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- 작성자Severance Academy
- 작성일2021-04-05
- 25
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- 작성자제중원보건개발원
- 작성일2021-03-09
- 65
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A preliminary investigation was conducted for Education and Research Empowerment for Tashkent Pediatric Medical Institute project (KOICA project) on January. This project was structured and suggested to lead strengthen medical education, nursing education, industry-academia cooperation, and research power of Tashkent Pediatric Medicine Institute and this preliminary survey was aimed at grasping the validity and effectiveness of the project. The preliminary investigation should have been based on a site visit, but due to the COVID-19 situation, remote investigation was conducted. The remote survey mainly consisted of interviews with the Tashkent Pediatric Medical Institute, which is the target institution and through meetings with rector and professors in charge of education, the demand for the project was identified and the contents of the project were specified. In addition to Tashkent Pediatric Medical Institute, investigation team had interviews with the Ministry of Health and Higher Education of Uzbekistan, National Children’s Medical Center, and the National Chamber of Innovative Healthcare to explain the project, seek consultations on the project, and identify demand. After the completion of the preliminary investigation, the final result report was submitted last month and KOICA's review was conducted in mid-February. After KOICA's review, if the budget for the project passes this year's review by the Ministry of Foreign Affairs and the National Assembly, the project will start in earnest from next year, 2022.
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- 작성자제중원보건개발원
- 작성일2021-03-02
- 122
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The Global Engagement & Empowerment Forum on Sustainable Development (GEEF) was held online at Yonsei University on February 4-5, 2021. It is an annual international event, organized by the Institute for Global Engagement & Empowerment (IGEE), the Ban Ki-moon Foundation for a Better Future, and the Ban Ki-moon Centre for Global Citizens(BKMC), where all stakeholders, including global leaders and experts, convene to collaborate towards accomplishing the United Nations’ 2030 Agenda for Sustainable Development. GEEF 2021, as the cornerstone for fulfilling the mission and vision of Sustainable Development Goals(SDGs), was organized under the theme of “3Ps(Peace, Prosperity and Partnership) Beyond Security,” focusing on the need for facilitating global partnerships, multilateralism and sustainable development. Shinki An, Director of Yonsei Institute for Global Health, Yonsei University Health System Among the 10 sessions highlighting digitalization, global health, and education crises as well as the SDGs, Yonsei Institute for Global Health(YIGH) organized a Featured Session with the title of “Safe & Affordable Surgery : Strategic Plan to Achieve Equitable Access to Surgical Care in the Asia Pacific Region.” The moderator Shinki An, Director of YIGH, led the discussion with 4 panelists on how safe and affordable surgery fits in a sustainable health system, especially in the Asia Pacific region. Ifereimi Waqainabete, Minister of Health and Medical Services, Republic of Fiji COVID-19 pandemic demonstrated the significance of a strong and resilient health system in maintaining health and sustainability. Such health system is achieved through equitable access to safe and affordable surgery. Ifereimi Waqainabete, Minister of Health and Medical Services, Republic of Fiji, emphasized that it is essential to provide adequate healthcare services despite the challenges caused by the pandemic and natural disasters. John Gerard Meara, Kletjian Professor of Global Health and Social Medicine in the field of Global Surgery, Professor of Surgery, Harvard University Surgery saves the lives of millions of people every year and improves their quality of life. Medical personnel trained for surgical procedures improve the quality of medical care, and logistics systems designed to maintain surgeries enable a stable supply of medicines. Yet, 5 billion people do not have access to safe and affordable surgical care. This issue is most prominent in low- and middle-income countries (LMICs) where 9 out of 10 people are unable to access true surgical care, resulting in surgery avertible deaths and disabilities. John Gerard Meara, Professor of Surgery at Harvard University, pointed out the importance of surgery fitting in healthcare as an equal participant, as an added benefit, to a holistic health care system. Tae Soo Kim, Executive Director of Export-Import Bank of Korea Recognizing the importance of safe and affordable surgery, the World Health Organization Regional Committee Meeting for Western Pacific received the approval of the Action Framework for Safe and Affordable Surgery from all member states in October 2020. Tae Soo Kim, Executive Director of Export-Import Bank of Korea, highlighted the importance of global cooperation in the health sector to move toward the future of Co-prosperity. Hyunwon Kim, Director General of Climate Crisis & Pandemic Response Department of Korea International Cooperation Agency, also asserted the need for planning a mid to long term pathway and roadmap to eventually achieving the affordable and safe surgery, which is best implemented through international cooperation. Hyunwon Kim, Director General of Climate Crisis & Pandemic Response Department of Korea International Cooperation Agency The speakers shared insights from the perspectives of a member state, an academic, and multilateral development agencies. Specific action plans that need to be enforced in order to achieve equitable access to safe and affordable surgery were laid out in the session.
