An Innovative Education Model for Cervical Cancer ... · Visual Inspection with Acetic Acid (VIA)...
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VINE GAR Next steps: [] cryotherapy [ ] referral MID WIFE Leverage existing clinical expertise and training infrastructure in Ghana Design, pilot, and evaluate a training simulator for cervical cancer screening Allow students to train at their own pace Expose trainees to multiple, varying cervical cancer screening situations Give automatic immediate and meaningful feedback while students are training Visual Inspection with Acetic Acid (VIA) Background Each year, cervical cancer kills over 275,000 women worldwide, with 80% of these cases occurring in low- and middle-income countries. Cervical cancer screening has been shown to significantly reduce this mortality rate. VIA is an appropriate, low-cost cervical cancer screening method, however it is not currently widely used due to a lack of training. Mission To increase cervical cancer screening training and awareness using a low-fidelity educational simulator, thereby empowering midwives to perform VIA more often and more efficiently. KUMASI GIRLS NURSING AND MIDWIFERY TRAINING COLLEGE Komfo Anokye Teaching Hospital 1 Marc Arbyn et al. "Worldwide burden of cervical cancer in 2008." Annals of oncology 22.12 (2011): 2675-2686. 2 Jacqueline Sherris, Cristina Herdman, and Christopher Elias. “Beyond our borders: cervical cancer in the developing world.” Western Journal of Medicine 175.4 (2001): 231. Methods Numbers to date 3 midwifery colleges or independent midwives in Ghana with piloted trainers > 8 Ghanaian healthcare facilities visited > 90 stakeholders interviewed > 200 midwives who have tested the Visualize training device An Innovative Education Model for Cervical Cancer Screening Training Maria Young, Julia Kramer R572 Figure 1: The Visualize trainer References Disclosure The Visualize project has received financial and advisory support from the University of Michigan, the University of California, Berkeley, the Rudd Family Foundation Big Ideas competition at Berkeley, the Berkeley Crowdfunding platform, and the Clinton Global Initiative. The Visualize Trainer Flash Card No. 1 Image 1: Before acetic acid Image 2: After acetic acid Flash Card No. 1 Answers Q1: Is the cervix suspicious for cancer? A1: No. Q2: Is the cervix VIA-positive or VIA- negative? A2: VIA-positive. Q3: Where are the acetowhite lesions? A3: Pointed out above. Q4: Is this patient a good candidate for cryotherapy? A4: Yes. FRONT BACK Lesion Figure 2: Exemplary tab design of the Visualize trainer Features Simulated vaginal cavity to allow students to pass a speculum Custom tabs containing cervical images before and after application of acetic acid LCD screen to guide students through the training method Microcontroller to judge a students’ diagnosis as ‘correct’ or ‘incorrect’ Figure 3: A midwife tests a prototype of the Visualize trainer. Contact Information www.visualizecc.org [email protected]
Transcript of An Innovative Education Model for Cervical Cancer ... · Visual Inspection with Acetic Acid (VIA)...
VINE-‐GAR
Next steps: [ ] cryotherapy[ ] referral
MID WIFE
u Leverage existing clinical expertise and training infrastructure in Ghana
u Design, pilot, and evaluate a training simulator for cervical cancer screening
u Allow students to train at their own paceu Expose trainees to multiple, varying
cervical cancer screening situationsu Give automatic immediate and meaningful
feedback while students are training
Visual Inspection with Acetic Acid (VIA)
BackgroundEach year, cervical cancer kills over 275,000 women worldwide, with 80% of these cases occurring in low- and middle-income countries. Cervical cancer screening has been shown to significantly reduce this mortality rate. VIA is an appropriate, low-cost cervical cancer screening method, however it is not currently widely used due to a lack of training.
MissionTo increase cervical cancer screening training and awareness using a low-fidelity educational simulator, thereby empowering midwives to perform VIA more often and more efficiently.
KUMASI GIRLS NURSING AND
MIDWIFERY TRAINING COLLEGE
Komfo Anokye Teaching Hospital
1 Marc Arbyn et al. "Worldwide burden of cervical cancer in 2008." Annals of oncology 22.12 (2011): 2675-2686. 2 Jacqueline Sherris, Cristina Herdman, and Christopher Elias. “Beyond our borders: cervical cancer in the developing world.” Western Journal of Medicine 175.4 (2001): 231.
Methods
Numbers to dateu 3 midwifery colleges or independent
midwives in Ghana with piloted trainersu > 8 Ghanaian healthcare facilities visited u > 90 stakeholders interviewedu > 200 midwives who have tested the
Visualize training device
An Innovative Education Model for Cervical Cancer Screening TrainingMaria Young, Julia Kramer
R572
Figure 1: The Visualize trainer
References
DisclosureThe Visualize project has received financial and advisory support from the University of Michigan, the University of California, Berkeley, the Rudd Family Foundation Big Ideas competition at Berkeley, the Berkeley Crowdfundingplatform, and the Clinton Global Initiative.
The Visualize Trainer
Flash Card No. 1
Image 1:Before
acetic acid
Image 2:After
acetic acid
Flash Card No. 1 Answers
Q1: Is the cervix suspicious for cancer?A1: No.Q2: Is the cervix VIA-positive or VIA-negative?A2: VIA-positive.Q3: Where are the acetowhite lesions?A3: Pointed out above.Q4: Is this patient a good candidate for cryotherapy?A4: Yes.
FRONT BACK
Lesion
Figure 2: Exemplary tab design of the Visualize trainer
Featuresu Simulated vaginal cavity to allow students
to pass a speculumu Custom tabs containing cervical images
before and after application of acetic acidu LCD screen to guide students through the
training methodu Microcontroller to judge a students’
diagnosis as ‘correct’ or ‘incorrect’
Figure 3: A midwife tests a prototype of the Visualize trainer.
Contact Informationwww.visualizecc.org
