Archive for the ‘Africa’ Category

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Take a look at our latest newsletter to find out more about the amazingly adventurous Dr Andrew Peacock

 

Expedition & Wilderness Medicine

Have you booked your place for Dartmoor ’15? We’ll host our next Expedition & Wilderness Medicine course, 16 – 19 November and have new additional content on offer. Places are filling up fast, so if you’re keen to kick-start your Expedition Medicine career join us North Devon.

What’s a ‘traditional’ medicine career?

Dr Andrew Peacock works with us as a faculty member and also as Medical Director for Expedition & Wilderness Medicine Australia. Andrew recently spoke with RedBull.com about his adventurous career, giving an insight into how he balances a passion for outdoor pursuits and medicine. Click HERE to learn what makes the most adventurous of medics tick.

Poster competition

We’re super pleased with our new look Extreme Medicine Conference website. We’ve just added a page for our poster competition.
We’ve made it nice and easy for you to register and submit your abstract. Click HERE to be taken straight to the poster page.

Blogging for all the right reasons.

According to Uncharted Expeditions, “PTSD is a growing epidemic and the dialogue needs to continue for others to step out of the silence and get help”. In this blog one paramedic is finding peace in the mountains and she’s sharing her experiences.
This is a frank and brave blog, but one that is of great value to the writer and will hopefully help many others along the way. THIS LINK will take you straight there.

Antarctic job opportunity

The University of Texas Medical Branch is looking for an Emergency or Family Medicine physician with acute care experience to join them at the Amundsen-Scott South Pole Station.
You must have US citizenship, a US medical license and a love for dark snowy places.
The clinical load will is light, but the opportunity to work in this remote location should appeal to physicians interested in extreme and altitude medicine. This role provides a number of rare experiences like a view of the Aurora Australis and Milky Way from a perspective few others are fortunate experience.
Visit our jobs page HERE for more information and the relevant application contact details.

Kili’ opportunity

Action Challenge are looking for a medic to join their Kilimanjaro expedition, August 20 – 30. This expedition will follow the Lemosho route. The medic must be a fully qualified doctor – altitude experience and expedition medicine course attendance is preferred, but not essential and expenses for the trip will be covered.
If you’re looking for an adventure taking you up the world’s highest free standing mountain and are keen to tick off one of the Seven Summits, this could be right up your street.
For more information, take a look at the job advert HERE or to contact Action Challenge direct, call James Holland on +44 (0)20 7609 6695.

It’s your time to shine

If you have a story to share or know we want to hear from you. Blogs, vlogs interviews etc. are all welcomed, click HERE to share your experiences.

Expedition & Wilderness Medicine Courses

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Expedition & Wilderness Medicine and Extreme Medicine Conference & Expo.

Have you used ‘WEMEEXPO15SPECIAL30’ ? There’s only 8 days left to take advantage of this massive 30% off the Extreme Medicine Conference & Expo tickets. Full Ts&CsHERE

Dive Medicine – Raja Ampat

Only 1 space remaining!
From September 21, we’ll be spending 11 days exploring the under water paradise of Raja Ampat. Home to over 1,050 divers fish species, 537 coral species and 6999 mollusc species, this stunning location is considered by many divers to have the richest composition of sea life anywhere in the world.
During this exciting expedition you’ll be staying on the liveaboard Shakti, taking part in up to three dives per day, with up to two hours of CME per day – leaving you plenty of time to enjoy your surroundings and share experiences with your fellow delegates and faculty.
If you’d like to snap up the last space email us HERE and we’ll hold the space for the first person to get in touch.
For more information on this trip clickHERE.

Polar Medicine – New Zealand

In a little over two weeks we’ll be enjoying the snowy wonders of the Southern Alps, and we now have capacity for a couple more delegates to join us.
Our highly experienced team will develop your specialist skills with practical sessions giving you hands on experience of rescuing and treating cold water immersion, frostbite, altitude related illnesses and hypothermia. Essential cold weather skills such as building shelters, snowshoeing and dog sledding will all be included.
If you’re thinking of applying your medical skills in a cold environment, you can’t go wring by starting here.
For more information on Polar Medicine click HERE.
If you’d like further information on our Polar and Mountain courses the check out THIS LINK.

