ORIGINAL ARTICLE
Year : 2022 | Volume
: 14 | Issue : 2 | Page : 49--54
Teaching and pioneering endoscopic retrograde cholangiopancreatography at a tertiary center in Nigeria––Year 1 experience: The apprenticeship model––Is this a viable option for Africa?
Akwi W Asombang1, Olusegun Isaac Alatishe2, Adewale A Aderonmu2, Afolabi M Owojuyigbe3, Adeleye Dorcas Omisore4, Germain Brissett5, Bassey Etim4, Dennis A Ndububa6, Oluwasegun Ijarotimi6, Emily Green7, Kulwinder Dua8
1 Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA
2 Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
3 Department of Anesthesiology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
4 Department of Radiology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
5 Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
6 Department of Medicine, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
7 UMass Chan Medical School, Worcester, Massachusetts, USA
8 Medical College of Wisconsin, Milwaukee, Wisconsin, USA
Correspondence Address:
Akwi W Asombang
Department of Medicine, Interventional Endoscopy,Division of Gastroenterology, Director of Global Health Programs in Gastroenterology, Massachusetts General Hospital, 15 Parkman Street, Wang 5, Boston, MA 02114
USA
Background: Nigeria is a West African country with a population of 190 million. It has approximately 110 endoscopists, of whom two perform endoscopic retrograde cholangiopancreatography (ERCP), with approximately 100 total ERCPs performed over 15 years. There is a perceived need by Nigerian physicians to increase ERCP capacity. Aim: Develop and assess a 1-year ERCP training program in Nigeria using didactics and quarterly formal (“bolus”) hands on training sessions. Materials and Methods: An introductory conference including didactic and hands on sessions was hosted in March 2018. From this introductory conference, six participants were selected for a 1-year training program. The program involved quarterly, in-country, week-long hands-on ERCP sessions. Sessions were led by an experienced interventional gastroenterologist trained and practicing in USA. A multidisciplinary meeting was held on day 1 of each session. Digital communication was used to transmit program information and request patient referrals from medical doctors. Results: ERCP conference attendees included 15 surgical and medical endoscopists, 3 surgical trainees, 3 GI trainees, 6 nurses, 2 anesthesiologists, 1 interventional radiologist and 6 radiology technicians. Six physicians selected for the ongoing 1-year training program include 1 hepatobiliary surgeon, 2 gastroenterologists, 1 gastroenterology fellow and 2 surgical residents. One participant had prior formal ERCP training including 6 weeks hands-on training abroad. There were 109 referrals over 1 year, with an increasing trend over the year. The farthest referral site was almost 900 km away. Conclusion: There is need for ERCP capacity in Nigeria. ERCP is feasible and safe in Nigeria. Awareness amongst healthcare providers to the available procedure resulted in increased patient referral.
How to cite this article:
Asombang AW, Alatishe OI, Aderonmu AA, Owojuyigbe AM, Omisore AD, Brissett G, Etim B, Ndububa DA, Ijarotimi O, Green E, Dua K. Teaching and pioneering endoscopic retrograde cholangiopancreatography at a tertiary center in Nigeria––Year 1 experience: The apprenticeship model––Is this a viable option for Africa?.Niger J Gastroenterol Hepatol 2022;14:49-54
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How to cite this URL:
Asombang AW, Alatishe OI, Aderonmu AA, Owojuyigbe AM, Omisore AD, Brissett G, Etim B, Ndububa DA, Ijarotimi O, Green E, Dua K. Teaching and pioneering endoscopic retrograde cholangiopancreatography at a tertiary center in Nigeria––Year 1 experience: The apprenticeship model––Is this a viable option for Africa?. Niger J Gastroenterol Hepatol [serial online] 2022 [cited 2023 Mar 23 ];14:49-54
Available from: https://www.njghonweb.org/article.asp?issn=2251-0079;year=2022;volume=14;issue=2;spage=49;epage=54;aulast=Asombang;type=0 |
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