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Raju, in keeping with the tradition of formal address. Raju proved to be a hard-working, energetic and enthusiastic recent medical school grad, the first disabled person in Nepal to do so he is paraplegic due to polio contracted when he was two , who was teaching anatomy part time while integrating into the SIRC team.
SCI was new to him, and he absorbed information like a thirsty sponge. SIRC had made a good choice, but he clearly needed more education and skills-training in SCI than we could hope to provide by annual trips of short duration. Comparisons of rehab medicine residencies in Canada and the West with those in Asian centres led to his choice of the five-year program in Dhaka, at the Bangabandhu Sheikh Mujib Medical University. We supported this decision and offered to sponsor him. Prakash Paudel Dr.
And so, we had found our niche: while the Swiss Paraplegic Centre was annually sending multidisciplinary teams to train the SIRC team, and while individual clinicians of various disciplines came and went, no one was supporting development of appropriate specialist medical and surgical management of people with SCI. Our focus was on training and mentoring two potential future medical leaders in these disciplines.
The costs to us? Tuition and manageable cost-of-living stipends for both of them, with additional costs of travel for SCI observerships, and to attend meetings and workshops.
What began as a two-week teaching session for Dr. This two-week commitment is now in its tenth year. Raju excelled in his PMR training program and was one of the rare Nepali candidates to pass the Fellowship qualifying exams on his first try.
Prakash followed the College of Surgeons of Pakistan neurosurgery curriculum with a Kathmandu-based preceptor and similarly and unusually passed his Fellowship exams on his first try; in addition he won the Gold Medal for the best performance on the exam.
Thus was our primary goal reached in the projected time. Along the way, a number of events have occupied our interest. The most tragic being the April earthquake, killing , injuring over 21,, and rendering 3. SIRC quickly sent health-care staff to each of the Kathmandu major trauma hospitals for the first few days until admissions could be arranged; 27 were received in the first week. By the time the Kathmandu airport could be reopened, Dr. Raju had assembled a team in Bangladesh including two physician colleagues, dividing the service up into three clinical units.
SpiNepal raised funds for expenses, directing a considerable amount of money both through UBC and Handicap International. We spoke with them on Skype regularly, reviewing imaging and discussing cases. With three physicians on site, each with local accommodation and support, sharing the work, we felt it best to work with them at a distance and we were assisted by Canadian medical and surgical colleagues.
The acute hospitals soon had surgical help; well-equipped foreign medical teams came after a couple of weeks, and SIRC added a coordinator to manage this support. Raju was in Nepal three times that year. Altogether SIRC admitted people with spinal cord injury from the earthquake, and had to rapidly more than double its bed capacity to care for these as well as those in hospital previously, using public spaces in the hospital as well as large tents.
We were very impressed by the way that SIRC had risen to the occasion. Each trainee has visited Canada once: Dr. Their additional achievements are too numerous to mention here but are detailed on our web site - link below. In parallel, spine surgery standards are improving. Spine surgery fellowships are increasingly required and, as was the Canadian experience, orthopaedics has been leading with the fairly recent formation within the Nepal Orthopaedic Association of the Association of Spine Surgeons of Nepal.
We believe that spine surgery requires skills drawn from orthopaedic and neurosurgical disciplines as is modeled by the Canadian Spine Society. We have visited SIRC approximately yearly, organizing and participating in local and regional workshops and conferences. Between visits we often meet online, our role evolving from teachers to mentors to senior peers.
We thank the colleagues from Vancouver and elsewhere who have joined and supported the effort, and the many financial supporters who have sustained us. However, we mostly thank the day we said yes when asked if we could help.
By , both doctors were specialists but have required additional subspecialty training. We supported Dr. Raju to join his team who were invited for a month at the Swiss Paraplegic Centre; Prakash took a threemonth neuroendoscopy fellowship in Germany, and visited the renowned Spinalis SCI rehab centre in Sweden. He is expected to take a one-year spine surgery fellowship soon; he will be the first neurosurgeon in Nepal to do so. Mentorship is ongoing and we are increasingly reassured by the help from our former colleagues in Vancouver when we are asked about challenging cases.
