Report on Module 1, 2019 – Introductory module / Upper limb module

New trainees from L to R: Viola Kokiva (Kavieng, PNG), Bohu Urakoko (Kundiawa, PNG), Haynes Rasin (Buka, AR Bougainville, PNG), Reshwin Rajan (Honiara, Solomon Islands) and Juvencio Dias (Dili, Timor Leste)

Module 1 was held at the Modilon Hospital and the Madang Lodge Conference room in Madang, Papua New Guinea(PNG) from February 4th to February 22nd, 2019. There were 14 trainees in the Introductory module and 17 trainees attended the Upper limb module. They are Dr. Shaun Mauiliu  from Apia in Samoa, Dr. Alex Munamua, Dr. Reshwin Rajan and Dr. Clay Siosi from Solomon Islands, Dr. Pita Sovanivalu from Fiji, Dr. Johnny Hedson from Pohnpei, Federated States of Micronesia, Dr. Naseri Aiotato from American Samoa, Dr. Juvencio Dias our first trainee from Timor Leste and Dr. Haynes Rasin from Buka (autonomous region of Bougainville), Dr. Jimmy Yakea from Popondetta, Dr. Viola Kokiva, our first female trainee, from Kavieng, Dr. Raymond Saulep and Dr. Bohu Urakoko from Kundiawa, Dr. Felix Diaku and Dr Kevin Lapu from Rabaul, Dr. Stevens James from Lae and Dr. Anthony Nasai from Wabag (all from PNG). The lectures were delivered by Dr. Bruno Fries from Switzerland, Dr. David Bartle, Dr. Vaughan Poutawera and Dr Roy Craig from New Zealand, Dr. Stephen Kodovaru from Solomon Islands, Dr Sara Coll, Dr. Ian Incoll, Dr Paul Hitchen, Dr. Stephen Quain, Dr. Matthew Sharland, Dr. John Stephen, Dr. Graham Gumley, Dr. Keat Choong (Infectious diseases) and Dr. Des Soares from Australia.

In the Introductory module students were taught a systematic approach to history taking, clinical examination and investigation with a focus on trauma and common orthopaedic conditions. In the first week the practical sessions were aimed at common trauma management options including external fixation and basic internal fixation.

In the upper limb module, the students were taught a systematic approach to diagnosis and management of Upper limb conditions. This included clinical history taking and a thorough clinical examination with emphasis on a systematic approach to the management of conditions affecting the shoulder, arm, elbow, forearm, wrist and hand. This included the management of the soft tissues and the management of closed and open fractures. In addition, there were focussed lectures and practicals on the management of hand trauma with the first ever microsurgery course over 4 days.

Lectures were supplemented with practical demonstrations. Each morning we commenced with a ward round seeing two or three patients and getting the students to present the history and clinical signs of the patients. Their management was then discussed and suggestions for improvement were made. This was a useful exercise as we were able to improve clinical skills. It was also helpful to try and elucidate clinical reasoning and decision making and help with developing these skills. The students enjoyed having expert advice on the management of elective conditions and trauma affecting the upper limb PNG has a large volume of severe trauma due to bush knife (machete) and gunshot wounds.

The highlight of the course was the 4 day microsurgery workshop each afternoon. Our students went from complete novices to being able to do a nerve repair using a “chicken Maryland” model in 15 minutes. The chicken sciatic nerve is the same diameter as a human digital nerve in a finger. PIOA is very grateful to Dr. Graham Gumley for leading this part of the course. The students were assessed with a written examination on the final day of the course.

Overall the 3-week module was intense, and it was obvious the students were stimulated to learn. The students are now already reading ahead to prepare for the next module on Knee and Foot and ankle to be held in Kundiawa, PNG, commencing on 29 July 2018.