Kili’ medic opportunity

Action Challenge are looking for a medic to join their Kilimanjaro expedition June 30 – August 09 2015. The expedition will be following the Machame route. The medic must be a fully qualified doctor – altitudue experience and expedition medicine course attendance preferred but not essential. Expenses for the trip will be covered.
Contact James Holland +44 (0)20 7609 6695 for more info.

Conference news

Keep your eyes peeled for a special newsletter this weekend with conference announcements that you just wont want to miss!

Poster Competition Liaison

James Yates works for the Great Western Air Ambulance as a Critical Care Paramedic. James has worked nationally and internationally, as a clinician and educator, as well as spending time with HART and UK-Med.
After completing an Expedition & Wilderness Medicine course, James has worked on various events across the world and we’re please he can now use his skills to assist us.
To entre our poster competition for the Extreme Medicine Conference email usHERE

 

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Medic opportunity for two Kilimanjaro trips

The role:New AC Logo resize
URGENT! Action Challenge is looking for expedition doctors to join us on their international challenges in Kilimanjaro!

Where:
International expeditions in Kilimanjaro

Dates:
7 day Machame: 30/07/15 – 09/08/15
Open Kili Lemosho August A: 20/08/15 – 30/08/15

Description of the trip:

– 7 day Machame: 30/07/15 – 09/08/15

For more information please see: http://www.kilimanjarochallenge.com/routedetail.php?ID=9

– Open Kili Lemosho August A: 20/08/15 – 30/08/15

For more information please see: http://www.kilimanjarochallenge.com/routedetail.php?ID=10

Experience and Level of training required:
Fully qualified Doctor of medicine – Altitude experience and courses in expedition medicine are preferred requirements bur not essential
Great interpersonal skills and a positive attitude are essential!

Contact details email & phone:
02076096695
James Holland – Resourcing Executive

Company biography
Action Challenge organises high quality challenges, trips and adventures for individuals to join our groups, and bespoke events for charities, companies, private groups & schools. What makes all our challenges truly unique is the way we encourage our groups to bond together as teams – and take on the challenge in front of them! As the saying goes, it’s through adversity that people come together; and in addition to the natural camaraderie that comes with a shared adventure, we actively involve people in the way the challenge unfolds. We believe that through great organisation and a good relationship with our clients, the more we are out of the limelight; the more members of the group get to shine.

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New Vacancy: Now’s your chance to go to Lesotho

Fantastic short term opportunity in Lesotho:  12th – 28th July, 2014   Doctor required to join Connecting Communities Worldwide and a team of scouts on a sustainability project.

Lesotho
Adventurous doctor required to join 15 scouts  in a magnificent, remote environment engaging with local communities, working on a variety of inspiring, sustainable development programmes.We begin with a visit to Cape Town | Table Mountain | Cape of Good Hope | Robben Island and departs via Johannesburg, with life changing wild life experiences along the way.  Fully stocked med-kit and satellite phone provided.

 

 

 

Connecting Communities logo

 

Contact KEN DUNN at Connecting Communities Worldwide for more info:
E:  kdunn”AT”ccwltd.org
T:  01709 717 111
M:  0752 852 9766

CCW Ltd is a not-for-project organisation   so the successful applicant will need to cover their own flights and contribute towards costs (£500)

 

 

Expedition & Wilderness Medicine is the leading  provider of training for medics working in remote and austere environments.

 

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EWM’s Wild Medicine Course Changed our Lives

We know that education opens doors and as the EWM crew are both interested and a bit nosey, we love to hear what our alumni get up to after attending our courses.  Naturally then, we were delighted to hear from Ian P, who told us he and his wife loved the  2013 Wild Medicine course so much, they’re busy packing up in the UK and moving to Namibia…

Not many things you can say that change your life!  Attending the Wild Medicine course was one of those events.  Amazing set of people and a fantastic opportunity to learn about conservation and desert medicine.  

