Kirtipur Hospital in Nepal is situated on the upper slopes of the southern Kathmandu Valley with a mesmerizing view of the Himalayan Mountains from the walkways. The hospital, part of Phect-Nepal, had been operating since 12 April 2006 as a 15-bed outreach hospital of phect-NEPAL/KMH with a special focus on maternity services. Recently it has been upgraded to a 100-bed hospital with additional specialized services. The hospital provides 24-hour emergency services and outpatient department.
One of the specialized services is the Department of Plastic & Reconstructive Surgery headed by Dr. Shankar Rai. Many of you know him as a world leader in innovative surgery techniques. The hospital offers Burn and Plastic Surgery, Nepal Cleft and Burn Center, Acute Burn Care, Nepal Skin Bank, and Wound Clinic.
Dr. Shankar is an original supporter for CMES and even with his years of experience and expert knowledge…had this to say:
“I really appreciate your kind help for the improvement of our emergency medical service in Nepal. I have personally used your system and have found useful material for my own education on hand injuries.”
Thank you, Dr. Shankar, for your support.
Last October 2016, I gave a suture lecture at Kathmandu Model Hospital, Grande International Hospital and both CIWEC hospitals in Kathmandu and Pokhara. Although doctors approach suturing in a myriad of ways based on education, preference, and experience, the one thing we agreed on was…reviewing the basics and yearly updates are helpful.
CMES participants can download the excellent suture lecture from the March and April 2017 EM:RAP archives. Share your knowledge and learn from your colleagues by giving a lecture at your institution on wound repair.
Wound Repair Part 1 – Wound Prep
Brian Lin, MD and Zach Shinar, MD
Wound Repair Part 2 – Eversion and Simple Interrupted
Jonathan Kantor, MD, Zach Shinar, MD, and Brian Lin, MD
Ben graduated with a Masters in Public Health from Claremont Graduate University, Claremont, California. Ben is the Web Applications Developer for CMES. Thank you for all the hard work and best in your career.
Greg received a Bachelors of Science in Information Systems degree from Virginia Commonwealth University, Richmond, VA. USA, in May 2017.
Greg is the backend systems architect for CMES.
Thank you Greg, for all your hard work and good luck in the future.
Ruxandra graduated from Virginia Commonwealth University (VCU), Richmond, VA. USA in May 2017 with a Bachelor of Science in Information Systems. Ruxandra is the Conceptual Design Developer for CMES.Ruxandra distinguished herself at VCU as Student of the Year and did her poster presentation on CMES. Thank you, Ruxandra, for all your hard work and good luck with your future endeavors.
Over the next few days, I will introduce you to the people who are working on the IT end bringing you the latest and greatest technology for easy access to your cme materials. Several graduated this year.
Special thanks to Sarbu Rana who designed the CMES logo, was the first student to join the CMES team and has devoted hours, days, weeks and months of his time to developing the website and delivery solutions. Officially he is the Senior Application Developer and Systems Architect for CMES.
Sarbu is second from left and received a Masters of Science in Information Technology from Claremont Graduate University, Claremont, CA. USA in May 2017.
Dr. Manoj Thomas and Dr. Yan Li are in Kathmandu this week to install CMES-Pi technology around Nepal. Last weekend they visited Kunde Hospital in the Khumbu Region as their first pilot site.
In our ongoing efforts to improve the delivery of cme, we continue to improve the effectiveness of the technology solutions that we develop. We have developed a solution called CMES-Pi that will enable doctors to access cme content via their smartphone, laptop or another mobile device. Once CMES-Pi is implemented at a hospital or facility the doctors will be able to download and use an app (available for Android or iPhone) to access the CME content. CMES-Pi is a good complement to the thumb drives, and we believe you will find both solutions helpful. Read for yourself how easy it is to be the expert in your facility:
No small feat developing a product that will work in various countries with a plethora of unstable infrastructure. The first round of testing was in Kathmandu, Nepal in May 2016 when the IT team tested a pilot project and networked with potential participants. The team met with the Nepal Medical Council, Minister of Health, Dr. Mahabir Pun and Dr. Arjun Karki; a respected physician and innovator for Nepalese health. All of these individuals provided insight and guidance regarding the needs of the medical community.
Behind the scenes, Sarbu and the IT team continued to work diligently during the summer to get the server functioning and the first batch of thumb drives downloaded with the cme material. Our partner Emergency Medicine Reviews and Perspectives agreed to provide their cme content free of charge and continue to support CMES.
In October I traveled to Kathmandu to work at CIWEC Hospital and dispense the thumb drives to the participants at seven institutions; Kunde Hospital in the Khumbu district, CIWEC Hospitals in Pokhara and Kathmandu, Grande International Hospital, Kirtipur Hospital, Kathmandu Model Hospital and Nick Simon Institute which serves 22 district hospitals.
For a few years my daughter, a neuropsychologist, had been telling me I needed to meet her colleague and friend, Dr. Manoj Thomas, an Information Systems professor at Virginia Commonwealth University in Richmond, Virginia, USA. Manoj and I finally met for dinner and the two of us monopolized the conversation talking about our projects. He was working on a project called; Haiti: Information and Communication Technologies for Education. His team was providing rural students without internet access a thumb drive packed with educational resources; a computer on a stick. He was curious if Nepal could be another site. Turns out OLE-Nepal was already doing the same work.
So we combined our passions and in January 2016 came up with the idea for Continuing Medical Education on Stick (CMES) based on my work with Nepal physicians. I had been working with Dr. Mahabir Pun since 2002 on various healthcare projects. No matter where I went in Nepal the physicians described difficulty accessing continuing medical education due to cost and travel limitations.
Manoj asked his colleague on the Haiti project, Dr. Yan Li at Claremont Graduate University in Claremont, California, for assistance. Together with their students from one end of the USA to the other, they worked diligently on the IT aspect. Leading the charge was a graduate student, Sarbu Rana, from Nepal who designed the website and continously amazes us with new additions like this news feed.