Our thanks to the staff and patients of the Modilon Hospital, Madang and the Madang Lodge Hotel for the use of the Conference room and for allowing us to conduct the course there. Our special thanks to the staff of Madang Lodge Hotel who provided nutritious food for the duration of the course and made us feel at home. Finally, this module would not have been possible without the generous financial support from Wyss Medical Foundation, AO Alliance Foundation and South Pacific Projects.

Staff and students at the end of week 1
Front row L to R: Keat Choong (AUS),Bruno Fries (Switzerland), Vaughan Poutawera (NZ), John Stephen(AUS), Stephen Kdovaru (SI – President PIOA) David Bartle (NZ), Ian Incoll (AUS)
Staff and students at the end of week 2
Front row L to R: Bruno Fries (Switzerland), Susan Hitchen, Paul Hitchen, Sarah Coll , Stephen Quain, Matthew Sharland, Des Soares (all Australia)
Staff and students at end of week 3
Front row L to R: Bruno Fries (SUI), Des Soares (AUS), Roy Craig (NZ), Graham Gumley (AUS), Shaun Mauiliu (Samoa – Director of Training designate)

Module 3, September 2017, Hip

Front row: L to R. Andy Vane (NZ), Vaughan Poutawera(NZ), Johnny Hedson (FSM), Sud Rao (NZ)

Back row: L to R. Naseri Aiotato, Areta Samuelu, Mark Rokobuli, Alois Mouemuem, James Tewa’ani, Felix Diaku, Thomas Kiele, Kabiri Itaka, Pita Sovanivalu, Raymond Saulep.

The “Hip” module was held at the National Referral Hospital, Honiara, Solomon Islands, from 18 to 29 September 2016. This module covered history taking, clinical examination, and management of  orthopaedic conditions affecting the hip including traum .. You can read  the  Module 3 2017 report here.

Module 1, February 2017 , Introduction to orthopaedics

The Introductory module was held at the Lautoka Hospital, Fiji from 30 January to 8 February 2017.
We welcomed 7 new trainees (Raymond Saulep, Thomas Kiele, Alois Mouemuem, Henao Asa from PNG, Alfredo Adams from Samoa, Pita Sovanivalu from Fiji and Johnny Hedson from FSM). PIOA now has 18 trainees in 8 countries. You can read the Module 1 2017 report here.
From L to R: Front row: Stephen Kodovaru (Solomon Islands), Des Soares (Australia), Roy Craig (New Zealand), David Bartle (New Zealand), Tim Gregg (New Zealand), Mark Rokobuli (Fiji)
Back row: Raymond Saulep (PNG), Pita Sovanivalu (Fiji), Thomas Kiele (PNG), Naseri Aitaoto (Am. Samoa), Alfredo Adams (Samoa), Henao Asa (PNG), Alois Mouemuem (PNG), Johnny Hedson (Federated states of Micronesia).

Module 3, September 2016, Foot and ankle, Apia, Samoa

The “Foot and ankle” module was held at the TTM Hospital, Apia, Samoa, from 12 to 19 September 2016. This module covered history taking, clinical examination, and management of  foot and ankle conditions. You can read  the   Module 3 2016 report here.
From L to R Front row – Mark Rokobuli (Fiji),Felix Diaku (PNG), Areta Samuelu(Samoa),Stephen Kodvaru(Solomon Is), Kabiri Itaka (Kiribati),
Back row – George Kabwere(Solomon Is),  Shaun Mauiliu(Samoa), Naseri Aitaoto(American Samoa),  Alex Munamua(Solomon Is.)James Tewa’ani(Solomon Is.).
The course dinner: Special thanks to lecturers: Dr. Angus Moxon, Drr Nick Shortt, DR. Matt Hope, Dr. Hermann Oberli and Dr. Des Soares. At the dinner we were joined by Adele Mauiliu, Enid Samuelu, Elizabeth Oberli and Dr Magele (previous Minister of Education in Samoa- not in the photo

