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Overview of Health Care in Saudi Arabia | An IR Perspective from Saudi Arabia
Overview of Health Care in Saudi Arabia | An IR Perspective from Saudi Arabia
advancedbasicallycarecenterchaptergooglegovernmentguardhospitalsoncologistoncologypersonnelprimarysaudisecondarysectortertiary
Specialization and Training | An IR Perspective from Saudi Arabia
Specialization and Training | An IR Perspective from Saudi Arabia
chapterfellowshipsinternshipinterventionalinterventionalistmbbsradiologyyearly
The Set Up of IR in Saudi Arabia | An IR Perspective from Saudi Arabia
The Set Up of IR in Saudi Arabia | An IR Perspective from Saudi Arabia
admissionbattlecarecenterschapterhospitalinpatientinstitutioninterventionalinterventionalistinventorynursespainpatientsprivilegeprocedureradiologysaudisedationservicetertiarytextturfvascular
Collaboration | An IR Perspective from Saudi Arabia
Collaboration | An IR Perspective from Saudi Arabia
chaptercompetitiveinterventionalnursespeopleradiology
Success in Saudi Arabia IR | An IR Perspective from Saudi Arabia
Success in Saudi Arabia IR | An IR Perspective from Saudi Arabia
chaptercollaboratecontactsphysiciansprotocols
Transcript

thank you so much the result for inviting me to speak here it's an it's an honor and now my talk is not going to be as entertaining as the doctor for Hayden mostly I thought you guys are serious so I made it like very dry but it seems like you you're not like jokes

but will flavor it up so nothing that is close so this is actually a just google mapped at the distance between here and there and this is basically Austin Convention Center and this is how you can go to Saudi Arabia now you can do a

direct flight now but hopefully in the future you will have like you know an autopilot just private jets that you can scan like uber now with scooters and you just hop on and just go there I really like the idea actually I come every day

using the scooter so this is basically Saudi Arabia and you can see up there in Italy there is a place that I like my favorite so start arabia is there actually in the in the Middle East and you can see that

it's a it's a sizable country and you can see also UAE where dr. Roboto were just mentioning there so just to give you an idea quickly on health care it's a social healthcare so the government pays for you know health care and it's

basically like a yearly budget that they pay for hospitals and then you just you know run the business and it's usually for citizens and some workers but then insurance is also for you know reputable companies or if you have any contractors

or anyone coming from anywhere else and you can have like private hospitals so the main thing this sector the main sector is actually government which is the most bulk and this is where you find the most advanced care and also you find

the advanced cases so Ministry of Health is the the biggest thing they have primary tertiary and secondary care everything and military hospitals for military personnel security forces for police National Guard still a government

hospital for National Guard personnel and they all all of the above they have actually primary secondary and tertiary care except for King Faisal Hospital which is a research centre and it's actually a tertiary care for oncology

and so on so they didn't have their own secondary and primary they're basically a referral center for advanced cases like oncology and so on now university hospitals for what the names is stating and then prior

sector which is smaller it's expanding now they're doing kind of more advanced cases but they're not as advanced as the government hospitals because some of the oncologist stuff requires a lot of

funding so how do you specialized

usually we have MBBS which is like a seven year medical school after high school things are changing now so we have schools that are like the US where you have the MD degree internship or near radiology is four years and then

you do IR so for IR itself is two-year training we have a fellowship and it actually includes newer interventional radiology now you don't come out as a newer interventionalist but you have training a new intervention you have a

yearly exam it's rigorous and it's actually written oski cases and then also you have yearly evaluation you have to pass all of that every year thirteen position in the country for fellowships per class and actually this year we had

46 applicants for for those 13 positions so IR is hot even back home as in it's

doing in the US so the setup usually in the hospital you have an angio suite recovery procedure rooms usually a new suite is like you know the you know like

what's in the market like top-notch or good things things especially if you're in a government hospital and then you have a storage you have vascular and Vascular now the scope is different some people just do vascular procedures some

people do everything at our institution we do everything that has a needle that you know you have to deal with it I are an interventional neuroradiology as well we integrate integrated actually we're one team and most of the inner

interventionalist and in Saudi Arabia are actually near radiologists or near interventionalist neural interventional radiology but we have like few comers who are neurologist or neurosurgeons so the team is like text nurses residents

fellows attendings but we don't have pas in Saudi Arabia which is a great privilege here and in the u.s. now text they don't scrub in as in the u.s. few of them they do but mostly nurses now nurses they do recovery patient care and

and so on and so forth just like here but the the privilege of PA is not there the workflow itself so it's institution dependent you do like we have rounds in the morning we do also flow rounds we have consultation service we have

clinics we have also like admission to day care radiology day care or like the day care but we still kind of like struggling with the inpatient admission which is I think the status here here you

the privilege also having a hospitalist at some hospitals you have a deal with the interventionalist who can admit under the hospitalist or sometimes under special services now sedation is also like you take it for granted there you

can have to fight for it so we do sedation's but not every institution like moderate sedation and then you have your own scheduled inpatient outpatient the scope of service also depends on this institution but basically we do a

very wide spectrum we do really advanced cases actually back home and we're very proud of what we do to be honest planning is very important because you don't always have the material that you want so it's very important to have good

planning to request a call and get materials you want to establish new service like when we come back like a few a lot of people actually trained in the US Canada and and so on and so forth Europe and they come back and they're

gonna start services so you always establish new service you have to write protocols and things like that you have didactics M&M and so on and so forth there are so many cases that we do as we said but you know again like

