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IVUmed’s Work Helps Combat Global Poverty

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IVUmed experts provide hands-on training to build local capacity and increase access to quality healthcare.

According to the World Health Organization (WHO), 2 billion people lack access to basic surgical care. Access to specialized care like urology is even more restricted with critical shortages of trained personnel. The United Nations cites the unavailability of healthcare as one of the root causes of extreme poverty. Debilitating health conditions not only drain family resources, but also affect productivity and prevent many throughout the world from earning a living. A breadwinner unable to work due to illness, or family members obliged to stop working or attending school to care for a relative can lead to considerable loss of income and long-term poverty.

IVUmed works to make quality healthcare more accessible in resource-poor areas of the world. We build self-reliant surgical teaching programs capable of meeting the needs of their communities. By providing expert surgical training to physicians and nurses throughout the world, children and adults in need of care will not have to live for years with debilitating conditions that threaten their economic and overall well-being.

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The Year Was 1995…Look How Far We’ve Come!

Twenty years ago, IVUmed was incorporated by its award-winning founder, Catherine deVries, MD, to address the enormous need for patient care and professional training in urology in resource-poor areas of the world. From common congenital malformations to pelvic floor injuries, various cancers and other diseases, urology represents a vastly underserved area of global health.Vol. 1 Issue 1 Newsletter

Initially established to help meet the staggering need for pediatric urology in developing countries, IVUmed has grown to include virtually all areas of urology and incorporates education for nurses, anesthesiologists, radiologists, pathologists and other related areas of medical and surgical care. IVUmed’s services have been requested in over 30 countries in Africa, Asia, Central America and South America. With a proven model that has helped to successfully build surgical training programs in countries as diverse as Honduras, Vietnam, Senegal and Mongolia, IVUmed tailors its efforts to the needs of each of its many partner hospitals and communities.  Our partners in these sites have demonstrated strong long-term commitments to IVUmed’s work and mission and will ultimately serve as a bridge between today’s investment of resources and our shared vision for access to quality healthcare in the future.

Our success is based on uniting peers and strengthening relationships among medical providers with a common shared purpose of ensuring access to quality urological care.

* We connect physicians and nurses in low-resource settings with experienced colleagues for peer to peer interaction.
* We provide hands-on education through ongoing on-site surgical workshops.
* We build self-reliant surgical teaching programs capable of providing local and regional education.
* We are the chosen provider of care and education in partnership with multiple global urological organizations.
* We identify, support, and develop future generations of IVUmed volunteers and host colleagues.

We have refined our capacity-building model over two decades and have become the go-to organization for urology training in developing parts of the world. Our intensive, onsite hands-on workshops equip physicians and nurses throughout the world with the skills they need to serve their communities. Meanwhile, the greater objective of IVUmed training is to develop future generations of medical personnel by building lasting surgical teaching programs. Your support helps ensure that children and adults in resource-poor areas of the world will no longer have to suffer for years with treatable conditions that greatly affect their quality of life.

Our surgical workshops are complemented by distance consultation and other means of instruction and support to help ensure that our partners progress toward their training goals. We also utilize telehealth technology for distance education and are collaborating on educational modules comprised of surgical video, lectures, medical animation, and testing.

Please join us this 20th anniversary year, on Facebook, Twitter, Instagram and Pinterest.  Together, we will make a difference!

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IVUmed – Helping Children Around the World

IVUmed Rwanda

IVUmed in Rwanda

IVUmed’s Pediatric Urology Capacity Building Program makes quality surgical care available to children around the world – especially in low-resource areas. We accomplish this by building a global network of train-the-trainer centers of excellence. There are no pediatric urologists in sub-Saharan Africa, Haiti, and many places in India, leaving millions of children without access to care for debilitating urological conditions.

Pediatric urology diseases, malformations and injuries are among the most common conditions affecting children worldwide, and are up to 10 times more common than cleft lip and palate. In the US, when a baby boy is born with a condition such as hypospadias (a congenital condition in which the opening of the urethra is situated on the underside of the penis instead of at its tip), surgery can be performed before the child is even out of diapers, and there are few to no lasting effects. In countries where this type of surgery is not available however, shame, poor self-esteem and secrecy surround this condition, which often results in adult infertility if left unrepaired.

IVUmed’s teams of volunteer physicians, nurses, and anesthesiologists provide hands-on surgical workshops, lectures, online educational materials, telehealth consultation, and impact measures to equip doctors and nurses with the skills they need to care for children in their communities. In turn, these newly trained medical professionals build future capacity for care by passing along IVUmed training to their colleagues, fulfilling IVUmed’s motto, “Teach One, Reach Many”.