This is our tenth rewarding year. Raju is now the wise and hardworking medical director of SIRC; the only specialist looking after about 70 inpatients and weekly outpatients with the help of a hospitalist and part-time support from a wonderful physiatrist colleague from Indiana.
SIRC has added vocational training and is developing a stroke service.
For more information about the earthquake we collaborated with HI Canada , read the Earthquake Final report to Handicap International Canada and the article by Groves et al Descriptive study of earthquake-related spinal cord injury in Nepal.
The COA looks forward to working with all our committees toward the positive future and advancement of Canadian orthopaedics. Stay tuned! This year, the COA welcomes 22 new committee members, who will be highlighted in upcoming Bulletin editions.
Kevin Morash is a fourth year orthopaedic resident at Dalhousie University. Morash is also currently completing a Master of Education degree through Acadia University. Upon graduation, he intends to undertake fellowship training in paediatric orthopaedics, in hopes of pursuing an academic career incorporating his interest in medical education. He is originally from Ottawa where he completed his medical degree.
Aside from orthopaedics, his interests include carpentry and automechanics.
In , she completed a fellowship in shoulder surgery at Western University. Her research interests include shoulder and elbow trauma and reconstruction. She founded and chaired the Canadian Shoulder Course in and She has delivered more than 50 presentations at international and national meetings, and has published more than 87 papers and four books chapters.
He received further education as an Edwards Fellow in paediatric orthopaedics and scoliosis surgery at the Texas Scottish Rite Hospital for Children in Dallas, Texas His clinical interests are varied, with the main focus being the correction of spinal deformity.
His research interests include scoliosis, paediatric trauma, and radiostereophotogrammetric analysis RSA. Eng Zhejiang , M. Sc, Ph. Harbin , P. Eng Dr. He is also an associate faculty member at the Department of Orthopaedics, and a core member at the Centre for Hip Health and Mobility. Wang received a Ph.
Wang held a Canada Research Chair in Biomaterials from , and served as the president of the Canadian Biomaterials Society in Since joining UBC in , Dr. Wang has been focusing his research on materialrelated issues around hip replacement. His current research interests include orthopaedic implants, drug delivery biomaterials, anti-infection solutions, bone structure and mineralization, as well as mechanisms and prevention of hip fracture.
You can review the Meeting photo gallery by clicking here. You can then download images of your choice. Contact lexie canorth. Des questions?
Harris Lecture W e were honoured to welcome Dr. Richard L.
Harris Lecturer. His lecture, From Professionalism to Professional Identity - An Educational Journey, included profound lessons and messages for our entire membership. Below is an excerpt from his compelling address: Over the course of the years from to , I have been living two parallel journeys: that of my medical education on one hand, and that of orthopaedic surgery on the other.
The objective of our educational journey has been to determine how Medicine could ensure that its traditional values are passed on to future generations of physicians in a constantly changing world.
For instance, I have not been in an operating room, nor seen a patient since However, I do not identify myself as an ex-Dean or as a medical educator, but as an orthopaedic surgeon. Simply because I continue to regard myself first and foremost as a member of the orthopaedic surgeon community.
This is who I am, this is my professional identity.
I now put forward the question to you: how do you introduce yourself? How do you come to think, act, and feel like an orthopaedic surgeon? These threats included health-care systems that failed to support professional values and behavior and well-publicized failures of the profession to meet the obligations necessary to justify its professional status.
This eventually led to the examination of the concept of personal and professional identities as being relevant to medical education and practice. Richard and Sylvia Cruess have published widely on professionalism and professional identity formation in medicine, and been invited speakers at universities, hospitals, and organizations throughout the world What does my identity as an orthopaedic surgeon mean to me? Well, as stated by Rt.
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