My name is Ruth Keir, a fourth year medical student from Dundee University, Scotland. I have spent 3 weeks carrying out a medical elective at Sekou-Toure Regional Hospital, Mwanza within the Obstetrics Department. During this time I have been able to expand my clinical skills as well as rely on them during investigations – clinical skills in the hospital being extremely limited.
Sekou Toure regional hospital
Daily activities within the Obstetrics Department included a daily ward round, often with a medical student of a similar level to myself as the doctor was often busy. This was an interesting experience as I was able to largely contribute to the management of patients and make suggestions that were often not thought of. I was able to assist in theatre anytime surgery was indicated, which was an invaluable learning opportunity, and was also able to spend a lot of time within the delivery room. With 20 deliveries on average per day there were lots of opportunities to practice my delivery skills, and the midwives were lovely - always supportive and friendly. The department has only got basic equipment which often makes the management and treatment of the patient very challenging. Without CTG machines or hand held Doppler’s, recording fetal distress was often very difficult. We had to rely on Pinnard stethoscopes, so clinical judgment was essential. Overall the placement was a fantastic experience and it was a real honor to be able to get to know the Tanzanian Healthcare system.
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