Surgery and Healing in the Developing World - Dartmouth-Hitchcock

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23 204 Surgery and Healing in the Developing World Table 1. Continued Time Due Actual Due Date Mission Task Before Mission Date Completed Arrange travel to and from mission site Send first packet (welcome letter, forms to return to OS) Collect team information Collect licensure information Provide information to appropriate in-country person Collect visa information with mission handouts Send anesthesia tape (to new anesthesia) 3 months-2 weeks Send passport info to invitor (volunteer database) Prepare rooming list/distribute Collect travel info from team Determine mode of transport Obtain invitation letter (country, hospital) Complete travel worksheet Pack supplies and equipment for shipping Train medical records personnel Contact youth sponsor STEP 4 Pack supplies and equipment for shipping 8 1/2 weeks Send information to Embassy for visas 6 weeks Send second team packet (informational) 6 weeks Development schedule 4 weeks Youth: identify youth activities and schedule 4 weeks Receive visas from Embassy 3 weeks Clear US customs 5 weeks Food/water: arrange meals 4 weeks Secure transportation, airport, hotel 4 weeks Receive course online from team presenters 4 weeks Secure rooms, attendance, AV equipment 4 weeks Prepare plaques, gifts Arrange rest, tour day (usually first Sunday) 3 weeks Cut airline tickets 4 weeks Review and revise airline tickets 3 weeks Send tickets to team members with final packet 2 weeks Send final packet (tickets, visas, patches) 2 weeks Order team name pins/patches 8 weeks The purpose of the visit is two-fold. There is a fund-raising aspect of the visit which helps assess the level of in-country financial support. Secondly, the mission coordinator must address and evaluate issues of accessibility, feasibility and logistics. All information collected during a fact-finding trip must be carefully documented and reported. The findings will determine the supplies shipped, team size, equipment needs and ultimately will serve a vital link in the success of a mission. Even when conducting a mission to a repeat site, Operation Smile recommends a site visit and a thorough review of the on-site situation.
Cleft Lip and Palate Surgery in Developing Countries 205 Operation Smile’s fact-finding team for a first time site consists of 1. Plastic Surgeon* 2. Anesthesiologist* 3. Development Officer 4. Mission Coordinator Operation Smile’s team for an assessment of a repeat site consists of: 1. Anesthesiologist* 2. Development Officer 3. Mission Coordinator 4. Plastic Surgeon (if possible) *Ideally, the team leaders for the missions fulfill these rolls. If not, they must be team leaders from other missions. Creating a Patient-Friendly and Family-Oriented Environment During Operation Smile missions, we encounter hundreds of patients and families seeking surgical care. Unfortunately, by virtue of the pervasiveness of facial deformities around the world there are always children turned away, and our volunteers face more work than can be done during a mission. Providing safe surgical care for the correction of facial deformities is our business and our passion, but creating an environment that respects families and patients during this process does not happen by itself. There are simple and purposeful ways that complement the Operation Smile process and create a family and patient-friendly environment. The keys to creating a secure and comfortable environment for patients and families include doctor availability, use of translators and a working knowledge of the sensitive issues, culturally and medically, for patients and families. Photography Many of the patients who seek care from Operation Smile are uncomfortable with their appearances. Most team members want to take photographs to document their experience and some need to provide their chapter, club or sponsoring organization with a presentation at the conclusion of their mission. Since many missions already have a team photographer specifically charged with documenting the mission, it is important not to jeopardize this task. Sensitivity towards patients and families includes courtesy and basic thoughtfulness. You can successfully document your mission experience while respecting patients and families: Ask permission to take a photograph (learn the phrase in that language). Form a relationship (through play or conversation) with the person or people you are photographing. Follow a specific patient/family through the mission (allowing you to form a relationship). Before and after photographs tell the best story, but monitor the timing of such photographs. *A patient may be more receptive to having a before picture taken after they have been selected for surgery (versus during the screening process when they are unsure if they will be chosen). 23
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Surgery and Healing in the Developi
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Contents Foreword .................