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- 작성자제중원보건개발원
- 작성일2021-02-26
- 114
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The Global Engagement & Empowerment Forum(GEEF) 2021 on Sustainable Development (SD), is an annual international events, organized by the Institute for Global Engagement & Empowerment (IGEE), Yonsei University and the Ban Ki-moon Centre for Global Citizens, where all stakeholders, including global leaders and experts, convene to collaborate towards accomplishing the United Nations' 2030 Agenda for Sustainable Development. Medical Mission Center, Yonsei Institute of Global Health held the Featured Session 5, "Global Partnership & Higher Education: Postgraduate Medical Education in Africa: the status quo and challenges" Featured Session 5 Global Partnership & Higher Education Postgraduate Medical Education in Africa: the status quo and challenges Speakers • [Co-moderator] Dr. Chin Pak Director, Medical Mission Center, Yonsei Institute for Global Health, Yonsei University Health System • [Co-moderator] Dr. Paul Choi Director, International Program, Medical Mission Center, Yonsei University Health System • [Keynote Presenter] Dr. Mike Chupp CEO, CMDA(Christian Medical Dental Association); former medical superintendent of Tenwek Hospital, Kenya; faculty for PAACS(Pan-African Academy of Christian Surgeons), General Surgeon • Dr. Mark Oloo General Surgeon, St. Luke Medical Centre, Kismu, Kenya • Dr. Jin-Kyong Chun Medical Director of Africa Future Foundation Zimbabwe; Volunteer Lecturer, Dept. of Paediatrics and Child Health, University of Zimbabwe, College of Health Sciences • Dr. Betty Abbo Kasimo Medical Officer Special Grade of Makerere University, Uganda; International fellow, Department of Pathology, Yonsei University Health System • Dr. Dong-Won Kang Representative of Africa Future Foundation Zimbabwe; Volunteer Lecturer, Dept. of Clinical Pharmacology, University of Zimbabwe, College of Health Sciences Session Overview Medical education consists of undergraduate and postgraduate training. Postgraduate training includes participating in residency training and continuing education programs. Postgraduate training is important for medical school graduates to develop their specialities. However, postgraduate training in Africa is not standardized in each country. Recently many domestic and international institutions started working together to improve postgraduate training in Africa. The speakers discussed the status quo and challenges of postgraduate training from the perspectives of a local professor, students, and international health workers. During the session, the speakers touched upon the impact of postgraduate training on the Christian medical mission and how COVID-19 has affected the postgraduate medical training in Africa. Keynote Presentation Dr. Mike Chupp “The mission of PAACS is to train and disciple African surgeons to glorify God and to provide excellent and compassionate care to those most in need.” “Frankly, African nationals, in my experience, were usually better and more culturally sensitive to the care of their own people and what their own people culturally needed in care. There's a slow but steady nationalization of many department positions that occurs because of this training, graduate training.” By the end of 2020, a post-graduate training program in surgery, called the Pan African Academy of Christian Surgeons (PAACS), a 501©3 organization based in the USA, had produced 117 fully trained surgeons in sub-Saharan Africa to reside and practice in sub-Saharan Africa. These post-graduate surgical training programs are found in 13 hospitals in 8 African countries: Kenya, Tanzania, Malawi, Ethiopia, Cameroon, Gabon, Niger, and Egypt. Most of the graduates completed a five-year training program in general surgery accredited by Adventist medical school, Loma Linda School of Medicine, Department of Surgery, in southern California, USA, but others completed specialty training in orthopedics, pediatric surgery, and head and neck Surgery. Newer training specialties include cardiac surgery and neurosurgery. The PAACS program is a collaborative effort between Loma Linda University School of Medicine, PAACS, and thirteen Christian mission teaching hospitals across the Africa continent. Graduates in the East African programs have been examined and certified under the auspices of the College of Surgeons of East, Central and South Africa (COSECSA) and have been licensed by medical boards in the countries of the respective training programs. Teaching faculty came primarily from the USA as volunteers in the first decade of the program but African faculty, including many of the graduates, have played an increasing role as the programs have matured and reproduced with graduates taking leadership roles in the original training programs as well as other mission hospitals. Graduates of the PAACS training program have remained on the continent and are actively providing surgical care in underserved populations of 21 Africa countries. New surgical specialty training programs are scheduled to start in 2021/22 in the specialties of obstetrics and gynecology, anesthesia, surgical endoscopy, and plastic surgery. The PAACS program envisions