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Vietnam Revisited

Vietnam Revisited. Surendra K. Varma, M.D. Associate Dean For Graduate Medical Education & Resident Affairs Ted Hartman Endowed Chair in Medical Education University Distinguished Professor and Vice-Chairman of Pediatrics Professor of Physiology and Health Organization Management

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Vietnam Revisited

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  1. Vietnam Revisited • Surendra K. Varma, M.D. • Associate Dean For Graduate Medical Education & • Resident Affairs • Ted Hartman Endowed Chair in Medical Education • University Distinguished Professor • and Vice-Chairman of Pediatrics • Professor of Physiology and • Health Organization Management • Residency Program Director Emeritus • Department of Pediatrics

  2. Vietnam Initiative • In 2007 the TTUHSC Delegation went to Vietnam to explore the possibility of establishing exchange program for TTUHSC faculty and students

  3. Delegation • Surendra K. Varma, MD, (SOM), Head • Myrna Armstrong, RN, Ph.D., (SON) • Steve Maxner, Ph.D., Director Vietnam Center • Khanh Le, Associate Director, Vietnam Center • Kamlesh Varma, MD, OB/GYN

  4. Visits • Ho Chi Minh City • Vietnam University School of Medicine • Ho Chi Minh University of Medicine & Pharmacy • Can Tho • Can Tho University of Medicine & Pharmacy

  5. General Observations • Unstructured curriculum • Admission to medical school & nursing school after • Grade XII • Language - students know very little English • - faculty – language has an issue as well • Hospitals - crowded • - patient care – less than ideal

  6. Graduate Medical Education • General Observations • Not a requirement to practice medicine • Can be fully licensed after the completion of undergraduate medical education • GME - 4-5 years of training in a specialty • - Ph.D. is awarded in lieu of certification • - No national standard of examinations

  7. Visit 2010 • Surendra K. Varma, MD • Steve Maxner, PhD • Khanh Le • Visited Vietnam University School of Medicine

  8. Advised them to structure their curriculum • Advised early exposure to clinical medicine • No exchange program established

  9. Vietnam Revisited • January 25 – February 2, 2013

  10. Surendra K. Varma, MD (Associate Dean for GME & Resident Affairs, Vice-Chair of Pediatrics), Head of Delegation • Diane Nguyen, MD (Department of Internal Medicine/Oncology) • Tam Nguyen, MD (Department of Surgery/Otorhinolaryngology) • Bich-Thy Ngo, MD (Department of Internal Medicine/Geriatrics) • Richard Lampe, MD (Chair, Department of Pediatrics) • Kerren Lampe, EdD (Psychologist), Wife of Dr. Lampe • Ed Yeomans, MD (Chair, Department of Obstetrics & Gynecology) • Thuy Yeomans (Nurse), wife of Dr. Yeomans • Kamlesh Varma, MD (Obstetrics & Gynecology), wife of Dr. Varma • Stephen Maxner, PhD (Director, The Vietnam Center and Archive, TTU) • Khanh Le (Associate Director, The Vietnam Center and Archive, TTU)

  11. University of Medicine & Pharmacy • Ho Chi Minh City (UMP-HCMC) • Curriculum - More traditional - Six years after high school • - Clinical experience does not start until the beginning of fourth year • - Rotations at local hospitals

  12. Delegates at UMP-HCMC • Ho Chi Minh City • January 28, 2013

  13. Meeting at UMP-HCMC • Ho Chi Minh City • January 28, 2013

  14. Teaching Hospital • Very crowded with patients waiting in the hall • There may be more than one patient on a bed • Emergency room - not very crowded - not well organized

  15. Patients at UMP-HCMC • (Crowded with more than one person per bed) • Ho Chi Minh City • January 28, 2013

  16. Patients in Waiting Area • UMP-HCMC • Ho Chi Minh City • January 28, 2013

  17. Emergency Room • UMP-HCMC • Ho Chi Minh City • January 28, 2013

  18. Teaching Hospital • Due to the very crowded conditions in the outpatient and hospital, the learning environment may not be very conducive • Language may be a barrier

  19. HCMC Children’s Hospital #2 • (There is HCMC Children’s Hospital #1 also) • Facilities were better than expected • NICU & PICU – fair facilities • Faculty – dedicated • Communication – a big barrier

  20. Children’s Hospital #2 • Ho Chi Minh City • January 29, 2013

  21. Children’s Hospital #2 • Ho Chi Minh City • January 29, 2013

  22. NICU, Children’s Hospital #2 • Ho Chi Minh City • January 29, 2013

  23. NICU, Children’s Hospital #2 • Ho Chi Minh City • January 29, 2013

  24. Children’s Hospital #2 • Ho Chi Minh City • January 29, 2013

  25. Children’s Hospital #2 • Ho Chi Minh City • January 29, 2013

  26. HCMC Cancer Hospital • Ho Chi Minh City • Overcrowded situation • Lack of good facilities • These will not be very conducive for our students/fellows/faculty learning experience

  27. Cancer Hospital • Ho Chi Minh City • January 29, 2013

  28. Patients in Lobby at Cancer Hospital • Ho Chi Minh City • January 29, 2013

  29. Patients at Cancer Hospital • Ho Chi Minh City • January 29, 2013

  30. Patients at Cancer Hospital • Ho Chi Minh City • January 29, 2013

  31. Delegates at Cancer Hospital • Ho Chi Minh City • January 29, 2013

  32. University of Medicine & Pharmacy • Ho Chi Minh City (UMP-HCMC) • Overcrowded situation and the lack of good facilities are not very conducive for our students/residents/fellows/faculty learning experience.

  33. Vietnam University School of Medicine • Ho Chi Minh City (UNU-HCMC SOM)) • I had visited this university in 2010 and I had suggested that they consider incorporating clinical exposure in early years of undergraduate medical education • It seems that they have incorporated some exposure to clinical medicine in early part of undergraduate medical education • The new leadership is not ready to commit any exchange program.

  34. Delegates at VNU-HCMC Medical University • Ho Chi Minh City • January 28, 2013

  35. Can Tho University of Medicine & Pharmacy • Can Tho (CT-UMP) • Banners displaying welcome for TTUHSC • Physicians from UK, Australia, & USA have come here to participate in this University’s International activities • Congenial environment • Communication skills – fair • Over all operation - impressive

  36. Welcome Banner for TTUHSC • CT-UMP • Can Tho • January 30, 2013

  37. Delegates at CT-UMP • (TTUHSC welcome banner is at top) • Can Tho • January 30, 2013

  38. Hospital – Facilities much better than in 2007 • The inpatient service was not busy due to incoming TET (Vietnam Lunar New Year)

  39. Labor and Delivery Wing • Can Tho General Hospital • Can Tho • January 31, 2013

  40. Can Tho General Hospital • Can Tho • Good facilities • Labor & delivery facilities have improved since 2007 • Newborn Nursery – very good • MICU – the physicians appear to master multi-specialties with limited equipment and resources • Interested in developing bone marrow transplant service

  41. Newborn Nursery, Can Tho General Hospital • Can Tho • January 31, 2013

  42. Delegates at Can Tho General Hospital • Can To • January 31, 2013

  43. Longtuyen Rural Clinic • South of Can Tho • Run by midwives • Services - Family planning • - Prenatal care • - delivery • - prevention and early intervention of multiple diseases • - facilities – very clean

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