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Point-of-Care Ultrasound for High-Risk Pregnancy Screening in Rural Nepal.
Rebecca E Ward1, Winston B Joe2, Saurabh Jha3
1Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania; Chief Resident 2023-2024, Diagnostic Radiology Residency Program, Hospital of the University of Pennsylvania; UPenn Radiology Health Equity Leadership Track; UPenn Center for Global Health Scholar.
Training nurses and midwives in obstetric ultrasound in Nepal improves high-risk pregnancy identification. This benefits remote communities and enhances radiology residents' point-of-care ultrasound skills in low-resource settings.
Area of Science:
- Global health
- Medical education
- Obstetric ultrasound
Background:
- High-risk pregnancies in remote areas pose challenges for timely identification and triage.
- Global outreach programs are gaining traction among US radiologists.
- There is a need to train healthcare professionals in low- and middle-income countries on essential diagnostic tools.
Purpose of the Study:
- To assess the impact of training nurses and midwives in obstetric ultrasound in remote Nepalese villages.
- To evaluate the benefits of global outreach for American radiology residents' practical skills and understanding of low-resource healthcare.
- To highlight the importance of point-of-care ultrasound (POCUS) training in radiology residency.
Main Methods:
- Nurses and midwives received basic obstetric ultrasound training.
- American radiology residents participated in hands-on scanning and clinical practice in Nepal.
- The program focused on identifying and triaging high-risk pregnancies using ultrasound.
Main Results:
- The training enabled identification and triage of high-risk pregnancies in remote Nepalese villages.
- Radiology residents enhanced their real-time ultrasound scanning skills.
- Residents gained insights into practicing medicine in low- and middle-income country contexts.
Conclusions:
- Training local healthcare providers in obstetric ultrasound is effective for improving maternal care in underserved regions.
- Global outreach initiatives provide valuable training opportunities for radiology residents, enhancing both technical skills and cultural competency.
- Point-of-care ultrasound training is crucial for modern radiology residency programs engaged in global health work.
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