IVUmed’s focus on education stands out among global health organizations, as does our focus on urology. Another unique element to IVUmed is our collaborative model. While IVUmed is guided by a dedicated board and staff, leadership of our programs stems from the dynamic doctors and administrators at our many partner hospitals around the world. Their priorities lead our efforts, which are put into action by our volunteer doctors and nurses. Together, and with the generous donations of many benefactors, we are building a worldwide system of pediatric training programs, ensuring that children everywhere will have access to the care they need.

With the help of supporters like the Ronald McDonald House Charities, the Societe Internationale d’Urologie (SIU), the American Urological Association (AUA), the Pan-African Urological Surgeons Association (PAUSA), and regional surgical associations, IVUmed is building a strong global network. Teaching hospitals throughout the world, skilled medical volunteers, ministries of health, local community leaders, international medical societies, regional colleges of surgeons, and charitable foundations combine strengths to give children everywhere the opportunity to lead the healthy, productive lives they deserve.

You can be involved too, whether a physician, engineer, photographer, philanthropist, medical student, etc.  We invite you to explore our volunteer opportunities here.  http://www.ivumed.org/how-you-can-help/

IVUmed patient in Vietnam

IVUmed in Vietnam

 

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Urology Residents: Apply Now

Applications are now being accepted for our Traveling Resident Scholar program for the 2015-2016 academic year.  North American urology residents and fellows who will be PGY-3 or above during the next academic year are eligible to apply.  For applications, please visit http://www.ivumed.org/what-we-do/traveling-resident-scholars/ .  The deadline is February 1, 2015.  For more information, please contact our office at 801-524-0201.

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urology resident scholarship opportunity

 

 

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Notes from the Field: Hue, Vietnam – Part 2

Lawrence Jenkins, II, M.D. , an IVUmed resident scholar, volunteered with our general urology workshop in Hue, Vietnam on March 10-22, 2014. This is the second half of selections from his field notes:

Notes from the Field:  Hue, Vietnam

 

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Day 5

There was a ceremony with the university directors and urology senior staff where Dr. Hampton was given the title of Visiting Professor. It was nice yet very formal and Dr. Petrossian and I received small wooden plaques with the university and hospital name on it to commemorate our trip. Drs. Hampton and Petrossian left to go back to the US.

Day 5-7 – I took a bus to Hoi An, which was 4 hours south of Hue. I arrived in town at night and went into town to see a lantern festival where they turn off the lights and businesses only use candlelight and lanterns, and people place paper lanterns in the river. The next day, I took a tour to My Son Holy land, a sanctuary dating from the 4th to 13th centuries. We stopped at island on the way back to see sculptures and carvings being made. Later, I walked around the old town for a bit, then found a cooking class and made some delicious meals. In the morning before leaving I took an 8.7 mile / 14 km bike ride into the countryside and saw life outside of the tourist area.

 

Day 8

I met Dr. Kahan, from New Hampshire, who was the faculty mentor for the second week. This was his fifth or sixth trip to Hue. There were several open stone surgeries that day, one renal and two ureteral. The technique that the Vietnamese doctors had was superb and they were able to efficiently remove the stones without unnecessary manipulation. The afternoon surgeries were performed in the same room and at the same time as a general surgery case, which is unheard of in the US at the present time with infection concerns.

 

Day 9

We performed another nephrectomy, this was for a kidney with chronic infections. That evening the urology staff took us out for dinner and drinks. It was fun and we were able to socialize not only about urology but about life in Vietnam vs life in the US.

 

Day 10

We did 2 percutaneous nephrolithotomies with new renal access gained with the assistance of fluoroscopy. Both were for lower pole stones. The only method they have available for lithotripsy is laser; however, in the US we have pneumatic and ultrasonic lithotripsy as well. They were having difficulty gaining access and I was able to show a different method that I learned during residency. It felt good to be able to show them something new since they were showing me so much about open stone surgery.

 

Day 11

I did my third presentation for their morning conference. Most people seemed interested and had some good questions. We then went to see some surgeries and in the afternoon I spent some time in the clinic with one of the attendings. The clinic was one room amongst a group of many clinic rooms that likely rotated specialty. In the evening, we had a closing dinner on the river with the department. It was very nice to see everybody again and enjoy the authentic Vietnamese cuisine.

 

Day 12 – 13

Dr. Kahan left to go back to the US. I rented a scooter and rode around the countryside with one of the Vietnamese doctors, Dr Fu. We went to see several Buddhist temples and a lookout point with a great view over the Perfume River. That evening, I left for my extremely long trip back home.