The kind of odd things we learnt…
– Take blood from a cheetah,
– Learn about (and touch – optional) many poisonous snakes,
– Sleep in a desert,  walk 14km through a dry river canyon,
– What are the problem animals with Rabies? (A: Kudu),
– How can carnivores live outside conservation areas & not get killed by farmers &
villagers?

– How to build a vineyard in a desert … what?!.. 

And the thing that changed our lives? Meet the Bushmen and see their need for healthcare!  My wife and I are volunteering at Naankuse to run the Bushmen medical services. The real thing we learned? There are many people out there that can benefit from our skills … 

Oh and by the way Namibia is amazing you get to see loads … but you can also get a 4×4 and do a week or so trip before the course.

 

Other courses of interest:
Remote Medicine
Extreme Medicine Conference

This years Wild Medicine Course

 

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NEEDED: Medical Professionals to support Fundraising Marathon (May 2014)

 

street child charitySTREET CHILD are looking for assorted medics and also a Medical Director* to provide cover for this fundraising event in the world’s 10th poorest country and help improve the lives of vulnerable children in West Africa.

**** POSITION NOW FILLED *****

The Street Child of Sierra Leone Marathon 2014 is an ambitious project and we need medical help to stage it.   It’s more than just a run.  We invite runners to join Street Child in Makeni, Sierra Leone to see and assist with the work we do in country, and to get involved with the local community.  All of this takes place in a developing country with a basic medical infrastructure.

The race covers tough but beautiful terrain, invariably with high temperatures and humidity.  The route is classed as a category “black” marathon – a marathon where serious consideration should be taken to safety provision.  For this reason medical support is vital.  Over the last 2 years, under the guidance of the Medical Director, groups of medical professionals from across the world have travelled to Sierra Leone to help out.  When joined by local medics and nurses, mining corporation paramedics and medical students, this team have provided essential cover to the marathon.  More importantly, previous teams can testify that they have have had an amazing adventure, providing a great talking point for grand rounds on their return!

Most of the action for the medical team takes place on race day, where teams set up makeshift medical stations around the course, providing first line medical care to the runners.  This is co-ordinated from Medical HQ, the headquarters for ongoing treatment, and communication centre to each of the medical stations.

Sierra Leone is very much a developing country – supplies and equipment are limited and expertise is varied.  This is a challenge, but one worth taking on.  Outside of race day, the medical team will be involved in procuring equipment, medical briefings to international runners, and manning clinics offered to local runners on registration day.  Another important job for the team is spending time chatting to the runners before the race, providing reassurance and advice, usually over a local beer!

We would like people who like the sound of this event to travel out to Sierra Leone for between 1 and 2 weeks to help us organise the 2014 Sierra Leone Marathon.  We do ask that you fund your own trip (flights and accommodation only, all transport and meals will be free) but in return we will give you your own ‘experience of a lifetime’ seeing and assisting with Street Child projects in urban and rural Sierra Leone, taking part in a week of festivities in Makeni and you still get to finish on a high joining our West African beach party and 2 night beach hut retreat!

Dates are pretty flexible, the marathon is on Sunday 25th May so an 8 day trip could fly Wed 21st May and return Wed 28th May 2014.  Direct 6 hour flights from London are available from Gambia Bird Airlines and BA.

For more information, photos and videos please look at www.sierraleonemarathon.com and www.facebook.com/sierraleonemarathon.

To enquire or apply please send your details to info@sierraleonemarathon.com.

 *For applications to the role of Medical Director, the role will be to provide leadership and direction to the medical team.  A return flight from London will also be provided.  Minimum dates Mon 19th – Wed 28th May 14.

