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NEWSLETTER - ISRRT

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Introduction<br />

I was asked to spend a week in Fiji, based in Suva to do<br />

some training in Mammography and Breast Ultrasound.<br />

This was partly funded by the <strong>ISRRT</strong> and partly by the Fiji<br />

Government, Ministry of Health. Before I left for Fiji I tried<br />

to find what sort of training would be required. I also sent a<br />

questionnaire to be completed by those attending the training.<br />

I had also planned a rough program for the week, but<br />

could not make definite plans, as I did not know format of<br />

training, facilities that would be available, number of participants<br />

or their experience.<br />

On arrival I found that I had the use of a seminar room<br />

near the Mammography room in the CWM Hospital in<br />

Suva. 8 staff, 6 from CWM and 2 from Lautoka Hospital<br />

were freed from their normal duties for the whole week<br />

to attend my training course. All the course attendants,<br />

or trainees, were experienced in both Mammography and<br />

Breast Ultrasound. The management of the Radiology Department<br />

and the Fiji Society of Radiographers were very<br />

supportive of this training.<br />

Equipment<br />

Suva CWM Hospital is well equipped with a Sophie<br />

Planmed Mammography Unit installed in December 2005.<br />

There are four 18x24 and four 24x30 cassettes. Previously a<br />

bench top processor was used solely for Mammography, but<br />

this is no longer operational, so films are processed through<br />

one of the processors in the main X-ray department. The<br />

Toshiba Ultrasound Unit is a high end model and very suitable<br />

for Breast Ultrasound. Images are printed on paper.<br />

Lautoka Hospital has a very old Lorad Mammography Unit<br />

with one 18x24 cassette, images processed through main<br />

processor. An equally old Ultrasound machine is used. It<br />

has no capability of Doppler or saving or printing images.<br />

Training<br />

Report Report<br />

Mammography and Breast Ultrasound training<br />

Suva, Fiji<br />

July 24-28, 2006<br />

Report by Liz Bowey,<br />

Chief of Modality for Mammography, Dr Jones & Partners, Adelaide, South Australia<br />

On Monday morning I was able to ascertain from the questionnaires<br />

what the girls’ level of experience was in both<br />

Mammography and Breast Ultrasound, and what they<br />

hoped to learn or improve on while I was there. I took some<br />

training resources with me, including copies of the basic<br />

Mammography training program I had set up for our own<br />

staff. The girls found these resources very helpful.<br />

It soon became clear that their knowledge of theory of<br />

most aspects of Mammography and Breast Ultrasound was<br />

good, so I spent a large proportion of my time on improving<br />

their practical skills. I encouraged them to ask me lots of<br />

questions, and in turn I asked them a lot too, to find out the<br />

depth of their knowledge and interest. They were a fantastic<br />

group, enthusiastic, keen to learn and very easy to teach.<br />

In Mammography they wanted to improve their basic positioning<br />

skills, particularly for MLO views and learn how to<br />

do extra views. We had ready access to the Mammography<br />

room and patients available when required, so I was able to<br />

give them individual help to position, and group training on<br />

critiquing and offering suggestions for improvements. We<br />

also discussed what extra views would be appropriate in<br />

different circumstances. For Ultrasound it was a little more<br />

difficult as we had to fit in between patients in a very busy<br />

department, however I feel again they were able gain experience<br />

as a group and individually. I was able to help them<br />

Continued on the next page<br />

Volume 43 – No. 1 17

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