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FACULTY OF HEALTH SCIENCES


DEPARTMENT OF MEDICAL IMAGING

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WELCOME TO THE DEPARTMENT OF MEDICAL IMAGING

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CREATING A RADIOLOGY CURRICULUM FOR PHYSICIANS IN RURAL AFGHANISTAN

Dr. Ali Sabri,FRCPC
David McEvoy

During this time of transition for the nation of Afghanistan and its people, a
joint initiative between McMaster University and the Aga Khan Foundation strives
to improve diagnostics and clinical outcomes in the country by delivering
world-class radiology training to physicians from rural centres. 

Hospitals in Bamyan and Faizabad are smaller centres in mountainous rural
Afghanistan responsible for delivering care to more than 1.5 million Afghan
citizens. Despite such a large area of catchment, these centres do not have
dedicated radiologists. The responsibility of imaging interpretation instead
falls on the shoulders of physicians from other services with little to no
formal training in radiology. Having access only to X-ray and ultrasound, these
centres are able to outsource but a small subset of their imaging interpretation
to a larger centre in Kabul. 

In collaboration with the Aga Khan Foundation represented by Dr. Karim Samji,
the radiology department at McMaster University, led by Dr. Julian Dobranowski
and Dr. Ali Sabri, has devised a practical curriculum intended to rapidly
improve the diagnostic skills of these physicians in a short period of time. 

The first phase of this project involved the creation of a pretest to determine
which areas of knowledge required supplementation and refinement. The test was
administered virtually with versions in both English and Farsi. Using the
information obtained from the pretest, a series of lectures have been devised to
cover a broad range systems and modalities. With a focus on direct application
and practical skills, our curriculum seeks to provide these physicians with the
tangible skills necessary to confidently interpret radiographs independently. An
important distinction between our training program and traditional radiology
training is a reduced focus on theory and a more direct focus on repeated
exposure to common pathologies in order to establish a baseline Gestalt. 

The first session was delivered virtually on July 19th, 2023 focusing on chest
X-ray. The lecture was given in English with Farsi subtitles and a Farsi
interpreter was present to facilitate a concluding Q&A. Sessions will continue
weekly into September 2023 with topics to include abdomen, musculoskeletal and
spine, pediatrics, mammography, and a concluding integration session to tie
concepts together. Each lecture is prepared and delivered by a fellowship
trained radiologist from McMaster. 

Throughout this process and beyond, a secure group chat between physicians from
McMaster and Afghan physicians at these centres will allow for the consultation
of complex cases and a more direct exchange of information. It is our hope that
this initiative extends far beyond a limited series of lectures and becomes a
lasting collegial relationship resulting in the enrichment and education of all
involved. 

Through this collaboration we hope to make a tangible difference in this
developing nation’s health care system. Improved diagnostics will lead to
improved clinical outcomes which ultimately leads to a better quality of life
for the people of Afghanistan. 

To join our dedicated team or to learn more about the impact and outcome, click
here.

Updated August 16, 2023


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