Student Electives and developing nations

Over the past couple of weeks I have seen articles in the dental press about dental students who have taken their elective study period in a developing nation.

Their passion for getting involved, and their desire to serve developing nations with their dental skills is admirable. Their determination to make a difference needs to be encouraged amongst their fellow students - the future generation of UK Dentistry. However, I have some concerns that some ‘hands on’ dental electives may bring a conflict to the grassroots dental public health strategy , and even be detrimental to the students themselves.

Some articles have highlighted that students are working much faster than they do in their undergraduate clinics, are providing root canal treatments without radiographs and are having to compromise with sterilisation procedures in order to get as many people seen for treatment as possible. I am concerned for the people who are going to these clinics for treatment!

The above situations also cause concern because following treatment, there is no one to deal with problems that could be caused by an inexperienced student. And for the students, the potential for needle stick injuries when working in these sorts of circumstances is significantly raised, as is the possibility of a patient issue becoming a complaint against the student.

Let me state that I want to see more students going overseas for their electives. I want to see them contributing, dialoguing, getting involved, understanding the issues and discovering sustainable approaches. Once they are qualified and have further clinical experience, I would also like to see them continue to serve the poor and marginalised in an appropriate way. However while they are students I would like to see them assisting within their experience level and observing when outside of it. By watching and assisting experienced indigenous clinicians who provide wonderful clinical care in difficult conditions they will gain a whole new set of skills.

As I type, Kathy Wilson,  our Student Coordinator, is in Mwanza with our four brilliant students for the Bridge2Aid Student Elective Programme. The team will be observing, dialoguing, contributing, collecting data and evaluating our programme of training rural clinical officers in oral urgent treatment. Their work during the Elective Programme will help us to shape the training programme for the future while giving them an insight into dental needs of a developing country.

Their contribution as a student team will be significant to the work of B2A. They will learn much in short period of time. Their awareness and understanding will be changed. We hope that they will return to the UK better equipped to make a more lasting change to other developing nations once they have qualified and moved on from undergraduate training. This kind of elective experience is a win for everyone – protecting patients, giving a positive introduction to the developing world for the students, and contributing to the work of an indigenous government and grass root charity.

 

 

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Making it last

I am frequently amazed by the resourcefulness of the people here. Among the many lessons that I have learned during the past 6 years is one about how my Western ‘throw away’ culture is more to do with habit than it is to do with the real necessity to throw things away. People here just seem to make things last longer.

This of course has both its positive and negative sides…

On the negative side, it seems that the involvement of a vehicle in a road traffic accident, causing irreparable damage to the chassis does not necessarily mean that the vehicle will be written off. Anyone who has visited a developing country can testify to this – the site of a bus/oil tanker/truck coming down the road towards you at an angle (or crabbing as it is called here) is somewhat disconcerting. The solution to damage in an accident seems to be just weld it back together and hope for the best!

But on the positive side there are many examples of people being resourceful and recycling things to extend their life. The reality of course is that this is borne out of necessity with people not being able to afford to replace things just because they have some damage.

A great example of this came about as a result of a poor purchasing decision I made a few months ago. In my rush to get a notice board on the office wall I bought a cheap Chinese import. On closer inspection it became clear it was constructed with cardboard, loosely covered with felt fabric material and bound together by a flimsy aluminium frame.

When the frame fell to the ground (as a result of some poor drilling – again on my part) the frame fractured and the cardboard inner came away from the felt. In frustration I ‘placed’ the offending items outside of the office as rubbish, to be taken away.

Said notice board disappeared and I thought nothing more of it.

Until about one week later said notice board reappeared in my office with the following repairs made to the back.

Once I’d got over my embarrassment I was immensely impressed by the resourcefulness of the guys who work for Bridge2Aid. Rather than follow through on my petulant reaction by throwing something out, they just took it away and got it it fixed.

It makes you think – how much is my response in throwing things like this away down to necessity, and how much of it is down to habit?

Suffice to say that I’m a bit more careful nowadays, more appreciative of the things that I do have, and more determined to make them last as long as possible.

Another lesson learned.

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Filming day!

Last week was an exciting one in Mwanza as we hosted a visit from the JSP Media Group crew…

 

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Locums at HDC

Meet Yordan!

I had the privilege of meeting Yordan last weekend in a Leeds city centre coffee shop.

The reason being he is about to travel to Mwanza to assist the team at Hope Dental Centre as a Locum Dentist.

