Firstly, I want to thank FQMS for their concern about supporting the medical students in Gaza strip, especially in the current difficult economic situation, which we have been suffering from.
By receiving my bursary, it alleviated some of the financial burden required for medical school, which, in turn helped and encouraged me to focus more on my studying.
I have a family of six live in a house that has 4 rooms, my father works in Al Shifa Hospital in the maintenance department, my big brother graduated from IT college, my mother is a housewife, my other brother and sister are still studying in school.
I wanted to study medicine as it’s one of the most important Humanitarian fields and studying it gives me an opportunity to help myself firstly and then other people. In my opinion, I think that we have to work on stimulating the healing process of our bodies instead of the concentration on the management of diseases.
By receiving this bursary I can continue in my journey hopefully to work in research to provide an actual way of being healthy.
Five doctors from Oxford travelled to Gaza for an eight-day trip, from 28th October to 4th November 2018, to work alongside local teams to provide an intensive programme of specialty teaching to the final-year medical students from the Islamic University of Gaza and Al Azhar University.
The trip consisted of 3 parts:
Teaching at the patients’ bedside and in small group simulations for 123 students from both universities. The specialities taught included paediatrics, obstetrics, trauma, primary care and internal medicine.
Training for the teaching assistants and junior doctors who run the medical student teaching all year-round, focussing on how to deliver effective medical education.
Quality Improvement in Healthcare symposium, which provided an opportunity for the medical students to present their quality improvement projects and receive feedback on their work.
Prof. Andrew Wilkinson – Neonatology
Dr. Debbie Harrington – Obstetrics
Dr. Rebecca Ingliss – Intensive Care
Dr. Mike Pike – Paediatric Neurology
Dr. Richard Harrington – General Practice
Sadly five additional members of our team were unable to join us, as they did not receive their permits from the Israeli authorities in time. We dearly hope they will be able to come next year.
The visiting team was very ably supported by Dr. Anwar Alshaihkhalil, Dr. Bettina Botcher and Dr. Amir Abukaresh. We are very grateful for their kindness and hospitality and the many hours of work they put in to make the trip possible.
Quality Improvement Symposium
Dr. Bettina Bottcher and Dr. Khamis Elessi have set up a programme to support and supervise the medical students to audit and improve the quality of care across Gaza. Each time we visit Gaza it is evident that this initiative is gathering momentum and starting to have a tangible impact. During our trip it was a pleasure to be able to support their efforts and provide a forum for their students to present their work.
This year seven medical students presented their quality improvement projects to an audience of doctors, nurses and students from across Gaza. Ms Afnan Kamel AbuFoul was awarded the prize for the best presentation and all of the student presenters received letters of acknowledgement.
Two of our visiting team also gave presentations on the theme of quality improvement: Prof. Wilkinson discussed his work as part of a large international collaboration to decrease rates of infection in neonatal intensive care units and Dr. Ingliss spoke about the recent Lancet Commission Report on High Quality Health Systems.
Based on the student feedback, one of the most popular simulation stations we run is the trauma station. We use silicone prosthetics and synthetic blood to recreate a range of injuries, from burns and gunshot wounds to open femur fractures.
Using simulation, the students get the opportunity to manage severe trauma cases in a safe and controlled environment: the emphasis is on working together as a team and on learning to implement basic stabilisation measures.
With the help of actors to play both the patients and their families, we recreate the high-stress, frenetic atmosphere of the emergency room. The students get to practise managing distressed family members with kindness and compassion.
Management of Common Obstetric Emergencies
2017 was the first year we were able to include a doctor with obstetric expertise on the visiting Oxford team. This was received very enthusiastically by the students, so this year Dr. Debbie Harrington and Dr. Bettina Bottcher renewed their collaboration to produce another busy programme of ward- and simulation-based training. During their sessions there is a strong focus on communication skills, both between healthcare professionals and with patients and their families.
This year for the first time they were able to expand the teaching sessions to include the whole multi-disciplinary obstetric team, including doctors, nurses and midwives.
We were hugely impressed by the enthusiasm and knowledge of the medical students we encountered during our trip. They are testament to the fantastic work that both Al Azhar and IUG medical schools are carrying out all year round.
