Komfo-Anokye Teaching Hospital in Accra, Ghana
There is a staggering need for rehabilitation care in Sub-Saharan Africa.Training at Hopkins presents opportunities for me to work with master clinicians and researchers. However, translating the skills and wealth of experience from a rich to a low resource setting presents unique challenges and perspectives. With the proposed elective, I will learn and evaluate rehabilitation at the Komfo-Anokye Teaching Hospital (KATH), a 1000-bed facility and the largest of its kind in a low resource poor country, Ghana. Over four weeks, I will work under close supervision of Dr. Abena Adjei, KATH director of neuro-rehabilitation, with mentoring from Dr. Sam Mayer, Hopkins rehabilitation expert, and Dr. Andrew Haig, founder of the International Rehabilitation-Forum (IRF). My training goals include: 1) To enhance resident education through implementation of Rehabilitation-Curriculum-in a-Box. I will develop laminated reference cards to be used by Ghanaian residents in Trauma, Surgical and Medical Teams, for the physiatric assessment of patients; 2) To promote resident involvement in research via use of standardized rehab measures. I will use the Language Independent Functional Evaluation (LIFE) measure, an epidemiologically and cross-culturally validated 3D computer animated tool for assessing patient function. We will track functional performance at admission and at discharge, and perform cross-comparisons with functional outcomes in the United States. From a public health perspective, LIFE could guide design of interventions to mitigate functional consequence of disease. With strong support from Hopkins, this elective would fulfill a life dream of giving-back to my community and lay the foundation for life-long international research collaborations.