Please describe the goal of your initiative; outline what you are trying to achieve
The goal of the MoPOEd program is to improve care for children with orthopaedic diseases related to fractures and trauma, congenital anomalies, and infections in the developing world. We wish to train local physicians and healthcare providers onsite, hands-on, with locally available implants in order to establish a sustainable program that could then train their own surgeons and healthcare providers. In this way, the care for children with orthopaedic diseases will be improved for generations to come.
What has been the impact of your solution to date?
The MoPOEd program has trained 6 Khmer surgeons at the Children's Surgical Center in Phnom Penh over a two year period (2009-2010). Over 70 lectures were given and over 200 surgeries were performed. The surgical treatment for children with orthopaedic diseases in Cambodia has significantly improved and patients are now referred to the clinic from around the country. Some or the physicians trained are now giving lectures on pediatric orthopaedic subjects at the local medical school, and one of the surgeons will be hosted as a traveling scholar this year at the annual meeting of the Pediatric Orthopaedic Society of North America, the largest society of children's orthopaedists in the world.
What is your projected impact over the next five years?
As these surgeons will perform surgery throughout their careers, the impact on future children with orthopaedic disease will be magnified. In addition, the training even improves their care of many adult patients. We expect that thousands of orthopaedic surgeries will be performed over the next 5 years at the Children's Surgical Center.
The Central Hospital of Maputo is the only hospital in the entire country with a full orthopaedic department. We expect an even greater impact after MoPOEd completes its mission in this location.
What barriers might hinder the success of your project? How do you plan to overcome them?
There are two major barriers to success of the MoPOEd program.
1. Critical thinking. Many healthcare providers in the developing world are taught in a rather dogmatic style. They can regurgitate information but will not question authority. Thus, making decisions when there are more than one solution to a problem becomes difficult. Teaching surgeons to think of all alternatives prior to deciding on a particular treatment is a major focus of our program.
2. Infrastructure. To teach pediatric orthopaedics requires a certain amount of infrastructure such as operating rooms appropriately equipped, adequately trained anaesthesiologists, as well as postoperative care. Work ethic tends to vary from country to country and the quality of this care can vary from individual to individual.
Winning entries present a strong plan for how they will achieve and track growth. Identify your six-month milestone for growing your impact
Milestones will include the number of visiting surgeons, cases performed and improvement in outcomes.
Now think bigger! Identify your 12-month impact milestone
After the next 12 months, we expect to have the Central Hospital of Maputo training its own pediatric orthopaedic surgeons.