It was a significant setback that half of our planned team of doctors were unable to join because they were not issued their Israeli permits in time. Nevertheless, those of us who were able to make it were very pleased with what we were able to achieve, providing general and specialist clinical teaching to all of the final-year medical students in Gaza.
We are indebted to FQMS and IMET2000 for their support for our trip.
I think there is no place to do your elective course better than Massachusetts General Hospital (MGH). I also got to experience electives in Jordan university Hospital and Ruby Memorial Hospital, USA. My educational trip was amazing from its first day to the last; a lot of experiences, new friends, great places and different cultures.
It was a great trip! On Thursday June 21st, I travelled via Erez crossing border after months of waiting as most of Gazan people do every time they want to travel abroad, then I reached the Jordanian capital – Amman and started my first short elective course in General surgery department under supervision of Dr Al-Muhtaseb with a group of lovely Jordanian students at Jordan university hospital. I saw many new operations and the supervisor doctor gave me and my colleagues the chance to be more involved, e.g. taking history, physical examinations for patients and the opportunity to do my first scrub-in and work as an assistant in the operating room.
As I had to wait at least 2 months for the US visa interview if I applied from Gaza because the Israeli restrictions on the Erez crossing border. I applied for it from Amman while doing my elective there. In the middle of July, my trip to US started when the plane landed at JFK airport/New York then to West Virginia, where I did my second 4-weeks elective course.
New system, new people, new culture, everything was amazing with a great supervisor Dr Alkhouli in the cardiology department, seeing the patients in the clinic, Cath lab (catheterization laboratory) and in the floor (in-patient) as well. I saw many new procedures especially in structural interventional cardiology.
The last course at Massachusetts General Hospital, one of the top hospitals in the USA, was incredible. It has more than 1300 bed and more than 100 Operating rooms, I did my third course in trauma surgery department with Dr Kaafarani and his hard-working team. It was a busy daily schedule starting with in-patient round then spending long hours in Emergency room, Operating room and in the clinic. With a daily of many educational conferences, and weekly grand rounds where great visiting doctors came from all over USA. It was a great experience.
It was a great experience; I made new friends and many connections there. I was able to socialise and attend social events especially at the weekends. I remember that I went with the lady (who I rented my room from) to her aunt’s 95th birthday party to celebrate with her family there. It was a great day.
I’m really grateful for FQMS for its continued support and its generosity, without that I wouldn’t do my elective course.
In August 2018, I went on my elective to the University of Jordan. It focused on surgery in orthopaedics surgical department.
It is wonderful to leave Gaza to see life in other places. I am 23 years old and I have never travelled. When I had the opportunity to go to this great institution I couldn’t refuse it. I am a student in the fifth year at the Islamic University of Gaza and that the possibilities in this department are limited.
It was a dream to travel to see the development potential in the Arab countries and thank God I lasted nearly a month at the University Hospital of Jordan in the bone section with consultants such as Dr Ajlouni, Dr Khanfar and Dr Hadidi.
It was a great opportunity to see how the health system outside the Gaza Strip, to complete my education with clinical skills in the orthopaedics department and be able meet other student from other countries and exchange knowledge with them. After working in the hospital, me and my colleagues used to visit the tourist attractions in Jordan. It was a lot of fun.
Problems with the crossings meant I was delayed in starting the elective course, but it was worth it as I’ve been interested in specialising in surgery since the first year of medical school.
Thank you to FQMS for their help. I hope they continue their support for students in the future.
John Beavis, retired trauma and orthopaedic surgeon, died aged 78 on 5 December, 2018. He came from a modest background but the post-War Labour government gave him the opportunity of a good education which he used well, qualifying in Medicine in 1967 from University College Medical School in London.
He spent the next five years as a medical officer with the Royal Marines, after which he specialised in orthopaedics. His first appointment as consultant was to Lewisham Hospital and he was then transferred to Medway in Kent where he had a busy practice. However at age 53 he developed angina. A coronary artery bypass graft operation was performed but some weeks after returning to work he had a bad attack of chest pain, as a result of which he was retired early from the NHS.