sometimes beyond the fellowship beyond the training you have to start new stuff you know you can like a tracheal stenting esophageal standing PD catheter with a Dean you know get that training in the US when I was here but now it's

like something common so you know things like that you have both of disciplinary conferences or meetings we have HCC liver tumor board GI conference you know vascular access conference which is kicked off and it's one of the good

things referral it's actually kind of aromatic so because I work for example in my institution it's a tertiary care hospital it's Oncology Center so it's automatically whenever a patient is

diagnosed with anything they can get actually referred so you have kind of from primary to secondary to tertiary care they just say it goes directly now you have direct referrals also like from diabetic foot centers dialysis centers

and also those patients can come in the nice thing is IR is kind of independent so we can accept patients just to all four IR so they come in for biopsy they come in for a procedure for a drainage for Anna Frost in exchange for whatever

and they leave the hospital so sometimes they come with an ambulance if they are not walkie-talkie they come with an ambulance we do the procedure they go back to their home institution and they we cover actually an area that is more

than 400 to 500 miles radius so some of them actually they're so sick to the point that they need to be transferred completely for CAIR turf battle is like it's not as the u.s. because the government sector as I

said it's the biggest thing so there's no incentive to do more it's basically like you want to do more because you want to help patients so the turf battle is not the same but it's still there you know just kind of personality things so

we still kind of like you know have peripheral arterial disease AV fistula we have kind of like some turf battle with vascular very cozy land and prostate in bolas ation sometimes you're all just won't kind of refer or won't

tell patients that these things exist with gynecology you have good relations but that sometimes that can happen that they want to do myomectomy or something I'm not your inorder embolization so pain we actually established a very

strong pain service right now and we do so many injections and things like that so they actually despise surgeons who refer to us on the arthropods they really like our results and the patients are happy so they started referring more

and more patients which kind of tip you know ruffle some feathers on the pain service admission as I said you know hospital service but we still don't have admission so inventory you have to know everything

I got like all the list from here before I left because you know the text or the there's no like specialized person to kind of handle inventory we have someone assigned but they're not as you know versatile with that so we have to kind

of like you know you have to know what you have you have to sometimes you're in procedure you have to say like no I know that in that corner that is that piece so please bring that on and you know the nice thing about their you know there's

support from companies not every company as in the u.s. is exist in there but you have good support you have the privilege of having some seee mark stuff which comes from Europe they're not FDA approved but they're seee mark approved

so you can actually get the European stuff before you give them in the US so

that's kind of privileged there we have a society it's called salad interventional radiology Society it's still in its infancy so we had just

three annual meetings and three NGO clubs and we're working on practice guidelines and stuff like that inspiration or in an interventional radiology in general it's actually very hot in the country and we just kind of

like tweet things and medical students are getting so interested and everyone is kind of wanna do IR and how can we get into there so we have students and resident specific track on the eating itself that is actually given by

Fellowes so it's kind of basic you just reach that level and you talk to people and then you have text and nurses track as well the application is very competitive to the to the to the fellowship and also when they want to

come for rotation just to see what IR looks like it's actually very competitive and always packed it's a desirable workplace even for text and nurses they want to come in because usually people are chill in IR and they

you know they like to work hard but at the same time they're like good good good group and you know as I said you know social media so public the patients are variable there so yeah different education different backgrounds as I

said you know you cover a 500 mile radius so you have different backgrounds some people are educated some people are not and the decision-making usually the physician plays a big role in decision making in there because you know people

don't know much so if they trust you they will just go with whatever you say and allow me to say this but tolerance the pain is completely different than the us we used to do so many sedation's when we were here you do a lot with

local and there and patients don't feel pain or they they're okay with it it's not like no they're suffering and you're like just trying to push no no they're ok with it so I think expectations are different so that's kind of what sets

the tone and it's just a diverse public so you have people very it's a very international country so you have people from all around the world and so then

you just you need to collaborate with your IR team in general collaborate with

the team in the hospital and then you need to write a lot of policies and protocols because it's it's raw when you go especially to a new place and you want to establish the service so you need to do a lot education to one

another you have to be competitive you want to follow up and be persuasive and lead by example yeah I'm just gonna go quickly on if anyone of you actually is considering going there or even going to a different practice just general ideas

and you know what goes a long way is like you have to be active optimistic and enthusiastic and passionate you have to have passion to kind of continue on doing what you want to do and you want to be available all the time respond to

calls you want to provide expert opinion and you want to participate all the time be available patient comes first and personal conflicts aside that's text nurses students you know physicians anyone else and you have to follow

practice guidelines if you're doing the right thing even as a nurse to your physician or as if into your patients no one can fault you for that and you have to you know got you gain respect by that you want to

sign out your cases text nurses physicians everyone you have to sign out your cases update your case and then thanks people for their referrals and what come what actually goes above and beyond is that you want to come early

stay late expect calls and answer questions never say no when appropriate we always say and read and read and read that's for again like trainees physicians and everyone else and keep your records explore options find any of

interest and clinical IR and you want to market IR as well and keep your contacts wherever you go keep your contacts because they're gonna help you a lot ask questions and share your cases so the reward is actually patient satisfactions

then you get satisfied when patients are satisfied then you gain respect and it's good job security you know you're gonna be busy and it's a good job security so take what you can policies protocols inventory whatever you can when you go

to another place just take it with you stay tuned with you know and stay up to date with research academics share your knowledge see me Sam and then you know hopefully irdr certification thank you [Applause]

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