Bliss

Stephen and Chris have written beautiful blog posts about the weekend adventures. I enjoyed it thoroughly and am so happy they had an optimal experience. I have only to add that no trip to that area would be complete without a stay at Paradis Malahide (my happy place). We enjoyed listening to the fishermen singing as they headed out for the evening, dinner by the fire, traditional dancers and catching up with my friend Emmanuel (a longtime waiter at Paradis). Emmanuel arranged a boat trip for us the next morning after a leisurely breakfast by the lake. We returned to Kigali in time for a solid working afternoon of teaching prep.

Lake Kivu from Paradis Malahide

Stephen took the lead for teaching this week. The topic was pre-eclampsia/eclampsia As with last week, we used active learning techniques. The residents did a fine job of submitting answers to the preparation questions in advance. Stephen use a matching card technique for some knowledge-based answers to the topic. The small groups performed admirably. We ran a simulation scenario on pre-eclampsia from the VAST Course (for Adam, 2.2) . This not only helps the residents demonstrate performance but builds familiarity with VAST scenarios and debriefing. Of course, we had to finish our morning session with Jeopardy and prizes. My goodness, it was competitive!

A resident did a fine case presentation that included group work on a patient with mitral stenosis for C-section. I was tickled when she finished by asking the group for take home messages.

Matching cards for drug doses, indications etc for pre-eclampsia

After lunch, we again ran three stations but this time with new arrivals: Mary (pain physician) and Jon (anesthesiologist and regional anesthesia fellow).

Stephen and Chris ran and debriefed the sim scenario (Adam 2.4)

Mary discussing challenging pain cases with the residents under the avocado tree on the grounds of the sim centre

Jon taught ultrasound guided regional anesthesia with a gel model. One of the residents is practicing here.

I enjoyed the day thoroughly. How lovely to been with such fine colleagues and super keen residents!