However, still being of an energetic nature and with a desire to serve his fellow man he made many trips to war-torn Bosnia where he trained surgeons in Sarajevo how to deal with complex trauma. On one of his return flights to the UK he met businessman Simon Oliver, who was so impressed with what John was doing that he provided funds to establish the charity IDEALS (International Disaster and Emergency Aid with Long-term Support), with John as Chairman.
This formed the basis for John’s subsequent humanitarian and medical projects, which he pursued with great effect for the next 20 years. After working with the Leonard Cheshire Centre for Conflict Recovery, his next major commitment was in NW Pakistan where he introduced courses in Primary Trauma Care, taught first by volunteers from the UK and subsequently by local instructors. He then organised immediate help for victims of the earthquake which struck Pakistan in 2005 and later that year for a village community in southern Sri Lanka affected by the tsunami.
During the last ten years his main interest was in Gaza. There friends were soon made and in partnership with Medical Aid for Palestinians (MAP) many medical projects have been undertaken. Perhaps the most important has been the Complex Limb Reconstruction Service at Shifa Hospital where two trustees of IDEALS, Graeme Groom and Sarah Phillips, have provided invaluable help and leadership.
John was blessed with a long, happy and mutually supportive marriage to Kate Frankland with whom he had three children. His amazing capacity for engaging with people irrespective of age, race, sex or status resulted in developing friends wherever he worked and by whom he will be sorely missed. It was a great privilege to have known and enjoyed the company of this remarkable man.
Sir Terence English KBE FRCS Trustee IDEALS and Past President of the Royal College of Surgeons
“From the beautifully lit city of Bethlehem, the Golden Dome of Jerusalem, the ramparts of the old city and the ancient markets of Nablus I write to you.
Life here is vibrant and colourful. However, as we know, after scratching the surface matters are much more complex and arduous.
Visiting the 2 medical schools in the West Bank, Al Quds and An Najah exposes the shortage of staff and the resource stretch in teaching facilities.
The main Palestinian hospitals in Jerusalem, Hebron and Ramallah are at breaking point. The demand is huge and the financial resources are very limited.
Despite all this there is a strong sense of determination and optimism. Talent is abundant and so are the brains. I met 2 of our ‘alumni’ over the last 2 days. Naji Mousa and Bashar Jaber are 2 recipients of FQMS postgraduate training support, now proudly playing significant roles in treatment of female cancers and colon cancer respectively. FQMS continues to support medical education here.
On a sad note I, and the wider FQMS family, mourn a wonderful man and supporter of Palestinian medical education, John Beavis. John passed away a few days ago. He took me on my first trip to Palestine in 2011 and held my hand as I fretted about going through Israeli immigration in Tel Aviv. John is not a man to be forgotten.
The FQMS annual gala is on the 23rd March 2019. We decided to move it to a Saturday and hope that you will enjoy it more being rested rather than exhausted after a week at work. I hope you’ll join us. We can’t stress enough how even a £10 donation adds up to a significant amount.
Please keep your generosity going and send us any donations, however large or small, even in advance of the dinner.
I am Mahmoud, a 6th year medical student from Jenin. This is my 3rd year using the flats. In my personal experience, living away from my family proved to be difficult at first, but being able to stay at the flats with my fellow colleagues and friends really helped me in my studies, I was less homesick when surrounded by students who are also far away from their families. It is always better to wake up at 7:30 to reach the hospital than having to wake up at 5 or even 4 am in order to make it on time! This way I have more energy and I am more focused.
I am Sundus, a 4th year medical student from Tubas. This is my first week at the Hebron flats, I am so excited to be part of this experience as I always heard my older friends talking about how they make study groups, cook and go to hospitals together. I submitted an electronic form to the accommodation committee and they found accommodation for me for the bridging month rotation. Tubas is very far away and I always wanted to experience the teaching methods in Hebron hospitals so I am very glad, but we are increasing in numbers and we need more rooms. This year was really crowded, as more students needed accommodation.
