INTL 340 Lecture Notes - Lecture 19: Chemotherapy, Palliative Care, Cancer Staging
2 Jul 2018
School
Department
Course
Professor
Week 10 Class 1
Pathology in Rwanda: Deven Smith, MD Feb 2016
Presentation
● pathology
● Rwanda
● Cancer in Rwanda
● Pathology in Rwanda
● Case Examples
Pathology
● pathologist: diagnose things, looking under microscope to render diagnosis
● path: medical school, residency (surgical pathology and clinical pathology), +/- fellowships
(develop sub specialization)
● she diagnoses blood disorders, often leukemia and lymphoma (hematopathology=her
specialization)
● encompasses a lot of time at the microscope studying biopsies, blood slides, etc
● pathology practice often is ruling in or ruling out cancer (main q docs often want them to
answer)
Rwanda and Partners in Health
● tiny country in middle of Africa
● most densely populated country in all of Africa
● in reality it is very rural, most people live outside of urban areas
● towns are small and spread apart
● she was in the north in Butaro
○ one in 3 district hospitals in Rwanda run by Partners in Health
○ Rwanda is broken up into provinces then districts
○ PIH vision: want to show preferential care to the poor… mainly to the rural poor
■ this is how they decided where to place the hospitals
● Butter District Hospital opened in 2011
○ Butaro Cancer Center of Excellence opened in 2012
■ PIH vision: Quality cancer care in a rural setting (something that is not
usually done)
■ was not designed to handle entire cancer needs of the whole country
■ want to decentralize cancer care from Butaro into other parts of the country
● Goals: expand cancer care to other provinces
○ limit disruption in referral patterns
● Land of thousand hills=area around Butaro, which is most mountainous
● not a lot of private car ownership, people usually out walking and kids love to play in the
roads
○ generally dirt roads not paved
○ makes drive harder and longer
● Small town of Ruzumo is 1 miles from hospital
● obesity rate is low, everyone is walking
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Pathology in rwanda: deven smith, md feb 2016. Pathologist: diagnose things, looking under microscope to render diagnosis. Path: medical school, residency (surgical pathology and clinical pathology), +/- fellowships (develop sub specialization) She diagnoses blood disorders, often leukemia and lymphoma (hematopathology=her specialization) Encompasses a lot of time at the microscope studying biopsies, blood slides, etc. Pathology practice often is ruling in or ruling out cancer (main q docs often want them to answer) Most densely populated country in all of africa. In reality it is very rural, most people live outside of urban areas. She was in the north in butaro. One in 3 district hospitals in rwanda run by partners in health. Rwanda is broken up into provinces then districts. Pih vision: want to show preferential care to the poor mainly to the rural poor. This is how they decided where to place the hospitals. Butaro cancer center of excellence opened in 2012.
