dr nikki allorto specialist surgeon founder sa burn care trust · training & education...
TRANSCRIPT
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Compliance and Ethics: Central to your Business or on the Periphery?
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Dr Nikki Allorto Specialist Surgeon
Head Edendale Burn Service President SABS
Founder SA Burn Care Trust
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MRC 2003 : 3.2% = 1,6 million burns per year
90% minor 10% severe
268 patients/month needing specialised care
Audit 2014/5
21 “units”
8800 admissions per year
Large numbers managed in non specialist units
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Training & Education
Questionnaire 70/100 respondants
39% specialists
77% learnt through hospital experience
30% burn rotation as an intern, 60% registrar/MO rotation
50% were currently training registrars
Large burden of disease – poorly defined
Largely untrained personal
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Emotionally
difficult
Nature of
surgery
Poor prognosis Difficult
working
environment
Lack of
support
Lack of training
and skill dev
Poor payment Lack of
associated
academic
prestige
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Diploma in BC Subspecialist
training in BC
Research dev Better facilities
and resources
HCW
psychological
support
Training and
skills dev
Flexible
working hours
Better payment
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National burns registry
Research foundation
Widely accessible and practical education/information
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Need for data
Defining the problem
Resource allocation
Quality improvement
Research tool
High income countries – data captureres
Complex systems
Electronic medical record separate entity
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Solution:
Electronic medical discharge record
Driven by doctor as part of clinical process
Provide legible and standard discharge record for largely paper based hospitals
Also serves as a national registry
Research tool
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iBER had been developed
It works, its simple
Needs to be national
Needs to be sustainable
Needs a system of governance and accessibilty
Data benenfits ALL role players
Facilitate research in South Africa
Lead to development of Research Foundation
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Information applications
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Internet, e-learning
Burns are visual – lends itself to this platform
Need practical components
Little available
High income countries – high resource low burden
Need to develop locally applicable courses
Widely accessible
Exciting & desirable
Minimum acceptable standard
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Burn injury is a big burden of disease
Neglected
Big picture projects - Bigger impact
Data and Training
Uplift the field
Better patient care
Your industry grows