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25. Dentistry .....................
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Editor Contributors Harold P. Adolp
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Foreword Surgery and Healing in the
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“poor, but modern”, as for exam
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There may be at least one considera
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It is that higher accountability th
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1 2 Surgery and Healing in the Deve
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CHAPTER 2 Surgery in Developing Cou
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2 10 Surgery and Healing in the Dev
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CHAPTER 4 International Surgical Ed
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CHAPTER 9 Lab-in-a-Suitcase: Saving
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10 72 Surgery and Healing in the De
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CHAPTER 12 Communication in the Thi
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CHAPTER 13 Anesthesia in the Third
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13 100 Surgery and Healing in the D
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CHAPTER 15 Basic Obstetrics and Obs
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CHAPTER 16 Pointers for American Su
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Page 258 and 259: CHAPTER 1 CHAPTER 26 Reconstructive
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Reconstructive Surgery in the Tropi
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CHAPTER 1 CHAPTER 27 Factors Influe
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Distribution and Incidence of Tropi
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CHAPTER 1 CHAPTER 28 Population Dyn
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Population Dynamics Of Surgical Tro
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Metabolic Maladaptation 289 Introdu
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Metabolic Maladaptation 291 some of
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Metabolic Maladaptation 293 In this
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Metabolic Maladaptation Table 1. Si
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Metabolic Maladaptation Table 4. Go
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Metabolic Maladaptation 299 the rev
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Metabolic Maladaptation Table 5. As
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Metabolic Maladaptation Table 6. Co
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Metabolic Maladaptation 305 the ris
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Metabolic Maladaptation Table 8. Go
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Metabolic Maladaptation Table 10. G
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Metabolic Maladaptation Table 12. C
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Metabolic Maladaptation 313 cell an
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Metabolic Maladaptation 315 Biologi
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Metabolic Maladaptation 317 from io
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Metabolic Maladaptation 319 25. Lon
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CHAPTER 1 CHAPTER 30 Nutrition and
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Nutrition and Development in Africa
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CHAPTER 1 CHAPTER 31 Uterine Ruptur
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Uterine Ruptures in Rural Zaire Tab
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Uterine Ruptures in Rural Zaire 329
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CHAPTER 1 CHAPTER 32 Vesicovaginal
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Vesicovaginal Fistula in Democratic
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CHAPTER 1 CHAPTER 33 Ophthalmology
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Ophthalmology Figure 2. Refractive
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Ophthalmology Figure 4. A tonometer
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Ophthalmology 341 ml of 40 mg/ml IV
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Ophthalmology Figure 6. Axis determ
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Ophthalmology 345 thalmic set prepa
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Ophthalmology 347 Procedures Region
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Accommodating Deficits in Material
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Abscesses and Other Infections Trea
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CHAPTER 1 CHAPTER 36 Surgical Train
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Surgical Training of Nurses for Rur
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Training of Medical Assitants in Mo
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CHAPTER 1 CHAPTER 38 Training Surge
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Training Surgeons in the Developing
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Mobile Surgery Figure 1. 405 of tec
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Mobile Surgery Figure 3. 407 Childr
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Mobile Surgery 409 We have realized
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CHAPTER 1 CHAPTER 40 Public Health
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Public Health Problems on Burma Fro
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Medical Adventures in the Nigerian
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CHAPTER 1 CHAPTER 42 Wanted Glenn G
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Wanted 431 Studies Center (//www.am
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Wanted 433 MacArthur (The John D. a
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Wanted 435 most pathologic presenta
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Wanted 437 “outliers” in the he
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World Health 439 challenge: name fo
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CHAPTER 1 CHAPTER 44 Treating Other
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Treating Others: Human Sciences in
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Treating Others: Human Sciences in
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CHAPTER 1 CHAPTER 45 The Impact of
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The Impact of a Volunteer Medical M
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CHAPTER 1 CHAPTER 46 Field Notes on
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Field Notes on a Typical Day in a H
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Surgery and Healing in the Developing World - Dartmouth-Hitchcock

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