expanding to several other countries across the continent with the goal of having PAACS graduates in 36 countries by 2026. Panel Discussion Co-Moderator; Dr. Chin Pak “I realized in the medical school that it’s not my 100% responsibility to be a good doctor. Then who shares the responsibility? My school, medical school and the Korean government shares the responsibility to provide curriculum and infrastructure and ecosystem.” “We will not discuss how to push, how to force medical student to study hard to be a good doctor. But we will discuss how we can provide a good curriculum and good system to make competent doctor.” Co-Moderator; Dr. Paul Choi “How do you incorporate the motto of Tenwek Hospital ‘We treat. Jesus Heals’ into the PAACS program?” Dr. Mark Oloo “The greatest thing that you come to learn once you leave the PAACS program and learn to appreciate is it was a program that was brought up fundamentally, in the Christian basis. We did a lot of things that were leading towards taking care of the patient in a wholesome way.” My post graduate training was under the umbrella of Pan African Academy of Christian Surgeons (PAACS) at Tenwek Hospital in Western Kenya. It is a training program that is associated with College of Surgeons of Eastern, Central and Southern Africa (COSECSA). The program is broken into 2 levels the membership (MCS) level and the Fellowship (FCS). On has to complete the membership level before advancing to the fellowship level. Before introduction of the fellowship model of postgraduate, all the postgraduate training in Kenya for medicine was through master’s programs in the universities. The main challenges facing the trainees is availability of training positions. The country produces about 600 medical doctors from the undergraduate training but does not have adequate postgraduate positions to absorb them. In addition, some institutions may provide some programs but don’t have the basic capacity to run them. In a number of programs, the trainee has to pay fees and work on the side. During my stay at Yonsei University I noticed without a doubt that we in Africa lacked infrastructure. Availability of modern and sometimes basic equipment is a big issue. Funding remains a big problem especially for research and development. For specialized training, many of our trainees have to go out of the country for fellowships. I had a fellowship in laparoscopy at Yonsei University in mid 2019. For the impact of the Christian Medical Mission, as time goes by missionary work has reduced in training, but this largely may be due to the impact of COVID-19. Fewer foreign visits thus fewer people with much required expertise. The pandemic also affected all the postgraduate master’s programs as all universities initially closed but have slowly opened for classes again. Dr. Jin-Kyong Chun “For the successful implications of postgraduate program, we must know each condition of the specific medical society and supply the 3 key components: adequate resources, manpower, and proper income.” “A wholesome approach of building strong relationships, though it may take time, should be the first step.” The need of postgraduate training is facing new challenge because of COVID-19 Pandemic. The supply of medical consumables, recently developed medications, and guarantee of living fee during training period are not enough in developing countries. My observation in Zimbabwe medical society urged me to attend this forum and I’d like to introduce real situation that I have experienced. Usually, we don’t know well about the tradition of targeting countries and approach the problem with our own method. However, this kind of effort might not be successful because the environment is totally different and multifactorial elements are involved in medical system. When we implicate postgraduate training, three major determinants for improving clinical training system in Africa medical societies need to be considered. The first one is adequate resources to do clinical practice in line with up-to -date knowledge. The second one is manpower. For successful practice with high-level technology, meticulous patient care is required. Therefore, skillful nursing staff and on-call doctor system should be operated in cooperation. And the last one would be a proper income which guarantees stable practice and continuity of health workers. If economic situation is unstable, which is a usual situation of Africa, patients are not able to visit clinic for the treatment even with a persistent pool of patients. Therefore, after education, steadfast support is strictly required for the purpose of continuous clinical practice. Dr. Betty Abbo Kasimo “These challenges call for innovative approaches in medical education. … Collaborative approaches such as consortia formation by stakeholders, if met, will actually improve the efficiency and effectiveness in terms of training.” The state of medical education in sub- Saharan Africa has been lagging behind. The region is extremely short of the required number of qualified health professionals. The challenges call for innovative approaches in medical education. Collaborative approaches such as consortia formation by stakeholders have been shown to improve efficiency and