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North American residents and their supervisor in the Northern Province
questioned whether our involvement would have any
tangible benefit for the Rwandan trainees. Though we
were learning and having a wonderful life experience,
were we contributing positively or just more foreigners
passing through? However, over time, we began to see
glimpses of our impact: a resident becoming more
confident adjusting ventilator settings in the ICU or
displaying increased vigilance during emergence. One
day, a Rwandan resident had a critical event during an
emergency anesthetic. Fortunately the patient had a
good outcome. We were able to have an in-depth debrief
immediately following the event and he even prepared
a M&M case presentation for the other residents to
highlight the patient, system, and provider issues that
contributed to the event and mitigation strategies to help
prevent future critical events. A week later, we were very
pleased to see that this resident had put many of these
strategies into practice to improve patient safety. It was
a memory that we will all cherish from our exchange.
One of the biggest lessons learned was to continue
pushing ourselves to hear our Rwandan colleagues'
thought processes. So much that we may assume
from our interactions might be false - based on our
own preconceived, culturally-based notions. To really
understand where someone is coming from you have to
ask and you have to listen.
Do you have other thoughts, themes, or
unanticipated experiences?
We are incredibly grateful for our time in Rwanda with
our new Stanford, Dalhousie, and University of Rwanda
family. There is an inherent bond in being a doctor
and a trainee, and it was amazing to hear similarities
regarding our residency experiences - from long hours to
disputes with surgeons to challenging patient cases. The
friendships and partnerships we created are vital to our
learning and for growth as physicians and humans. We
will keep in touch as long-distance mentors and learners!
We are eager to see how the Rwandan residents
progress and hope that we can host them at Stanford
and Dalhousie.
76 | CSA Vital Times
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https://www.nxtbook.com/allen/csvt/2019
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https://www.nxtbook.com/allen/csvt/2017
https://www.nxtbook.com/allen/csvt/2016
https://www.nxtbook.com/allen/csvt/2015
https://www.nxtbook.com/allen/csvt/2014
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