n.hurwitz 1 , a.tichelli 1 , p. kumar 2 m.raphael 3 j.githang’a 4

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International Network For Cancer Treatment and Research (INCTR) program for online consultation and continuing education in pathology and hematology N.Hurwitz 1 , A.Tichelli 1 , P. Kumar 2 M.Raphael 3 J.Githang’a 4 1 Depts of Pathology and Hematology, University of Basel, 2 Dept of Pathology, Oman Medical College, Sultanate of Oman, 3 Service d’hematologie AP-HP, CHU Bicêtre,

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International Network For Cancer Treatment and Research (INCTR) program for online consultation and continuing education in pathology and hematology . N.Hurwitz 1 , A.Tichelli 1 , P. Kumar 2 M.Raphael 3 J.Githang’a 4 1 Depts of Pathology and Hematology, University of Basel, - PowerPoint PPT Presentation

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Page 1: N.Hurwitz 1 , A.Tichelli 1 , P. Kumar 2 M.Raphael 3 J.Githang’a 4

International Network For Cancer Treatment and Research (INCTR)

program for online consultation and continuing education in pathology and

hematology

N.Hurwitz1, A.Tichelli1, P. Kumar2 M.Raphael 3J.Githang’a4

1Depts of Pathology and Hematology, University of Basel, 2 Dept of Pathology, Oman Medical College, Sultanate of Oman,

3 Service d’hematologie AP-HP, CHU Bicêtre, Université Paris Sud, 4Dept of Human Pathology, University of Nairobi.

Page 2: N.Hurwitz 1 , A.Tichelli 1 , P. Kumar 2 M.Raphael 3 J.Githang’a 4

INCTR “iPath” PROGRAMRef: Poster - INCTR Workshop in Hematopath, Kenya,

Tanzania 2011, J. Githang’a et al

PRINCIPLE : to achieve highest level of professional

standards while keeping costs as low as possible AIM: sustainable strengthening of diagnostic

Pathology and Hematology APPROACH:

- optimal use of existing facilities

- offering a platform for professional dialogue (iPath)

and easy access to high quality consultation as key factor for professional quality

Special feature It is aimed at young people, to help to build up their future

Page 3: N.Hurwitz 1 , A.Tichelli 1 , P. Kumar 2 M.Raphael 3 J.Githang’a 4

EQUIPMENT: PHOTOMICROGRAPHY, COMPUTER/ LAPTOP,

INTERNET ACCESS

Page 4: N.Hurwitz 1 , A.Tichelli 1 , P. Kumar 2 M.Raphael 3 J.Githang’a 4

ISSUES ADDRESSED IN THE PROGRAM, INCLUDING WORKSHOP

Strengthening the professional status of pathologists through discussion of diagnoses on iPath.

Improving communication between various disciplines

• Compensation for the lack of well trained experts by online consultations.

Online support after training in new methodologies Residents’ training and CME through online case

discussions

Page 5: N.Hurwitz 1 , A.Tichelli 1 , P. Kumar 2 M.Raphael 3 J.Githang’a 4

DISCUSSION OF CASES ON IPATH AND

HIGH QUALITY SECOND OPINIONS

Page 6: N.Hurwitz 1 , A.Tichelli 1 , P. Kumar 2 M.Raphael 3 J.Githang’a 4

IMPROVING COMMUNICATION

Clinicians to provide relevant information CBCs in hematologic cases Results of imaging studies in the diagnosis

of bone and soft tissue tumors Clinicopathologic conferences and online case discussions

Page 7: N.Hurwitz 1 , A.Tichelli 1 , P. Kumar 2 M.Raphael 3 J.Githang’a 4

ONLINE SUPPORT FOR TECHNOLOGISTS AFTER TRAINING IN NEW METHODS eg: CYTOCHEMISTRY AT THE HEMATOPATHOLOGY WS

Page 8: N.Hurwitz 1 , A.Tichelli 1 , P. Kumar 2 M.Raphael 3 J.Githang’a 4

CASE ILLUSTRATING THE NEED FOR EXPERT CONSULTATIONS

Page 9: N.Hurwitz 1 , A.Tichelli 1 , P. Kumar 2 M.Raphael 3 J.Githang’a 4

ONLINE CASE DISCUSSIONCoats Disease

Muhimbili University Hospital-University Hospital Basel

Page 10: N.Hurwitz 1 , A.Tichelli 1 , P. Kumar 2 M.Raphael 3 J.Githang’a 4

TRANSFORMING THEORETICAL KNOWLEDGE TO PRACTICAL DIAGNOSTIC SKILLS -

CONVENTIONAL RESIDENTS’ TRAINING

Page 11: N.Hurwitz 1 , A.Tichelli 1 , P. Kumar 2 M.Raphael 3 J.Githang’a 4

TRANSFORMING THEORETICAL KNOWLEDGE TO PRACTICAL DIAGNOSTIC SKILLS -

CYBER SPACE VERSION OF RESIDENT‘S TRAINING

Page 12: N.Hurwitz 1 , A.Tichelli 1 , P. Kumar 2 M.Raphael 3 J.Githang’a 4

ACTIVITIES AT THE TIKUR ANBESSA HOSPITAL ADDIS ABABA, PEDIATRIC ONCOLOGY PROJECT

A. Onsite Activities: • Evaluation of local needs by onsite visits• Improvement of quality of preparations and introduction of

simple diagnostic methods B. Online Activities: • Expert’s consultations (securing diagnosis before therapy)• Training and CME : Interactive online case discussions• Follow-up on quality of cytochemical stains• Systematic online training in interpretation

of bone marrow aspiratesImprovement of diagnosis within 6 monthsCosts: travel costs for consultants

Page 13: N.Hurwitz 1 , A.Tichelli 1 , P. Kumar 2 M.Raphael 3 J.Githang’a 4

ACKNOWLEDGEMENTSDepts of Pathology and Hematology University of BaselD.BaumhoerP.DalquenL.TornilloP.MeyerS.FrankH.HopferE.BruderS.DirnhoferA.Tzankov

Members of BDIAPK.FlemingL.HirschowitzS. LoveY. WilliamsS.Levine

A.Sivaraman

Depts of Pathology and HematologyTikur Anbessa Hospital Addis AbabaG.TufaG.AmhaM. ArayaselassieMoges KebedeY.Endirias

Dept of Human PathologyUniversity of NairobiG.KitonyiE.WalongD.GateiJ.Ieri

INCTR Brussels INCTR USThe Aslan ProjectI.MagrathA.ShadML Cohen

Technical AssistanceM.HublerK. BrauchliP.Huber

Dept of Pathology Muhimbili University Dar es SalaamB.RugwizangogaJN KitinyaE.KaayaE.Vuhahula