effectiveness. Collaboration among country’s medical school was not done in Africa and Uganda in particular in the past. This was seen as a challenge in the face of differing organizational cultural context. Up-to-date Ugandan universities still don’t have exchange programs. The challenges faced during postgraduate are lack of adequate funding of basic and social services due to political mismanagement, inadequate salaries lead to brain drain, shortage of supervisors, and stringent regulatory environment regarding training of health workers. Other barriers include insufficient infrastructure such as internet shutdown in Uganda, and lack of modern diagnostic equipment. The impact of postgraduate training on the mission is that gaps will be identified during the training. This will enable the mission to promote strong collaborative and provide mutual support, as well as sharing of resources for medical education to improve the quality of postgraduate training. The effect of COVID-19 on postgraduate training have been serios. There is a lack of personal protective equipment, suspension of clinical clerkship and observation, reduction in the number of elective cases. The trainee’s mental health has been affected and online learning is often interrupted due to poor internet network. Dr. Dong-Won Kang “Provision of adequate research opportunities to postgraduate students may be accomplished through efforts to secure stable funding resources in African countries.” “Establishment of more efficient networking bodies responsible for facilitation of connecting the available funding resources to the appropriate researchers is desirable. At the same time, further incessant efforts to recruit more research funds from various sources, like from those outside of the country, seem to be also required.” Scientific and medical research is one of major areas where the health workers such as medical doctors and nurses must seek continuously throughout their profession because it is the basic, methodological norm through which whole medical knowledge is systematically standardized. In area of clinical pharmacology, researches to find the possible candidates for medicinal products from the natural herbs are frequently tried by postgraduate students because there are ample targets in African environment that have been known to have medicinal effects for various diseases. However, one of the major obstacles for researches is the scarcity of funding resources. The individual postgraduate students have to find their funding resources to perform research by themselves, and this has been frequently the cause of delay in researches or failure of continuing researches. Currently, some of the researches are supported from funds set up by South African Institutions or WHO although they are yet limited. To resolve the current situation, establishing more efficient networking body responsible for facilitation of matching the available funding resource to the appropriate researcher is necessary. At the same time, further incessant efforts to recruit more research funds from various sources like from outside of the country are also required.
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- 작성자Medical Mission Center
- 작성일2021-02-26
- 59
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- 작성자Medical Mission Center
- 작성일2021-02-17
- 70
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- 작성자Medical Mission Center
- 작성일2020-12-09
- 251
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- 작성자제중원보건개발원
- 작성일2020-12-09
- 234
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- 작성자Medical Mission Center
- 작성일2020-12-09
- 106
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1) Please introduce yourself. Name: Thanya Family name: Techapichetvanich Age: 42 Family members: I have one son, 4-year-old 2) Where is your working place back in your country and what is your specialty? I am a dermatologic surgeon from Thailand, I currently work as a full-time clinical instructor at Dermatosurgery unit, Department of Dermatology, Siriraj hospital, Mahidol university, Bangkok, Thailand 3) How did you get to know Severance? Why did you choose Severance as your training hospital? From my supervisor professor, Kee Yang Chung, we have met in the international congress Dermatologic & Aesthetic Surgery International League (DASIL) workshop, hosted by Siriraj hospital 6 years ago when I was doing my dermatologic surgery fellowship training in Thailand. I was inspired by his expertise and kindness and would like to have change to visit Severance which is one of the outstanding competent teaching hospital in Korea. 4) How long is your training period in Korea? 1 year and a month (from July – December 2019 and September 2020 – March 2021) 5) Which area did you focus on during your fellowship at Severance? Who is your supervisor? I am focusing on Mohs micrographic surgery on cutaneous cancer and scar revision. 6) What is the most impressive feature of Severance Hospital? Not only Severance hospital is a leading teaching hospital that has good academic environment, full of multidisciplinary health care professionals and innovative medical technology, but also provides holistic health care for patients with quality and humanized care. I have seen that Severance trying to create a healing environment for the patients, such as Woori Lounge and a cozy little garden on the 6th floor of the main building, which I am very impressed. Severance provides an integrated care for both wellness and curative for the patients. 