I’m Bahera, a recent medical graduate from Bethlehem. I used the Ramallah flats for 3 consecutive years. I am so grateful to have been able to find a place where I can study and attend the medical rotations of my choice without having to worry about wasting time and money in transportation each day. I made a lot of friends from different year levels. Our requests were always met and whatever problem we faced we always found help.
I am thrilled to tell you about an event which I organized together with two other mentees from Palestine, Asma and Shahed. We decided to host a volunteering activity to bring mentees together around a good cause. In particular, we volunteered to help children who are going through cancer. This is the first of a series of social activities which we will organize in Palestine.
We enjoy playing, dancing and singing with 20 children with cancer. Our goal was to make the children happy and to bring a smile to their faces. In addition to offering moral support to the children, we also provided material support by offering breakfast to the patients. We really enjoyed our time with them and we are proud that we succeeded in lifting their spirits.
Simulation training offers the learner an opportunity to develop and enhance skills that are necessary for use in clinical practice.
In the Faculty of Medicine of the Islamic University of Gaza (IUG), students regularly train and learn in the clinical skills laboratory. More than 400 students from Years 3, 4, 5 and 6 benefit from this opportunity on several occasions each year.
Students in Year 3 learn and practice basic nursing and medical skills such as intravenous cannulation, blood taking, blood pressure measurements or intramuscular injections. Use of the skills lab in Year 4 focuses on training in medical examination skills, as well as more advanced practices, such as urinary catheterisation, lumbar puncture or placing chest drains. For Year 5 and 6, the skills laboratory is used for training in Obstetrics & Gynaecology, more advanced emergency, surgical and medical skills as well as advanced adult, paediatric and neonatal life support skills.
A further important aspect of the clinical skills laboratory is that it offers the opportunity to practice teamwork skills in order to work together to achieve one common goal. Therefore, regular simulation teaching with clinical scenarios also take place in the skills laboratory.
Finally, the skills laboratory is used for clinical examination purposes from Year 3 through to Year 6, where OSCE style examinations are conducted within the clinical skills laboratory.
Many thanks to FQMS for funding the purchase of the needed equipment in the skill lab on behalf of the Islamic University of Gaza (IUG). These models will be used all year round for training the medical students in most of the courses, and examining the student’s skills during OSCE examination.
Dr Anwar Alshaikhkhalil
Vice-Dean, Faculty of Medicine,
Islamic University of Gaza
Al Quds Medical School (AQU), established in 1994 as the first Palestinian medical school was deficient in cadavers for Anatomy teaching. This stems from cultural norms which prohibit cadaveric dissection.
Accordingly, AQU resorted to computer-assisted learning (CAL) in this topic and the use of diverse mannequins and models that match human anatomy topography. Procurement was not possible due to the prohibitive cost. Luckily, and with the kind assistance of FQMS we managed to buy the initial batch of Anatomy manikins which served our Anatomy instruction till 2013, when the yearly intake of the medical school was around 60 students.
In 2013, the policy of the university made it imperative to increase the number of new enrollees to 150 and thereafter by yearly increments of 40, until we reached an intake of 300 students in 2017.
This imposed a heavy burden on our Anatomy facility coupled with the fact that many of the original models became useless from wear and tear over the years.
This necessitated the Faculty to establish a new Anatomy lab to accommodate the increased number of students and to replace a lot of the old models acquired since 1994. Again, FQMS has miraculously come to our assistance by approving the purchase of new Anatomy models to equip the new lab.
The list of Anatomy models covered all the body parts and musculoskeletal bone structure. Without this new facility, the medical school would have found it difficult to teach the practical component of Anatomy discipline and this would have jeopardised the delivery quality of our curriculum.
In addition, the medical faculty delivers Anatomy teaching to Dental, Pharmacy and Nursing students thus putting a great burden and intense need for a second Anatomy lab with the installation of new purchased Anatomy items.
I have to register my sincere thanks and great appreciation for the assistance FQMS has provided and is still sustaining this help to AQU. Without this ironclad support Al Quds Medical School mission would have been hampered immensely.
Hani Abdeen BM. FRCP (UK). FCCP
Dean SoM Al-Quds University
Abu Deis – Jerusalem East