SierraLeone3

Courses of Interest

 

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Latest Dispatches from Kenya with EWM Medic Matt Edwards

Adventures with AMREF Flying Doctors

The Calm Before the Storm – Part 1

Matt Edwards Blog  working in remote medicine

The past week at AMREF has been one of strange contrasts. There were no flights at all for three days and it was making the staff twitchy. It just doesn’t feel right to have nothing going on. In actual fact there was quite a bit going on at AMREF FD headquarters, just no flying. We had the official launch of the new Beechcraft King Air air ambulance on Monday. It was an impressive event with the dignitaries and guests sitting in the hanger alongside the beautiful new plane. Proudly I watched as my  film was being shown on repeat in the background. Dr Bettina Vadera, a representative from AMREF and the visiting MP all made speeches with a compare from Nairobi radio. She did a fantastic job of helping market the Maisha cover plan which is new insurance policy which is affordable to a large proportion of Kenyans and they then can get rescued from wherever they are in East Africa.  But after the banners and tables were cleared we sat around twiddling our thumbs for the rest of Monday and then Tuesday. Then suddenly on Wednesday morning, we had three medevac flights come in simultaneously. During the next two days AMREF FD would take on 9 flights, many of them extremely sick patients.
As I entered the office I was directed to the waiting caravan plane to do our checks as we had to fly out to Lewa where an 8 year old girl had fallen from her horse and was unconscious. There really is nothing like paediatric trauma to brush off the morning cobwebs. Far more effective than coffee. As I was busy agonising over whether I should be using the (A+4)x2 or the (Ax3)+7 calculation for her weight and the plane was about to start off, we were suddenly stood down. The girl was being brought straight to Wilson in a small plane with the parents and I was needed on another urgent flight into Tanzania. But we had to stay on site to receive the little girl from Lewa at Wilson to resuscitate as required and pop her in our ambulance to take her straight to hospital.

One of our locum doctors was on his way in to help out but was a little way off in the infamous Nairobi traffic. The tiny Cessna plane arrived from Lewa and taxied to us. The little girl had improved on the journey and was now wriggling away from stimulus. It was a good sign; lots of little kids respond like that after a significant head injury. I see mostly insignificant head injuries in children back home, and often I have to physically catch them from the play-area in the waiting room to assess them. We packaged her up while calming the parents and sent her off to the hospital for a scan of her head to exclude a neurosurgical issue. I am told she awoke fully on the way to the hospital and is doing fine.

So as we popped her in the ambulance the King Air was brought around and had been loaded ready for us to head into Tanzania. A young girl of 15 had been involved in a nasty car accident and was critically ill. She had been unrestrained in the back seat of her father’s car as they hit a pot hole, breaking the axel and the car rolled several times. The father was fine but his daughter had been ejected though the front window and was lay unconscious on the road. Once they got to the local hospital, we were contacted. As far as they could tell she only had a head injury (always a dangerous assumption) and she was still unconscious. All they could do was wait for us and give her strong medication to suck fluid out of the cells in her brain and halt the swelling going on inside.

It took about an hour to get to this gold-mining town in Kahama, Tanzania and on the way, while being bumped around by the thermals coming off the baked ground, we did our standard checks and discussed our plan. Given that we were expecting to be escorted to the patients bedside, we thought we would have a little time to assess and plan in the relatively safe and sheltered environment of the hospital. As we taxied around at the dusty runway, I noticed an ambulance sitting just outside the gates on the other side of the airstrip. I wandered off in the baking heat to have a pee (I am always totally convinced I am going to get bitten by a snake when I do this) and Kisito the flight nurse explained to the airstrip’s official that the ambulance needed clearance to enter. It seems no matter where you go in the world you will find irritating ‘jobsworths’. It’s just that in Africa they tend to back up their obstinate behaviour with an AK-47. Kisito gave up and beckoned the ambulance to bring some people to help us hump the equipment the 500m over to the gate. I lifted a few pieces of equipment out of the aircraft and then noticed he had started running towards them.