7) What are the specific contents of your fellowship program at Severance? Since I have already completed my dermatologic surgery training program in Thailand 6 years ago and have been currently working in university hospital. My fellowship training program is emphasized on advanced techniques for cutaneous cancer surgery predominantly Mohs micrographic surgery and reconstruction techniques which various flaps and graphs. The surgery is focused on benign skin tumors, malignant skin tumors such as basal cell carcinoma, squamous cell carcinoma, malignant melanoma, merkel cell carcinoma and rare skin malignancies including cutaneous sarcomas and extramammary Paget’s diseases. In addition, scar management using surgical revision, Laser therapy and other techniques. 8) If you were to get the chance to come back, which field of clinical study would you like to focus on? I would like to focus on liposuction and fat grafting. Since in Thailand, we are still lacking dermatologic surgeon who specialized in this particular field. I additionally hope that I could have a chance to sharing and conducting researches between Siriraj hospital, Mahidol university and Severance hospital. 9) What was your first impression of Korea? Coming to Korea for training last year was my first-time experience in Korea and my first impression was about lovely Korean food, especially original home-made kimchi, kimbap, bulgogi, Korean-style BBQ and Jjimdak, they were very delicious. I also like the way korean people have discipline and responsibility for the environment eg. waste sorting and recycling system. Moreover, Korea has many amazing places to visit ranging from beautiful natural park to ancient heritage site. I had been to Seoul forest, Gyeongbokgung palace, coex aquarium and Gangwon province. I had visit Nami island and had Chuncheon spicy stir-fried chicken (dakgalbi) which was really tasty. This year I plan to explore Seoraksan national park too, I am certain that it would be the most incredible scenery to get there in this autumn. 10) What is the best memory so far during your stay here? The best memory of mine is a feeling of a very warm welcome and hospitality during working at Severance. Not only achieving more advance knowledge provided from fellowship training program, but also a great experience, to meet new friends and to be in part of the wonderful dermatosurgery team. Finally, I would like to thank you with all my heart for establishing this excellent international fellowship training program. I hope all the international doctors would have had an opportunity to visit Severance and be able to gain a memorable experience as I had now. 11) What are your thoughts and feelings about the way Korea is dealing with COVID-19, and what is the situation like in your home country? In my opinion, Korean government did the good work trying to control COVID-19 pandemic. Korea has an effective measurement for detection and containment of the COVID-19 including established high-capacity screening clinics to ensure an adequate supply for the test and innovative tracing systems that were utilized to get into the wide variety of data sources. I hope this new outbreak will deteriorate soon. The COVID-19 situation in Thailand has been quite successfully controlled since we do not have new cases in country for 2 months consecutively and almost all citizen still wear facial mask in public and try to keep social distancing as adjusted to the new normal habit. However, Thailand are facing economic crisis from impact of coronavirus pandemic especially in the tourism sector which makes up close to 15 percent of Thailand’s GDP as the border remains closed to almost all but repatriation flight to enter. Lastly, in a good aspect, I hope we can all learn from this difficult situation to have responsibility for yourselves and for society. 12) Who are you most thankful for at Severance (who helped you the most) & why? I couldn’t choose just only single person. Firstly, I would like to express my deepest gratitude to my supervisor, Professor Chung Kee Yang, for his advice, encouragement and constant support. I also wish to thank all the dermatosurgery teams especially Miss Kyoungae Nam, the wound-specialist nurse at our department and my co-fellow, Dr. Lee Sul Hee for their hospitality and kindly help during my clinical training and research. Last but not least, my fellowship training would not have been possible without Severance academy team, I would like to extend my sincere thanks to Miss SooBin and Miss Seunghyun Lee who promptly answer plenty of my emails and help arrange all my training schedule.
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- 작성자Severance Academy
- 작성일2020-12-08
- 87
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- 작성자제중원보건개발원
- 작성일2020-12-08
- 77
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- 작성자제중원보건개발원
- 작성일2020-12-08
- 106
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