WGO & WGOF News - Teaching Visit to Myanmar March 2015 - Di Jones, OAM RN, ACGEN, FACN

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12 WORLD GASTROENTEROLOGY NEWS AUGUST 2015 Editorial | Expert Point of View | Gastro 2015: AGW/WGO | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events Australian and New Zealand Gastroenterology International Training Association (ANZGITA) Teaching Visit to Myanmar March 2015 Di Jones, OAM RN, ACGEN, FACN President, Society of International Gastroenterological Nurses and Endoscopy Associates (SIGNEA) Assistant Director of Nursing Endoscopy Services Logan Hospital Metro South Health Queensland, Australia Following the inaugural visit in 2014, an Australian and New Zealand Gas-troenterology International Training Association (ANZGITA) teaching team were again invited to provide two weeks of teaching in Yangon Gen-eral Hospital (YGH) this past March. Our visit was timed to coincide with the inauguration of the Yangon Gen-eral Hospital unit as a World Gas-troenterology Organisation (WGO) recognized Training Center. During the ceremony, Professor James Toouli, the current WGO President, formally announced to Professor Thein Myint and the assembled dignitaries (which included representatives from the Australian Embassy and Department of Foreign Affairs and Trade) that the YGH site would be one of the 23 WGO recognized training sites around the globe. This support from WGO will assist YGH to establish a small staff who will be responsible for the administration of the training center and for providing some of the teaching. There was a formal dinner held to celebrate the occasion. This was attended by many of the senior gastroenterologists from Yangon and Mandalay and senior university staff. Professor Toouli was presented with a painting by Professors Than Than Aye and New Ni on behalf of the Myan-mar Gastroenterology Society. Since the inaugural training visit in 2014, the endoscopy service at Yangon General Hospital (YGH) has rapidly developed; earlier this year they hosted a live endoscopy workshop with in-ternational faculty focusing on ERCP and EUS. This emphasized that some senior gastroenterologists in the unit have to rapidly acquire the technical expertise to deliver modern endoscopic procedures to Myanmar’s population and that this learning is occurring in parallel with the acquisition of more basic endoscopic skills by the more junior consultant medical staff. The changes implemented over the past year to the endoscopy unit facility were very obvious. Of specific note was the improvement of the facilities for re-processing the endoscopes. The instal-lation of covered sinks for disinfection and other sinks for manual cleaning really improved the flow of equipment from dirty to clean. The use of differ-ent colored bowls for the transport of dirty vs clean equipment ensures that mix ups are prevented. The procedure rooms had also undergone change, with the installation of impermeable flooring with coved corners that are easily cleaned and provide a clean room standard. A water filtration treatment system has been installed to guarantee high quality water for the manual rinsing of endoscopes and for the water supply for the endoscope reprocessing machines. The nursing staff are now permanently allocated to the gastro-enterology unit and it was clear that each nurse at YGH was very compe-tent in assisting with basic endoscopy procedures. Medical trainees from various sites in Myanmar attended a two week training. Nurses from Yangon, Sanpya, 2nd Military hospital, Mandalay and WGO President James Toouli with nurses at the Yangon Training Center.


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