It took me a little while to work out what the problem was through the heat haze. Then I could make out a little group of people hurriedly carrying a small body on a stretcher. ‘Oh bugg*r’ I thought and quickly followed Kisito.
A rapid sequence induction on a critical patient in the pre-hospital environment can be one of the most stressful situations you can encounter as a doctor. But it needs to be calm, clear and systematic with good communication between the intubator and the assistant. So many things can go wrong; the powerful drugs you use to render the patient amnesic and unaware of the whole process, to reduce the stress response to having the breathing tube put down their throat and to paralyse their muscles, can easily put them into cardiac arrest. And if you can’t get the tube down and can’t breathe for them then they will asphyxiate. In a critically ill patient the time you have to get a breath into the patient can be only seconds before the oxygen in their blood is used up. The pre-hospital environment makes this procedure even more difficult especially in injured patients with potentially broken necks, damaged lungs and occult internal blood loss.
From one look at this girl, you did not need to be a doctor to see she was in a bad way. She was unresponsive with a partially obstructed airway, breathing extremely fast with a pulse rate of 170. Her blood pressure was actually slightly elevated, as young people often do before it starts dropping. Her head was bandaged and she had signs of a facial fracture. Kisito and I did not need to spend long deciding what we needed to do. In the shade under the wing of the aircraft we beavered about. Soon Kisito had established a large IV line and was getting one of the crowd (of course there was a crowd) to squeeze a bag of fluid into her, while I drew up the necessary drugs. Soon we had her assessed, oxygenated and her pulse rate was sensible. I was prepared for it all going horribly wrong but the tube passed simply and she did not respond adversely to the medication. We continued to optimise her chances of neurological recovery as best we could on our way back to Nairobi but I’m afraid the prognosis for such injuries is not very good.
Just as we were handing over in Nairobi we were instructed to return urgently as we were needed in Kisumu next to Lake Victoria. A normally sprightly elderly man had had a heart attack the day before and was not doing well. We had had a non-urgent enquiry about a transfer for him to have cardiac catheterisation earlier in the day. The clot busting and cardiac support drugs he had been given had seemed to be working. But then as his heart started to fail and the pressure started backing up, he had started to drown in his own fluid. This is not an uncommon occurrence for us in the emergency department and we deal with ‘crashing pulmonary oedema’ pretty regularly. Nitrates and ‘non-invasive assisted ventilation’ works pretty well. Obviously this was not available in Kisumu hospital. They also couldn’t do an echocardiogram because the machine is owned by one of the other physicians and apparently it can only be used on his patients.
Our radio room informed us that the patient was deteriorating and we needed to get a move on.

Unfortunately the relatives could only afford a flight with our caravan. We could have been there in 20 minutes in a jet. Two hours and a bumpy road journey later we were at the patient’s side to discover the doctors had intubated him despite the advice of the guys in the radio-room. They had intubated and sedated him but had no capacity to give him positive pressure ventilation. So he was basically in a worse state than if he had been left to his own devices. He was sedated, driving down his own appropriate urge to breathe rapidly and the tube was merely providing an extra long windpipe, like a rather thin snorkel, just making the work of breathing more difficult with the froth from his chest bubbling out the end periodically. I’ve never seen this done to a patient before. Without the benefit of assisted ventilation I simply don’t understand what they were hoping to achieve.

For the second time in the day Kisito and I exchanged glances, sighed and got to work. Thirty minutes later we had this chap settled on the vent and his chest was already improving. We had to contend with his heart doing some weird things as we ascended but with a little tweaking and strong cardiac drugs we had them solved by the time we handed him over back in Nairobi to go have his angiogram.

As I settled down to a well-earned sleep that night, little did I know that, across the other side of the country, something terrible had just happened. The storm was about to get worse…

Stay tuned for the next signal….

About; AMREF’s vision is for lasting health change in Africa: communities with the knowledge, skills and means to maintain their good health and break the cycle of poor health and poverty. We believe in the inherent power within African communities – that the power for lasting transformation of Africa’s health lies within its communities.

Interested in working in remote medicine?  Courses of interest

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A Medical Elective in Andavadoaka, Madagascar

Diving & Marine Medicine Course, MaldivesExpedition & Wilderness Medicine has long been linked with award winning marine conservation charity Blue Ventures through facualty member Dr Rob Conway.

Here we highlight a medical elective scheme they have been running at one of their field bases in Madagascar…

Read the article on Blue Ventures website and find out more ….

