MBINGO BAPTIST HOSPITAL, CAMEROON

MBINGO_CAMEROON

Hospital Website: http://www.cbchealthservices.org

Mission Organization: Cameroon Baptist Convention

Location: Mbingo Baptist Hospital is in a rural region of the Northwest Province, north of Bamenda. It is 380 kilometers north of Douala.

Specialties Needed: PS, PD, AN, PD SURG, NS, GS, ORS, OBG, IM/FP, EM, U, GE, OTO, PED ORS, Dentist, Oral & Maxillofacial, PATH, Physical Med & Rehab, DERM, Neurologist, Neonatology, Rheumatology, Nephrologist, CVS, TS, Hematologist, Geriatric, Allergy & IMM

Profile: Mbingo Baptist Hospital is a 270 bed facility: (70) surgical, (30) orthopedics, (30) male medical, (30) female medical, (6) TB isolation, (26) pediatrics, (12) maternity, (30) Hanson’s disease, (30) ulcer ward, and (6) adult private rooms. Long-term expatriate staff include (2) American general surgeons, (3) American internists and (1) American internist/pathologist, and (3) American pediatricians. Staff includes: (1) Cameroonian OBG physician, (1) Cameroonian orthopedic surgeon, (1) Cameroonian ENT, (2) Cameroonian ophthalmologists, and (6) Cameroonian nurse anesthetists.

Surgery: There are (9) operating tables located in (6) rooms with (2) tables designated for eye surgeries. Well equipped with nails and plates for orthopedic surgeries. Equipped with video endoscopy with a full range of scopes. No fluoroscopy or laparoscopic capability. Can perform fine needle aspirations. No portable X-ray in the operating rooms. The hospital performs over 3,800 major and 830 minor operations each year.

Anesthesia: Draw-over equipment is used, rather than plenum equipment. Draw-over does not require pressurized oxygen, which is difficult and expensive to obtain. Types of anesthesia include spinal, Ketamine, and GA w/ LMA or intubation/paralysis as needed. Halothane is the only inhalation agent.

Ophthalmology: (2) operating tables available for eye surgeries. Fully equipped ophthalmology suite with a 20 power microscope and capability to perform cataract and retinal surgeries. Surgeries are performed TTH with MWF designated as clinic days. Visiting short-term ophthalmologists’ primary role would be teaching new techniques to the (2) full-time Cameroonian ophthalmologists.

Urology: The primary urologic issues at Mbingo are urinary retention, urethral strictures, VVFs post-partum, and undescended testes.

Radiology: (1) Fixed X-ray machine. There are (2) ultrasound machines in the OR, (1) in OBG, (1) in the emergency room, and (2) others available. Echocardiography is available. There is no long-term radiologist on staff.

Pathology: There is need for interpretation of fine needle aspiration specimens, body fluid cytology, grossing of general surgical specimens and interpretation of H&E stained sections. Currently, the only special stains available are AFB and Gram stain. Reports can be dictated using Dragon Naturally software that is in place. A digital camera is attached to the microscope so that consultation can be obtained if desired using emailed images. There are opportunities for the volunteer pathologist to perform fine needle aspirations, or these can be done by residents who have been instructed in the technique, if the pathologist prefers. Finally, didactic lectures given three days a week by long-term and short-term personnel are provided for the residents. Contributing 1-2 lectures per week on any subject pertinent to general or tropical medicine, though not required, is very helpful in reducing the workload of the long-term personnel. Volunteers interested in formal teaching should be in direct contact with hospital field staff prior to departure to prepare for their teaching role.

Teaching: Mbingo is a Pan-African Academy of Christian Surgeons or PAACS program participant. PAACS has established surgical training programs at Christian hospitals in Africa. Short-term volunteers in surgical specialties should understand that teaching, not doing cases, is their primary goal. The curriculum is similar to the United States, with both formal lecturing and hands-on instruction. An Internal Medicine Specialization Residency program and an OBG residency program will be launched in 2011. There is a three-year training program for nurses and nurse anesthetists. Volunteers interested in formal teaching should be in direct contact with hospital field staff prior to departure to prepare for their teaching role.

Lab tests: Comparable U.S. range of lab tests are available.

Common diseases/trauma: Over 50% of adult inpatients have HIV/AIDS. Opportunistic infections, especially TB, are common. Other problems include common internal medicine diseases such as CHF, PUD, DM, etc. The general surgery services covers a broad spectrum of surgical diseases including pediatric, adult, obstetric (C-sections) and gynecologic surgery. Traumatic fractures and soft tissue injuries present regularly.

Travel/Orientation: Fly by commercial air to the city of Douala. The following morning there is a seven-hour drive on a paved road to Mbingo. Orientation is achieved through interaction with expatriate and national staff upon arrival at the hospital.

Time Difference: +5 hours Daylight Savings Time (EST), USA; +6 hours Eastern Standard Time, U.S.A.

Language: English, French, and Pidgin English are the primary languages spoken at the hospital. There are numerous local languages.

Charting: English. Translators are available for patient interaction.

Climate: Except for the warmer winter months (a dry season from October to March), temperatures run from 65 F-90 F. Rainy season is March through November. The dry season is December through February. There is no air conditioning at Mbingo.

Housing: Accommodations are in a guesthouse with kitchen facilities for breakfast, lunch and dinner. There is also a hostel with all meals provided.

Country Travel Warnings: http://travel.state.gov/travel/cis_pa_tw/tw/tw_1764.html

For More Information: Contact Cathy Burleson via e-mail