As we chatted, I was excited for him and what he is about to experience; working with Paul & Beth Brind and the HDC team, spending time with Mark & Jo and the rest of the Bridge2Aid team in Mwanza; flying to the mine sites to serve the mining communities in the dental clinics we have established; discovering the culture of Mwanza and what was our home for 9 yrs.

Yordan is a great dentist, wanting to do the best for his patients; wanting to discover ways he can make a valid contribution to the oral health needs in a developing nation and wanting to gain new experiences. He typifies all the many locums and volunteers we have had in Mwanza over the years and the excitement and privilege we feel as a team to facilitate their time with us.

Safari njema Yordan and thanks for being involved with us.

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From a fabulous Unity Partner…

We, at Bridge2Aid, are very fortunate to have such great support from all of you out there. Today, I wanted to feature a guest blog from Dr Andrew Legg, one of our fantastic Unity Partners. I’ll let him do the talking!

Tara

Afternoon all

I thought I would follow up an great blog post by Abi Al-Adhami from Abi Dental on the benefits of the Unity Partnership with Bridge 2 Aid.

I have always tried to follow one or two charities and over recent years have been the dental advisor for Action for Sick Children. I helped launch the dental playboy scheme which travels to socially deprived areas in the UK and helps young children understand the benefits of going to see the dentist.

As well as this I have always been interested in helping a charity abroad. I have previously helped with Dentaid and also Epiphany by supplying equipment. Ultimately I will go and volunteer my services but with 3 young children and 1 on the way I am needed at home at the moment so I have to find other ways to help.

Back in April the ever present (!) Chris Barrow, advertised the Unity Partnership with Bridge 2 Aid. Essentially a relatively small donation would help train a clinical officer, allowing them to treat emergencies in areas of Tanzania with little or no access to dental care. As an extra incentive Chris was also generously offering a bonus of free coaching services as an incentive to join up.

Abi outlines the business benefits of the Partnership including tax breaks, good publicity for you and some reassurance for your patients that their money doesn’t all go towards fast cars!

At the time I was in the process of selling my share of a dental practice in Manchester and heading off into the big wide world after my first 10 years in dentistry.

The Unity Partnership and the opportunity to help train a clinical officer in Tanzania was the perfect way to celebrate this.

I was contacted by Mark Topley, Shaenna Loughnane and Brian Strotton who are part of the fantastic team at Bridge 2 Aid and straight away knew that I had made the right decision. The enthusiasm that exudes from them and the rest of the team is infectious and only makes you want to help more.

There were constant updates on how the clinical officers were progressing in their training, culminating in an email in September telling me that the clinical officer I had helped had passed!

Shadrack Magembe Malubalo would be working as a clinical officer in the Kahama district providing essential emergency dental care for locals that otherwise wouldn’t be available.

Out of 12 students in this cohort, 11 passed, which is a great testament to the Bridge 2 Aid team and the dental volunteers who go out to help.

Shadrack examining a patient during training

Well done Shadrack!

I know times are tough at the moment for everyone both in the UK and abroad. The economy is uncertain and the fight for work is hard. But, there is always someone somewhere worse off.

I am not one for preaching the moral high ground, people who know me would agree that this would be a bit hypocritical (!),  but helping someone else ALWAYS feels better than helping yourself.

We are very lucky in the UK, those who want medical and dental help can usually get it in some form and usually within their local region. ( I know the exceptions and have read the Daily Mail so appreciate the NHS is not perfect!)

I am glad to have been able to give a small amount to Bridge 2 Aid that will help the people in the Kahama district in Tanzania from suffering too much with dental pain. One day I will get over there to congratulate Shadrack myself and help as a volunteer.

Maybe you could help too?

Andy

 

 

You can find the original post on his website by clicking here.

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30 seconds

Next week I get to meet some famous people.

By famous, I don’t mean X Factor famous, Coronation Street famous or Hollywood famous, but, well, really famous.

I will tell you more about it next week.

It’s got me thinking about what you say when you meet someone and you really want them to understand what you do, and why you do it. I’ll get 30 seconds if I’m lucky.

My good friend Chris Barrow talks about having your ‘elevator speech’ ready – the spiel of what you do and why, that you can deliver in the time it takes to ride an elevator a few floors.

And that’s great, but for this, feels a bit (forgive me Chris) contrived…

Because I can’t package the passion that I work with, the burning desire to get people out of pain, the pride I feel in my team and the sense of fulfillment I get from working my behind off every day to make a difference in a country I love into 30 seconds.