Liz and I arrived at Coco Beach at the beginning of September, ready to undertake our medical elective (a six week placement in a “healthcare setting that differs from the NHS”- cue a mass exodus of fourth year med students to the 4 corners of the globe…). The plan was to join up with the FISA (family planning) project set up by BV in 2007 and conduct our own research project focusing on the clinic’s interaction with young people in the local area. Our first 3 days fortuitously overlapped with the end of Medical Director and family planning project founder Vik’s latest stay, so we were rapidly immersed in a crash course in family planning, dive and expedition medicine and the importance of making the most of our idyllic setting and local rum! His enthusiasm was contagious and we were soon planning our own project. However we were both surprised and a little daunted to learn that the educational intervention to be developed as a consequence of our research would be a play; written, produced and directed by us! Drama not being a core module in our particular medical course, we were initially politely positive about the idea but Vik’s unfailing enthusiasm and the sincerity and concern with which he spoke about the issues facing the young people of the region won us over.

We have attended family planning clinics here in Andava as well as the satellite clinics in Belovenoke in the north and Tampilove in the South, collecting the demographic info from patient records and hearing the stories of the women who come to access contraception and counselling from Fanja (the Malagasy lady who runs the clinics). I am continually shocked by the number of children many of these women have had and by how young an age- I’m beginning to feel that I have some catching up to do! The journeys to the clinics make the ease of my daily trip to the hospital in Brighton almost laughable. Normally reached by motorized pirogue (the local fishing boats), Belovanoke is, it transpired one morning when the expected boat captain failed to arrive, a 6-hour round-trip by sereti cart (i.e. a high wooden cart on dodgy looking wheels and no suspension pulled by 2 zebu in dire need of Imodium). The mattress we were cunningly advised to put on the floor softened the ride a little but nothing can prepare you for the flying zebu poo and the inadvertent head-bashing when you are thrown on to your fellow passengers. We finally arrived home battered, bruised, sunburnt and more than a little delirious.

On another memorable occasion the usually wet and choppy pirogue trip to Tampilove was stopped in its tracks by the unforeseen low tide. We spent the following hours trekking through the mangroves, sitting and waiting for the channel to fill and finally pushing the boat whilst dodging evil-looking sea urchins and slimy algae patches. On the upside, it seems pirogue-pushing is an excellent workout for the thighs…

We have now run 2 focus groups with the young people of the village and, having asked them about their use of family planning and the dynamics of their relationships, we have constructed the basis of our play. It has been designed to let teenagers know that the clinic service is available to them and that if they complete their education and have children later on, they have that choice. It is to be performed by ‘vazaha’ (us!) in order to create a bit of a spectacle and attract as much attention as possible. The latest batch of vols have proved suitably enthusiastic and, all going well, our directorial debut should go ahead on Saturday 10th October.

Of interest

Diving & Marine Medicinal CME course in the Maldives

Expedition Medicine Course, Keswick

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Recruiting a doctor for the Lifeline Clinic in Namibia

This is a fantastic remote medicine job opportunity to work with the remarkable San Bushmen in our well-resourced Lifeline clinic in rural Namibia. We are looking for a doctor to start in May 2012 for 1 year or longer.

The clinic was set up in 2003 and is based in Epukiro, approximately 120km North of Gobabis and 400km East of Windhoek. It’s a small community made up of mainly Herero, cattle rearing people, and a small group of San Bushman who are traditionally nomadic hunter gatherers that live in small family groups.Remote Medicine jobs in Namibia

Sadly, San are treated as second or even third class citizens in Namibia and providing free and accessible primary healthcare to this community really is a lifeline to many. People walk hundreds of kilometres to receive medical care when they are sick and unfit to travel these distances. The clinic was set up to provide free medical care to the San Bushmen community. The majority of our patients are San who receive all their treatment free at the clinic (84% of consultations). The rest of the consultations are for fee paying locals, mainly Herero (16%).