Overall, it was an amazing experience that changed my perception of not only urology but the general delivery of healthcare. Seeing what they were able to do with much less equipment makes me appreciate what we have so much more. In Hue, medicine is pure, not overwhelmed by the need to order extra tests in fear of malpractice lawsuits. The Vietnamese doctors were very welcoming and I hope to go back one day.

 

 

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IVUmed hosting CME Video Conference on Wednesday, June 4th

IVUmed is hosting a webcast video conference on Wednesday, June 4th, from 12-1pm, through the IVUmed Frontier Program. CME will be provided to those who attend and return the CME evaluation.
IVUmed, the University of Utah Center for Global Surgery and Utah Telehealth Network will be hosting quarterly topics in Urology for primary care providers. If you have specific topics of interest in Urology, or if you have questions, contact Amy Steele at amy.steele@ivumed.org or (801) 524-0201.

 

Management of Asymptomatic Microscopic Hematuria

CME Video Conference
Wednesday, June 4 2014, 12:00-1:00 PM

Presented by:

Dr. Andy Southwick
Chief of Urology, Veterans Affairs, Salt Lake City
Assistant Professor of Urology, University of Utah

Supported by:
IVUmed
Utah Telehealth Network
University of Utah, Center for Global Surgery

Connection Details:
Live Video Stream
Conference ID: 54239
Live Stream: http://www.utahtelehealth.net/live/broadcast/index.html
Video Conference System on Utah Telehealth Network
Conference ID: 54239
Video Conference System outside Utah Telehealth Network
54239@155.99.64.15
155.99.64.15##54239 (for Polycom systems)

Objectives:

  1. Define microscopic hematuria
  2. Identify high risk patients
  3. Implement further diagnostic testing
  4. Know when to refer patients for urologic or nephrology consultation
  5. Learn how to follow patients with a negative initial evaluation
  6. Understand the controversies regarding screening and evaluation of patients for microhematuria

CME credit graciously provided through Utah Healthy Living Foundation. Required CME Evaluation

Credit Designation Statement
The Utah Healthy Living Foundation (UHLF) designates this educational activity for a maximum of two (2) AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity.
Accreditation
The UHLF is accredited by the Utah Medical Association to sponsor continuing medical education for physicians. The UHLF takes responsibility for the content, quality and scientific integrity of the program.

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IVUmed Frontier Urology Education Program:
Addressing Healthcare Needs among Utah’s Medically Underserved

IVUmed’s Frontier Urology Education Program offers expert training for community healthcare providers to address a significant need among patients throughout Utah. Currently, Utah has a shortage of urology specialists to diagnose and treat significant conditions such as prostate cancer, women’s health issues, and common birth defects. Most of Utah’s urologists are located in the Salt Lake area, including all five of Utah’s pediatric urologists. Meanwhile, many of Utah’s over 1.5 million residents living outside of Salt Lake County must travel vast distances for specialized care. This creates significant geographic and financial barriers to accessing the services they need.

Utah has a large medically underserved population, many living in isolated rural areas where community health centers (CHCs) stand as their only source of primary healthcare. This leaves much of the responsibility for diagnosis of urological conditions to primary care physicians and nurses. In a recent survey of community health center personnel:

  • 100% of respondents, representing half of the centers in Utah expressed interest in receiving urology training.
  • Over 85% have requested multiple training events per year.
  • In their evaluations forms, a vast majority of participants have cited stimulating presentations that will change their practice patterns.

IVUmed is working to build upon our past program success to address the growing need for urological care and education among primary care providers and patients. We provide continued medical education (CME) and consultation addressing the most common conditions that affect children and adults.

IVUmed experts have conducted several on-site presentations in community health centers, and due to increased demand, IVUmed now works with the Utah Telehealth Network to broadcast urology training to primary healthcare providers throughout the state. The innovative program gives community providers the credentialed training they need to better diagnose, treat, and refer the many urological conditions among their patients. This increases local access to quality healthcare and enhances collaborative networks among primary care and specialist providers.

 

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In the News: Dr. Steven Kahan in Vietnam

IVUmed board member and long-time volunteer, Steve Kahan, MD, was recently featured by the online media outlet, Seacoastonline.com. Their article covers Dr. Kahan’s work on our recent general urology workshop in Hue, Vietnam, the progress IVUmed has made in providing quality surgical training to our Vietnamese partners, as well as Dr. Kahan’s his service history with IVUmed. We thank Dr. Kahan for his generous service to IVUmed and Seacoastonline.com for covering this story!

 

Enjoy the full article below:

 

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Doctor returns from mission trip to Vietnam

EXETER — Seacoast resident Steven Kahan, MD, recently returned from a surgical mission trip to Vietnam organized through International Volunteers in Urology.