So maybe the answer is not to try, to just open my mouth, and let the heart speak?

No prep, just honesty?

Imagine you’re in my shoes – what would you do?

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Student Electives with B2A

A number of weeks ago I had the privilege of attending our very first Student Elective Orientation Day.

Together with Kathy Wilson from the University of Newcastle dental school and Anna Hirst of our partners in this programme, Henry Schein Minerva, we had the opportunity of working with this small team of very talented dental students.

The team, under Kathy Wilson’s leadership will fly to Mwanza Tanzania in December this year to bring about Bridge2Aid’s Student Elective pilot programme.

The student team will be together with the team in Mwanza for just over one week exploring the opportunities to measure the impact of the DVP programme in a rural location but also to gain experience and learn from the Mwanza team regarding the issues of oral health in developing nations together with discussion around some of the key principles within Bridge2Aid of leadership and management.

During the orientation day, I was very impressed and really excited as to the potential in these four young dental students. Their awareness and understanding of the issues in developing nations and their need to engage in the debate about appropriate interventions and ways in which UK dentists and UK NGOs can contribute was inspiring.

I am sure that they will have an amazing time during their stay in Mwanza: I am convinced that they will come back inspired and more aware of the issues at hand and will bring their exciting contribution as they qualify and begin their dental careers.

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A rollercoaster of emotions

Community Development work is far from predictable and over the last month or so, it really has been a rollercoaster of emotions.

To illustrate the point, take September which finished on a high for several reasons.

A series of education visits.  Visiting sponsored students at school.  The transformations in attitudes and confidence of students were, in some cases, overwhelming.

Successful meetings in Dar es Salaam and some resulting planning sessions had left us buzzing with ideas for our future working at Bukumbi.

Seeing Baba Emma from Bukumbi, who Kibibi has been working with over the past few weeks to draw up a business plan, turn his ideas into a reality, when we gave him a loan and helped him to buy materials and equipment for his water can-making venture.

All of the above things, however small, were glimmering lights, indicating that change was happening…pole pole (slowly slowly).

The beginning of this week however, seemed the complete opposite; it was like the rollercoaster had taken a complete U-turn!

Students at school were experiencing teacher shortages and cancellation of lessons –sadly challenges that face Tanzanian Government schools nationwide; their motivation and confidence that they had started the year had been momentarily dampened.

Challenging meetings were had, where it seemed frustratingly little progress was made.  So many ideas and plans, which at the moment, have to be put on hold before they can be turned into a reality.

Sometimes it’s hard for those of us who are involved in the day-to-day, to avoid focussing on the hurdles that are frequently placed in our path; we often miss the subtle though important, alterations in attitudes and expectations that, over the last 7 years at Bukumbi, have made it into the transformed place that it is today.

Sometimes you just have to let that rollercoaster run its path, in the confidence that there will be some light at the end of the tunnel…

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Tokens of appreciation

Last week for me was another fabulous, exhausting trip to the UK. One of the main reasons for going was to attend the BDTA showcase, where we were once again hosted by A-dec on their stand.

The highlight for me of the three days was our Friends’ drinks reception on Friday night.

Over the past few months we have been working on a project to recognise the contribution our Friends, fundraisers, volunteers and contributors make to Bridge2Aid.

We decided that as small token of our appreciation, we would award Bridge2Aid pins.

The aim is to recognise people’s involvement in the organisation through things like DVP, Bukumbi teams, fundraising and membership of Friends of Bridge2Aid.

We have grown enormously in the past 5 years, and are growing fast again this year, and this is all down to the wonderful support we’ve received from many people. As we grow, it becomes even more important to me that we continue to appreciate and recognise the impact that support has made to the organisation. The new scheme we are introducing will hopefully communicate in a small way the huge value that we place on our supporters, and also build recognition within the Bridge2Aid community.

I’ve had the great privilege over the years of meeting and getting to know many people who support Bridge2Aid, and the ability to recognise others who are committed to the same cause and share experiences at events is one which I believe is greatly important.

We hope that our pins will be worn with pride at events where other supporters might be present. We want to give members of the ‘family’ the ability to identify, get to know and build community with others who have also played their part.

I was delighted to personally hand out a number of pins last Friday. If you received an invitation to the event but weren’t able to attend, yours will be in the post very soon.

It’s a small way of saying ‘thank you’.

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24 hours at the BDTA Showcase

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