minimally invasive surgery in Senegal. We are not doing very extraordinary things, but we can say that minimally invasive surgery is available now in century. So that's why I'm saying that if you have problems in terms of lack of resources, just see it like an opportunity to develop more and not only uh seeing it like a problem that you will have to face and uh something that would uh not help you to, to advance, advance more in your career. I don't know if I have responded, but uh it's how I, I see it in my personal perspective. Thank you doctor in the uh if you know if you have other questions, David or uh I, I think we have those two people here. Thank you very much, Mara and I'm waiting for you to visit the salary and I will be very happy to visit your country also. I don't know you are uh from which country, but I really, really would like to visit other countries in West Africa. So uh I hope one day you will be my my horse today. So also Oh, nice. You are from Libya. I, I would be very happy to visit Libya. I I hope one day I will be there. Thank you. Thank you once again um dot On Down, I think it's safe to call it a wrap on this note. No further questions. Um This is a recorded event. So every other person um if you miss some parts, you can go back to it later on and watch it. So you would have access to it um later on on the medal um platform. And once again, remember to fill the feedback forms so that we know what we're doing rightly and what we need to move on. And also that's gonna get you the certificates attending these events. And like I said, this is the first session of the events and the subsequent sessions uh coming, let's come up in the ports coming will be or weeks. Um Once again and for the very last time, apologies for on behalf of Doctor Kelvin, lemme who couldn't join us today, get them to join on some uh subsequent six. Thank you very much and have a good day all night depending on the part of the world you are. Yeah. Thank you to Managua to David, from Nigeria to Joshua also from Nigeria. Thank you very much. Mhm Right. And the Arava. All right. Mhm. Yeah.