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Acrrm …… the most flexible training pathway around .

Acrrm …… the most flexible training pathway around. You can be creative with your training! Dr Anne Kleinitz. MBBS, DRANZCOG, MPH & Trop Med. 1. The various undergraduate initiatives to get more rural doctors are worthwhile 2. Doctors can be creative with their training because….

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Acrrm …… the most flexible training pathway around .

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  1. Acrrm…… the most flexible training pathway around. You can be creative with your training! Dr Anne Kleinitz. MBBS, DRANZCOG, MPH & Trop Med

  2. 1. The various undergraduate initiatives to get more rural doctors are worthwhile 2. Doctors can be creative with their training because…. 3. ACRRM is the most flexible training college around! Key messages

  3. Life in east gippsland….

  4. Rural students – monashuni open days

  5. Rural mentor scheme. durban

  6. Kintore – 520 km nwalicespings

  7. Cooking kangaroo tails

  8. The flying goanna

  9. John flynn scholarship

  10. John flynn scholarship– Thursday island

  11. Hospital opening ceremony

  12. Rural student conferences… Phillip island – victoria - nrhC

  13. Indigenous health lectures

  14. Medical electives

  15. Postgraduate journey…..Internship – janjuc, victoria

  16. Lakes entrance. Gp locum relief

  17. Palm island

  18. MPH & TROPICAL Medicine…study sessions on magnetic island…

  19. humanitarian work – darfur. sudanseptember ‘07 – march‘08

  20. Niertiti • 5 expats • Dr, nurse, midwife, logistics and field Co • 40,000 refugees • Initially measles outbreak • Inpatient– 70 bed • Malnutrition Centre, Paediatric, Obstetric, Male, Female, Isolation, Intensive Care Unit (?!) • Outpatients– 200/day (1200/wk) • Kutrum – rebel area

  21. Supervisor • IPD & OPD • 4 national Drs • 6 MA’s • Mobile clinics • Teaching

  22. Water Supply

  23. River water

  24. Hospital water SUPPLY!

  25. Hospital WARD

  26. Our “ambulance”

  27. The top 5 admission morbidities • Malnutrition • Obstetric & Deliveries • Lower Respiratory Infection • Diarrhoea • Malaria (but significantly reduced with mosquito nets)

  28. Malnutrition - Marasmus

  29. Malnutrition - Kwashiokor

  30. DiarrhoEa - Dehydration

  31. Interosseus

  32. Respiratory Infections

  33. But they get better!!

  34. Vaccination campaignScreening for malnutrition - muac

  35. Meningitis • Mass vaccination campaign • Hepatitis E • Education & awareness • Improved sanitation

  36. SGBV/rape • Sporadic cases on the periphery of town • 14 women attended in one day • My role: medical care, meds, certificate & f/up • Rabies- a few cases in surrounding towns • Tetanus • Trauma • Several deaths in the camp from gunshot wounds

  37. Not the novotel…. Pit toilets cold showers

  38. Somali Region. EthiopiaJune ‘08 – August ‘08

  39. Malnutrition ClinicSomali Refugee Camp

  40. Pharmacy

  41. Malnutrition • Paediatric • Respiratory • Diarrhoea • New for me • Landmines • FGM

  42. Preparing malnutrition milk

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