The doctor’s role is extensive in nature but is extremely satisfying. The clinic is primarily open Monday- Friday, 8am- 5pm with a lunch break from 1pm-2:30pm. Patients are seen on an open access basis. We also provide an outreach clinic to a large primary school with 150 San pupils and to a village 40 kilometres away. We also run a community program which is in its infancy and consists of training and supporting community health workers in several San Bushman settlements in the area.

Many of the San come from the surrounding regions and may travel several hours to reach us. 40% of the patients we see are children. We see a lot of TB, respiratory infections and diarrhoea. We also see trauma, domestic violence, alcoholism and malnutrition. Patients who need to be admitted to hospital are transferred via our clinic car/ambulance to Gobabis Hospital, 120 km away, mainly on gravel roads. On some occasions they need to be taken straight to Windhoek which is a 4 hour drive away.

Facilities in the clinic are very good and include a microscope, ultrasound machine, computer facilities and the internet. We have a good relationship with the state clinic and mutually support each other.   The Lifeline clinic is entirely funded by charitable donations. It is part of the N/a’an ku se foundation which also has a wildlife and conservation sanctuary just outside of Windhoek. The farm is 320 km away from the clinic, mainly on tarmac roads.

The doctor is responsible for the clinic staff, currently consisting of a nurse, receptionist, translator, cleaner and gardener. The doctor works with Anna Daries, our wonderful Namibian nurse who has been with the clinic for approximately eight years. She has good local knowledge of the San community and is well respected by them. The doctor also looks after the medical volunteers who come from all over the world and stay for a period of two weeks upwards, provides teaching & projects for them to undertake and ensures they are looked after. They are vital to the financial aspect of the project. The doctor/ partner picks the volunteers up from the farm and then drops them back at regular two weekly intervals. This also allows for a few days leave from the clinic itself.

Accommodation is attached to the clinic and is shared with the nurse and medical volunteers so there is not a lot of privacy. The accommodation is comfortable with a fully equipped kitchen, electricity, solar heated water, a television, a garden and two small affectionate dogs. Regular visits to Gobabis are undertaken to pick up food and provisions.

Other responsibilities include keeping regular updates for the management team, writing reports to obtain further funding (working with the fundraising manager), ordering the medications for the pharmacy and generally maintaining patient records.

There is often a lot of driving involved, some of it on gravel roads, but the clinic car is a Nissan X-Trail in good condition and reliable and safe to drive. You do need to be able to change a tyre as punctures will occur!

Namibia is one of the safest African countries to visit; the main nuisance is petty crime. Driving around Namibia is quite safe as long as you keep to a sensible speed and avoid driving in the dark. The roads are not busy.

It must be stressed that this is a remote area of Namibia in a small but friendly community. There are frequent power and water cuts particularly in the rainy season. Accommodation and food are all provided. There is also a small monetary remuneration of N$5000/ month (about £400/ month). The job would be suitable for a single doctor or a couple (not necessarily two medics).

This very rewarding role would suit a doctor with a passion for people, who would be prepared for the remoteness and heat of Eastern Namibia and who can be flexible and embrace all aspects of the role.

For more information about N/a’an ku sê please visit www.naankuse.com and/or contact sarahfrance10@hotmail.com

N/a’an ku sê Foundation, P.O. Box 99292, Windhoek, Namibia.

T: +264 (0) 817 438 505

Of  interest;

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EWM founder Mark Hannaford on the iconic Desert & Wilderness Medicine course

Desert & Wilderness Medicine CME accredited medical training course in Namibia

Sheltering the shadow of Brandberg Mountain, Namibia’s highest, EWM’s Desert & Wilderness Medicine course really is something different as Mark Hannaford explains

Developed for medical professionals and advanced medics working in hot or arid climates, the Desert and Wilderness Medicine medical training course aims to introduce participants to the skills required for working in hot, arid and sub Saharan areas, and to care for and treat injuries and illness likely to occur in this fascinating environment.

 

Book your place on Desert Medicine now …..www.expeditionmedicine.co.uk

Of interest – Conservation ‘Wild Medicine’ in Namibia

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