Module 2, June 2016, Spine

The “Orthopaedic Spine” module was held at the National Referral Hospital, Honiara, Solomon Islands, from 30 May 2016 to 8 June 2016. This module covered history taking, clinical examination, and management of  orthopaedic spinal conditions. In addition training on a Pacific Trauma database and a workshop on Infectious disease was held. You can read  the Module 2 2016 report  here.
From L to R Front row – Ian Cheung (Australia), Des Soares(Australia), Martin Walliser(Switzerand), Phillip Stillhard(Switzerland)
Middle row – Mark Rokobuli (Fiji), Kabiri Itaka (Kiribati), Felix Diaku (PNG), Areta Samuelu(Samoa), George Kabwere(Solomon Is)
Back row – Naseri Aitaoto(American Samoa), Stephen Kodvaru(Solomon Is, James Tewa’ani(Solomon islands)
Alex Munamua(Solomon islands), Shaun Mauiliu(Samoa)

Module 1, February 2016, Orthopaedic Trauma

The “Orthopaedic Trauma” module was held at the National Referral Hospital, Honiara, Solomon Islands, from 1 February to 10 February 2016. This module covered history taking, clinical examination, and management of  trauma. You can read the  Module 1, 2016 report  here.
From L to R
Dr. Vauhgan Poutawera(New Zealand), Areta Samuelu(Samoa), Felix Diaku(PNG)
From L to R
Front row – Jochen Ruckstuhl, Des Soares, Vaughan Poutawera, Gerold Lusser, Matthew Hope
Middle row – Basil Leodoro, James Tewa’ani, Felix Diaku, George Kabwere, Kabiri Itaka
Back row – Mark Rokobuli, Areta Samuelu, Alex Munamua, Naseri Aiotato, Stephen Kodovaru, Shaun Mauiliu

Module 3, 2015 Upper limb

The “Upper limb” module was held at the National Referral Hospital, Honiara, Solomon Islands, from 30 September to 7 October 2015. This module covered history taking, clinical examination, and management of elective and traumatic conditions affecting the upper limb including shoulder, elbow, wrist and hand. Click here to read  the Module 3 2015 report  on the Upper limb module.
Back row L to R –  Paul Hitchen, Stephen Quain, Des Soares
Front row L to R – Kabiri itaka, Mark Rokobuli, Stephen Kodovaru, James Tewa’ani, Areta Samuelu
Stephen Kodovaru and Mark Rokobuli doing a sawbones exercise for an adult T intercondylar fracture.

Module 2, 2015 Knee

The Knee module was held at the National Referral Hospital, Honiara, Solomon Islands, from 8 June to 17 June 2015. Click here to read the report on the June 2015 Knee module.
From L to R:  Kabiri Itaka (Kiribati), James Tewa’ani (Solomon Islands), Areta Samuelu (Samoa), Mark Rokobuli (Fiji)
Stephen Kodovaru (Solomon Islands) and Shaun Mauiliu (Samoa) with their sawbones ACL reconstruction.
PIOA students with Dr Patrick Houasia, President PIOA and  Director Orthopaedics (Solomon Islands)
and Prof. Nik Friederich, (Basle, Switzerland) with the VirtaMed ArthoS knee arthroscopy simulator

Module 1 February 2015

The Introductory module was held at the National Referral Hospital, Honiara, Solomon Islands, from 2 February to 11 February 2015. Click here to read  the Module 1 2015 report on the February 2015 Introductory module.
Back row (L to R ) James Tewa’ani, ALex Munamua, Basil Leodoro, Kabiri Itaka, Areta Samuelu, George Kabwere, Mark Rokobuli, Stephen Kodovaru
Front row (L to R) Hermann Oberli, Christian Gubler, Patrick Houasia, Gerold, Lusser, Matthew Hope, Des Soares

PIOA trainers and trainees were pleased to meet with the Deputy Prime Minister of the Solomons Islands Government. The Deputy Prime Minister thanked PIOA for the training programme and was impressed with the training being offered to doctors from many of the Pacific Island countries based at the National Referral Hospital in Honiara.