Dr. LEE Jong-wook - Seoul Project

“Achievement and Challenges”

Seoul National University College of Medicine (SNUCM)

Hee Young Shin, M.D., Yong Choi, M.D.

19th of August, 2017, Vientiane

The project named after late -

Dr. LEE Jong-wook

Director General, WHO (2003-06)

Shin HY. Dr. Lee Jong-wook-Seoul Project - Successful Korean Version of Minnesota project - Could be a Model of Partner in the Field of

Medicine. J Korean Med Sci (2015) 30: S113-113

Lee KW, Kim TJ. Real-time Impact Evaluation of a Capacity-Building Health Project in Lao PDR. KDI journal of Economic Policy (2015) 37: 75-88

was inspired by USAID financed “Minnesota Project” that provided fellowship

to SNUCM faculty members right after the Korean War (1954-1961).

Dr. LJW-Seoul Project

A cooperative project between UHS (University of Health

Sciences), Lao PDR and SNUCM, Republic of Korea (ROK)

The purpose is for capacity building of health professionals

of Lao PDR.

Duration of the project is 9-years started from 2011.

Funded by Korea Foundation for International Health

(KOFIH)

Content I

Individual Fellowship Program

On-site Consultation Program

Providing Equipment Additional Programs

This project is consisted of 4 programs. Individual Fellowship Program is the main program. Basic fellowship period is 1–year. Other three programs are arranged to strengthen the fellowship program.

SNU

- Medicine

- Dentistry

- Nursing

SNU Hospitals

- SNUH

- Dental H

UHS Faculties of

– Basic Sciences

– Medicine

– Dentistry

– Nursing

– Postgraduate studies

– Medical Technologies

Central Hospitals (Five)

Ministry of Health

(MoH)

National Center for

Laboratory and

Epidemiology (NCLE)

Dr. LJW-Seoul Project Fellows

(Graduated 58, On training 8+)

2011 2012 2013 2014 2015 2016 2017 Total

1 year 6 7+(1)* 10 7 8 8 8 46 (54)

6 months 2 2 5 3 9 (12)

3 months 2 2

Master (1)* 1* (Master)

1*

Total 8 7 10 9 11 13 11 58 (69)

Each year, about 10 (mostly 1-year fellows) are invited. 58 fellows graduated by now.

This year, eight (1-year) fellows are on training and 3 more fellows will be invited from

September, 2017.

Training Fields (2011-2016)

(n=58)

Faculty of Basic Sciences (FBS) : 15* (26%)

Medicine : 29 (50%)

- Pediatrics: 13 - OB-GY: 5

- Internal Medicine: 4 - Other Fields: 7

Dentistry: 7

Nursing: 3

Medical Technology : 3

Ministry of Health: 1

* Including 1 in medical education

Pre-training Visit of Preceptors

(Interview and Site Visit)

Through this opportunity, preceptors understand better for the Lao situation, and can provide

more suitable training contents.

Preceptors-Fellows are more attached and have better relationship.

Scientific Communication Workshop in Vientiane

Fellows present their training experience in Korea to Lao colleagues

Preceptors are encouraged to attend the workshop

We also arrange symposium such as Stroke, NMCH.

Preceptors participate as lecturers

4th Workshop, Vientiane, April 22,2014 8th Workshop, Vientiane, April 28,2016

Scientific Communication Workshop in Korea

(For mutual understanding)

Lao delegates gave lectures on Medical education in Hospital Setting

etc.

9th Workshop, Pyungchang, Feb 23,20177th Workshop, Seoul, November 16, 2015

Lao delegates gave lectures on

Promotion criteria of staffs of UHS

Publication of Lao Medical Journal

Books

Every 1-year fellow is assigned to prepare a book (written in Lao/English) for their students and/or colleagues under the supervision of preceptor and

his/her Lao senior.

Content II

Individual Fellowship Program

On-site Consultation Program

Providing Equipment Additional Programs

Teaching waxing-up dentiform practice for Dental Students (2015.1)

Workshop for good English paper writing for faculty members of UHS (2015.5)

Neonatology Consultation for 1 month (2015.1-2)

Mr. PH Kim (Team Leader of Medical Engineers, SNUCM) at FBS (2015. 7)

- Fixed laboratory equipment

- Fixed all the microscopes of FBS for students

- developed smartphone attachment module to the microscope

Cooperative Research (Udomxay)

With Departments of Parasitology, FBS, UHS and SNUCM

Dr. Youthanavanh (Fellow of 2016) and Dr. Hong, SNUCM –Cooperative Research on Parasitology in Udomxay, Lao PDR

2017.1

Content III

Individual Fellowship Program

On-site Consultation Program

Additional Programs

Providing equipment

Laboratory Equipment, FBS

Chromosomal Laboratory, FBS

Mr. Sonexay, Fellow of 2014

Dr. Sengsouly, Fellow of 2011

Dr. Viraseng, Fellow of 2014

We supported to set up the first chromosomal laboratory in Laos at FBS with Dr. Viraseng (fellow of 2014).They can handle blood samples confidently and waiting for amniotic samples from high risk pregnancies.

