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The Scotland-Malawi link in Pathology Presentation Presented by Prof. FA Carey of the Scottish Pathology Network (SPAN) at Scotland Malawi Partnership's Health in Malawi: Towards a Coordinated Strategy Conference, 9th June 2009, Edinburgh City Chambers
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The Scotland-Malawi link in Pathology
Prof. FA CareyScottish Pathology Network
(SPAN)
SPAN
Pathology
Clinical – tissue diagnosis of disease Academic – study of disease
SchistosomiasisMycobacterial infection in HIV
SPAN
Our involvement in Malawi
College of Medicine (COM) Blantyre Diagnostic need is massive (very
few patients in Malawi ever have a tissue diagnosis)
Education need Medical students Laboratory technical training Postgraduate Support for existing pathologist
SPAN
What we do…
3 pathologists visit each year Work with national and international
bodies (IAP, RCPath, Italian network) Development of clinical support (case
exchange, digital images) Broader support of laboratory testing
(VSO, Liverpool School of Tropical Medicine)
Consistent with MoH (Malawi) priorities(tripling no. of doctors etc.)
SPAN
Benefits to us….
Teaching in a different disease context
Exposure to clinical material rarely seen in Scotland
Forging links with colleagues in Malawi
SPAN
Exit strategy….
Malawian doctor currently training in South Africa
SPAN
Scottish health strategy….
Does one exist……? Many competing sectors involved on
our side We can be subject to competitive
behaviour
SPAN
First steps…. (2006 slide!)
A joint (Government/NHS Scotland/Universities/Charities) clinical board
Develop mechanisms to embed this effort in our culture (realising the need to minimise impact on service delivery in Scotland)
A means for ongoing clinical commitment
SPAN
Why has this not happened?
I would love to know Enthusiastically embraced at Oct
2006 Health Conference A political hot potato
Are we to conclude that the central effort is just window dressing?
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