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Hand surgery training in UK 26-May-2015 till 03-July-2015

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Introduction I have a great opportunity in receiving a scholarship to visit the UK Hand surgery training for 6 weeks Financial support: Bfirst UK. 3500 pounds Birmingham QEH: 3 weeks, hand trauma and brachial plexus injury Edinburgh Sick Children: 2 weeks, Congenital hand and trauma Milan, Italy: 2 days for FESSH meeting, for presentation of Hand Surgery Curriculum in Cambodia

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What did I learn? Trauma hand surgery Plastic hand surgery (flaps) Microvascular artery Reconstructive hand surgery Brachial plexus injury and peripheral nerve reconstructive surgery Other pathology of hand: spasticity, tumor, infection of hand... Participated in the clinic.

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Queen Elizabeth Hospital in Birmingham 26-May-2015 till 12-June-2015: 79 surgical cases I have seen: Hand fracture fixation: 30 cases Reconstructive surgery: 17 cases Peripheral nerve repair: 8 Brachial plexus repair: 3 (Somsak, Oberlin transfers) Tendon repair: 9 Arthroscopy of shoulder-hand: 5 Carpal tunnel decompression: 7

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Royal Hospital for Sick Children, Edinburgh and St Johns Hospital, Scotland 22-June-2015 till 03-July-2015 16 surgical cases I assisted: Congenital hand reconstructive surgery (syndactyly, hypoplasia thumb, polydactyly...) Elective hand surgery (carpal tunnel, trigger finger...) Trauma hand in adult patient (fracture dislocation, microvascular repair...).

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Federation of Societies of Surgery of the Hand, Milan, Italy at Mico Milano Congress 19-20-June-2015 in Milan, Italy Present about hand surgery curriculum in Cambodia.

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How did I come to UK?

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I would like to thank Dr Jim Gollogly, CEO of CSC for selecting me to come to UK for hand surgery training. Miss Barbara Jemec, for the financial support from BFIRST during 6 weeks stay in UK. Dr Wee for his help during my visit in Edinburgh. Dr Raj for teaching me in CSC and to prepare presentation for the FESSH meeting, Milan, Italy. Dr Dominic Power for the support during my stay in QEH Birmingham. Dr Tan Simon for showing my technique of BPI repair. Dr Jose R: giving me a lot of soft copy books of hand surgery. My colleagues fellow in QEH Birmingham.

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Dr. Dominic Power and the Birmingham team: for his support and teach me in Birmingham IT course by Dr Raj in Birmingham

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Dr. Wee Leon Lam Edinburgh, Scotland UK. I appreciate Dr. Wee who always take care me during my visit. He allows me to scrub after the result of blood test, Hepatitis B, C and HIV is clear He always bring me to eat out at different restaurant.

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Dr Saqib and Anne Noor : for his help in Birmingham

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Dr Raj Vaikunthan: Teaching me in CSC and helping me with my talk in Milan

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Thank all friends who help me during the visit

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I enjoyed staying and learning in UK

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My hopes and expectations In Cambodia, most of patients who have hand problems are treated by general surgeons. The hand wound was closed without any repair of nerve or tendon sometime. The brachial plexus injury patient become handicap because of no competent surgeon who has hand surgery knowledge to repair nerve or tendon. I think this knowledge is very valuable for me. I will bring this skill to help my poor people in Cambodia. I am looking forward to develop a hand, peripheral nerve and brachial plexus injury clinic in Cambodia. I suggest to Bfirst to continue grant the scholar ship to other Cambodian surgeon to develop the human resources in hand surgery knowledge so that a Hand Surgery Society will be created soon in Cambodia. For the time being, we still need the support from hand surgery missions of UK and of Singapore.

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THANK YOU FOR YOUR ATTENTION