Dr. Kahan, who practices at the Portsmouth location of Core Physicians’ Atlantic Urology Associates, was part of a group that volunteered during a two-week mission to Hue Central Hospital in Hue, Vietnam. During the trip, he educated other doctors, consulted on patient cases and conducted surgical procedures.

Kahan is a board member of IVU Med, a Salt Lake City, Utah-based organization that works to make quality urological care available to people in developing countries. Its services have been requested in more than 30 countries in Africa, Asia, Central America and South America. Kahan has traveled on six mission trips with the group to locations in both Vietnam and India.

“When you go and take part in something like this, it’s the purest form of medicine,” Kahan said. “This is the reason I went to medical school. This was about working one on one with students, caring directly for patients and teaching other doctors new techniques so that they can in turn treat patients on their own when we leave.”

The hospital in Hue where Kahan spent his time has 2,030 beds and serves as the main referral hospital in the central region. Kahan assisted with an average of six to 10 general adult urology patient cases per day. The Hue Central Hospital is also the key practical hospital for the Hue Medical College and University, the primary medical school in the region. During his trip, Kahan gave a handful of lectures on general urology and medicine to medical students from the university.

“Those of us on the trip were ambassadors for American medicine and the United States,” Kahan said.

There are only 1.2 doctors per 1,000 people in Vietnam, according to IVU Med. When the organization first began its volunteer missions to Vietnam in 1994, fewer than 100 pediatric urology patients were treated annually. Today, thanks to ongoing training from volunteers with IVU Med, Vietnamese partner surgeons now run their own training programs and treat more than 1,000 patients each year.

Kahan said he is considering a future mission trip to a hospital in Laos. However, he is also eager to return to Hue, where he has formed relationships with the Vietnamese doctors, some of whom have even consulted with him on cases after his return to the United States.

Core Physicians’ Atlantic Urology Associates has locations in Exeter and Portsmouth, offering patients state-of-the-art diagnosis and treatment of disorders of the male and female urinary tract. The practice treats patients with benign prostatic hyperplasia, hematuria, kidney cancer, incontinence, voiding dysfunction, prostate cancer, bladder cancer, testicular cancer and kidney stones.

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Quotes from the Field: San Pedro Sula, Honduras

Our recent workshop in Honduras is the 4th feature in our “Quotes from the Field” series. With five workshops around the world, March was our busiest month to date! We’re highlighting this excellent work with quotes from IVUmed volunteer medical providers on those trips and photographs from the regions served.

 

Today’s Highlight:  San Pedro Sula, Honduras

Our pediatric and endo urology workshop in San Pedro Sula was lead by Rama Jayanthi, M.D.. Our IVUmed team saw 105 patients and performed 57 surgeries. They also provided training for 10 doctors and nurses.

 

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When asked to describe a most memorable experience or insight from the trip, volunteer surgeon, Anna Staudt, M.D., responded, “The whole thing! It’s just not work at all. The people were great, compassionate and helpful.”

 

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“This trip was an amazing experience on many levels. I learned techniques from the Honduran surgeons that I hadn’t seen before. The procedures they taught me were techniques that they had learned from other visiting urologists from Europe. This type of international exchange of knowledge was impressive.”  – Megan Schober, M.D., pediatric urologist

 

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“There were no conflicts. We all knew we had one goal and that was follow IVU’s mission. The local staff were receptive and willing to participate at all levels of care for the children.”  – Ashay Patel, D.O., urologist

“The IVU team cohesiveness was outstanding. From the moment of landing and getting of the plane, we really gelled and that made the week run very smoothly.”  – Doug Storm, M.D., pediatric urologist

 

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Quotes from the Field: Kilgali, Rwanda

IVUmed service last month included five workshops, making March our busiest month to date! We’re highlighting this tremendous work with quotes from IVUmed volunteer medical providers on those trips and photographs from the regions served.

 

Today’s Highlight:  Kilgali, Rwanda

Our reconstructive urology workshop in Kilgali was a great success. Lead by Jeremy Myers, M.D., our IVUmed team  saw 30 patients and performed 25 surgeries. They also provided training for 12 doctors and nurses.

 

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“This was very enlightening for me, allowing me to see and experience the challenges facing health care delivery in a developing country. It was a great opportunity to visit an area of the world previously unknown to me.”

– Stuart Anderson, MD

 

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“It means a lot to expand knowledge in an area where there are talented surgeons and in Rwanda the trip felt impactful.” Jeremy Myers, MD

 

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“Felt proud to be part of team that helped to pass on valuable skills to our Rwandan colleagues.” Olufenwa Famakinwa, MD

 

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IVUmed is committed to making quality urological care available to people worldwide.