Today I met with Dr. Kimutai, who is the new head of the radiology department. We had a nice long chat about the future of MTRH Radiology. It turns out that they face similar challenges to radiology department stateside - facing higher and higher volumes of studies with fewer resources and increasing levels of expected service. Additionally, Joe Mamlin is pushing to perform chest X-rays at many, many more of the rural sites which will increase the volume substantially.
In order to deal with the volume, we're exploring using a specially trained clinical officer (kind of like a PA) or a radiographer (X-ray tech) to read chest x-rays under the supervision of a radiologist. With the database that we have in place we have the opportunity to do some really cool validation studies and to continuously moniter the quality of the non-physician readers, just to get our research feet wet.
In talking with Kimutai, I learned something else really interesting: in Kenya outside the public hospitals consultants expect radiologists to perform their own ultrasounds. Moi Teaching and Referral Hospital (MTRH) is a public hospital, which is why they have been able to integrate the wildly progressive idea of a sonographer. I hadn't realized that private hospitals didn't have sonographers until today.
Also big news: Eldoret now has two MRI machines (both in private hospitals). Both are low-field < 1 T. Dr. Kimutai has started a neuroradiology conference with the neurosurgeons where they review CT and a few MR scans on Thursday mornings, so that should be interesting to attend!
Call me old-school, but Kenya just isn't the same now that they have actual Ketchup.
Dog pic for the day:
Well that's about it for now.