Echocardiography,

Children’s Hospital

Dr. Malouny (Fellow of 2013)

1152512

† “Others” indicates any acquired cardiac problems

Lao Space, accessed on July 31, 2017

Hwang IC, Sisavanh Malouny et.al. CHD at Laos Children’s Hospital: Two year

experience. Pediatr Intern (2017) 59:271-279

Dr. Chittaphone (Mather & Child Hospital)

– introducing central line at NICU.

Central line catheters were provided by Dr.

LJW-Seoul Project.

(2017. 7)

Dr. Jinsuda (Mahosot Hospital) : Digital EEG (including a laptop)(2017.7)

Content IV

Individual Fellowship Program

On-site Consultation Program

Providing materials and equipment

Additional Programs

Lao Space

Laos Open Access Repositoryof Informationproduced by Lao

- Textbook, - Journal Articles, - Thesis, - Education materials

D-Space: MITS-Space: SNU

Accessed on August, 10, 2017

Cancer Ward, Children’s Hospital

Providing anticancer drugs, IV globulin etc. through Asian Pediatric Cancer Fund.

During visits, we found that Lao children with cancer were not adequately treated. Dr. HY Shin opened a Pedaitric Cancer Ward (2012.8) and provided anticancer drugs.

Childhood Cancer Treatment in Laos

2 year-old girl with ALL in complete remission, 2016.11

Childhood cancer registered at Children’s Hospital: n= 80 (2012.8-2016.11)

Dr. Khounthavi (Fellow of 2013)

Dr. Sonephetspent 1 month at SNUCH

A Case of Congenital Renal Tubular Acidosis

At Diagnosis

(2014, 11 year old)

Three months later

s/p Orthopedic Surgery

at SNUCH

(2016.10-2017.2)

Together with Lao Pediatricians, we made a diagnosis of congenital RTA in a bed-ridden girl. She could walk within 3 months of treatment of Alkali. But she needed orthopedic correction for all 4 extremities due to severe deformities. During her stay in SNUCH, all the fellows training at the period helped her very much.

Articles published by Fellows

JKMS in press

Primary Autosomal Recessive Distal Renal Tubular Acidosis Caused by a Common Heterozygous SLC4A1 Mutation in Two Lao Families

Eujin Park, Vilaphone Phaymany, Eun Sang Yi, Sommanikhone Phangmanixay, Hae Il Cheong, Yong Choi

Seoul National University Children’s HospitalChildren’s Hospital, Vientiane, Lao PDR

Dr. Duangphachanh (Fellow of 2012) received a prize at Asia-

Oceania OBGY meeting held in Hong Kong (2017.6.17)

Challenges

Challenges I

Language is the most difficult problem.

Some fellows have difficulties to understand

English medical terminology.

- Teaching session on English medical terminology

was arranged. 2017.7-8

Challenges II

Fellows do not have Korean license that they

usually are not directly involved in clinical

practice.

D,D.S. Amphayvanh (Fellow of 2016)

Challenges III

Clinical Training of Dr. LJW-Seoul Project is on

Subspecialty level.

- Some of Lao fellows (General Physicians, not Specialists)

- Level of pre-training experience may not

be enough.

Discrepancy in situation is expected between the

training experience in Korea, and Laos on return.

Future Plans

Dr. LJW-Seoul Project is mainly for health professionals in central level.

But our fellows should be able to

Contribute to the general health of Laos !

- Better education to their students

- Providing good and practical TOT programs for

provincial health personnel.

- Development of innovative new programs.

- etc.

Education Workshop on

(Mechanical Ventilation)

Organized by Dr. Latdavanh (Fellow of 2015) and was supported by PICU/NICU,

Mahosot Hospital in August 15-16, 2016.

It was timely since Lao government provided respirators to the hospitals before the

workshop period.

This year, 2nd workshop on mechanical ventilation was also held.

Education Workshops on

(Dental Fields)

Pediatric Dentistry Workshop (2017.6.6-8)Organized by D.D.S. Amphayvanh (Fellow of 2016) Fellow

Workshop for Root Canal Procedure and Orofacial Radiology (2016.12.6-10) organized by D.D.S. Alouna (Fellow of 2015) and Souksida (Fellow of 2014)

Publication of Journals

It is essential to have own journals for improving

academic achievements.

Lao Medical Journal is the only official journal in Laos.

We would like to support

- publishing “Lao Pediatric Journal” for instance.

- It may be practical to start with Case reports, Review articles.

We think e-publication using Lao Space is a possible

option.

This activity should be initiated by Lao Colleagues to

be successful.

Current (2017) fellows of 1-year program

Acknowledgements