The Royal College of Paediatrics and Child Health (RCPCH) and The Myanmar Paediatric Society are working in partnership to improve the quality of hospital care for seriously sick/ injured children and newborns in Myanmar through an ETAT+ package of training with ongoing support and mentorship, leading to sustained changes in clinical practice. Dr Yin Yin Aung was one of the instructors at a recent ETAT+ course.
I am a Paediatrician at the 550 bed Mandalay Children's Hospital and a lecturer at the University of Medicine Myanmar. At the hospital, I work in Medical Unit 1, this is one of three inpatient medical wards and admissions alternate daily across each of the units. At the moment, we have a lot of cases of Dengue fever.
I chose this career because I love children and wanted to work with them. I also love teaching and so took the role of a lecturer as well to train other students. I spend half my time teaching, and half my time treating patients and performing clinical duties. In the morning, we do ward rounds and then in the afternoon teach the medical students. I have been a paediatrician for 5 years now.
We have so many patients, the Paediatrician to patient ratio is very low. Sometimes there are over 100 children admitted each day. We have 550 beds but often have to bring in extra beds to treat more patients.
Staff include one Professor, two Associate Professors, four Consultants, three Paediatricians, up to ten medical students, ten house officers and a number of post graduate students. This is spread across the three units.
I attended the ETAT+ course in July 2015 and from that, I was chosen for the GIC course. This ran for three days and afterwards I became an instructor. I think I was chosen because I was very happy with the ETAT+ training and very enthusiastic. I love teaching and also think that the teaching style of the course was very good. I also think ETAT+ is very systematic which is good.
The ETAT+ course had a lot of information about medical skills and the GIC was good because it had more about how to deliver this and how to capture people's attention. I liked the case scenarios the best, and doing the practice. I think this is a very good teaching process and way of learning.
The main thing is how to give knowledge to others so that they can change their ideas and practice.
I delivered ETAT+ training in Sagaing. There were 27 participants including seven doctors and 20 nurses. This created a challenge around communication because nurses have more difficulty understanding English than the doctors. We had a mixed faculty of four international and five local instructors and this was very nice as we could combine and work together to translate for those who didn't understand English. I would now feel confident to teach the course myself.
It is quite easy to change our duty on the ward so that we can attend and deliver the ETAT+ course. My seniors are happy and supportive, they understand what we are doing.
Our daily teaching and learning processes are very different to the ETAT+ course. Myanmar people are very shy in asking questions but the ETAT+ skills are good for motivating people to speak out more. I think the mix of doctors and nurses was very useful for this too. In Sagaing, we had one Nurse instructor which was also positive.
This course has been very beneficial for me, and I loved doing the instructor course.