Time has been moving very quickly for us here in Porto Alegre. With only one more week left, we are not looking forward to saying goodbye to the city and its people who have made us feel so welcome during our stay here. There is still a lot of work to be done though as we wrap up our course and administer exams to all the residents who participated in our study. It seems the world cup ended at just the right time!
Last week was a very exciting one for us, since we had the opportunity to shadow the residents as they made their rounds after we finished our instruction each day. With the permission of the patients and supervision of Dra. Ana Tonelli, we were allowed to scan a number of patients and diagnose a range of pathologies from pleural effusion to papilledema. It was an amazing experience to be able to apply our ultrasound skills outside the classroom and see firsthand how powerful of a diagnostic tool it can be. During our rounds, we were also able to see the placement of an ultrasound-guided central line in the femoral vein – a technique that we had taught the residents just a few days earlier!
Next weekend, after the completion of our course, we leave Porto Alegre and head to Iguazu Falls to explore one of the most beautiful sites in all of South America. Until then, there is still much work to be done and many more churrascos to be enjoyed.
As always, check out http://ecoamos.tumblr.com/ for pictures and updates of our progress.
Oh, and parabéns, Alemanha.
Olá and happy belated 4th of July! The three of us have had an amazing experience in Porto Alegre so far teaching the residents enrolled in our courses at Santa Casa de Misericórdia and Hospital de Clínicas and exploring the city during World Cup season. We had a busy schedule this past week that included many lectures and hands-on instruction at Santa Casa. A highlight of the course has been our lecture/instruction on ultrasound-guided procedures, including lumbar puncture, central and peripheral line placement in various areas, and local nerve blocks. The residents were very excited to learn how to apply their new knowledge in ultrasound to their day-to-day practice. It’s a testament to the strength of UCI’s ultrasound curriculum that even as M1s we are able to educate these residents and potentially improve patient care. Check out this blog to see us in action: http://ecoamos.tumblr.com/
We were fortunate to have a break in our schedule last weekend to enjoy some of the World Cup action that’s been a central focus of every Brazilian the past couple weeks. In full ‘Merica attire, we watched both the Mexico – Netherlands and Germany – Algeria games. Both were incredible matches and made for unforgettable experiences.
Tonight we have the privilege of enjoying a homemade churrasco prepared by Dra. Ana Claudia Tonelli — the director of the internal medicine residency programs at Santa Casa and Hospital de Clínicas. We are looking forward to course after course of delicious grilled meats. Please don’t laugh if we each come back to the States 15 lbs heavier than we were when we left Irvine.
June 20 – June 25:
Jack, Trevor, and I hit the ground running when we arrived in Porto Alegre after 24 hours of traveling. Our third and final flight landed in the city at 12:30 AM, and only hours later we were in front of Internal Medicine residents at Santa Casa hospital, teaching them the first of 8 topics we will cover in our Introduction to Bedside Ultrasound course. Santa Casa, which is affiliated with UFCSPA (“oofk-spa” to the locals), will also be the site of our research project, where we are looking at potential differences in learning outcomes between students (the residents) who practice with SonoSim ultrasound simulators and students who don’t. All of the residents will receive lectures and hands-on training with live models from Jack, Trevor, and me. We are also teaching our course to residents, professors, and other faculty at Hospital de Clínicas, but they will not be included in our study. Each topic will be taught 3 times in order to accommodate the residents’ and their limited availability.
That’s enough talk about our research protocol. Our first few days of teaching have gone very well — to be honest, far better than I expected they would go. The students are learning extremely quickly and are really enjoying both the hands-on training and the SonoSim. And because our students are already well-trained physicians, we teachers are lucky to be learning quite a lot from them in return. It has truly been a collaborative experience thus far.
More to come on Porto Alegre, the World Cup, our invaluable host Dr. Ana Claudia Toneli, and other cultural experiences in Brazil (spoiler: beef, and more beef!)…
Trevor (top), Nate (middle), and Jack (bottom) teaching Knobology and the FAST scan at Santa Casa hospital in Porto Alegre, RS, Brazil
Some professors and attendings using a SonoSim ultrasound simulator at Hospital de Clínicas in Porto Alegre, RS, Brazil