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Current Status of IR in South Africa | South African Interventional Society (SAintS)
Current Status of IR in South Africa | South African Interventional Society (SAintS)
Scope of IR Procedures in South Africa | South African Interventional Society (SAintS)
Scope of IR Procedures in South Africa | South African Interventional Society (SAintS)

thanks to the organizers to be putz or feel meeting here it's my first time - yes I are and I've been really circle of my feet on what is out there in higher circles especially coming from the background that has been described by me to previous speakers and I'll try

and describe what we trying to put together in South Africa like what I said I mean looks like we've got this big continent which is heavy on either side as in Egypt at the top and South Africa trying to catch up and very

little happening in between with the support of society such as SSI are we're hoping to bridge that deficit in the middle and grow IR in the continent thank you so this is our society in South Africa

relatively young you've seen this map 1.2 billion people and I'm going to concentrate on this other southern tip we'll put about 58 million people and with this population density wherever there is blue there is the lowest

population density and the red dots are all the urban centres where everybody is one of the blue patches on the northeastern corner of our country we have preserved it for these guys yeah so nobody stays there except these guys and

we welcome you to come and see these guys roaming in their natural habitat and we're quite proud of that most medical facilities in South Africa or in the urban centers with very poorly structured systems to cater for the

rural areas the public sector which is less resourced takes care of ATP's more than 80% of the population the private sector is better resources is largely inaccessible to most people sorry

this is a typical waiting room in a public sector so good luck but when you arrive there you can actually live their life you know in South Africa for a

country of 50 just under 58 million population we've got only 650

radiologists I wish one day those who all the IRS and most of the radiologists and the private sector and about 20% of them do IR work in South Africa dr and i are all under one umbrella in fact asses IRS who we are subsidiaries of this big

umbrella of diagnostic radiology we all belong to one register and IRS not yet recognized as an independent entity as an example when we run radiology meetings such as this to be predominantly diagnostic work and

there's a little half session maybe of IR some way so IRS basically done by diagnostic radiologist were interested in IR and over the years we I or is started to pick up in popularity there are other non radiology specialties

we've now started doing IR procedures a case in point vascular surgeons like dr. side mentioned we don't have a formal training program in the country yet something that working hard on with the support of

societies like si R we hope to be setting something announced with international support and accreditation so most of the people who are doing IR in South Africa are diagnosticians we are self trained as in they would have

gone and the apprentices of experts across the world for specific procedures and then come back and perform those cardiologists and vascular surgeons have basically taken over the peripheral vascular work and I ought to work I

don't particularly miss it because I would learn enough other stuff to look after our society was established is

relatively young established two years ago and the idea was to try and put a footprint and add a voice - I are in the

general medical fraternity and also create platforms for higher education and establish links with other international societies and also with industry so we try and make it quite loud that everybody hears us as far as

training courses or educational activities go we run quarterly workshops and we have an annual conference around August each year we get industry partners involved otherwise without their

supports there is no hope for us both no scientific establish an educator center in Jonas burg and Cook has been running you know been running courses with him I know Lee for be really work for Barry work last year with these international

speakers Kevin Hogg from John Hopkins joined us and dr. sod is joining us this October this were all guests rather with their guys from across the world there's looked at hong and karen during class we get a couple loco enthusiasts who take

part in these meetings this is a photograph of some of the guys that took part last year what is the scope of

higher procedures that get done in the country so they are from being basics such as being para sentences and in some

centers being quite complex in Euro work and there are centers where these none of all those that IR procedures being available so it's a very unequal distribution of provision of IR services and like I mentioned earlier on vascular

surgeons and cardiologists have basically taken over the peripheral vascular work and iogic work and other known neuro speciality such as bid early interventions for example saying that these two surgeons who are in some

remote centers who are doing their own provision as biliary basic interventions there is one neuro surgeon who went and had neuro imaging and then your interventional training who is now hundred percent doing a mural

intervention so as far as procedures go my day can be in diagnostic work and you might be dreaming you doing a paracentesis the next thing you might be doing some some I our basic IR and on the same day you might be doing a set

procedure so quite varied but not available in all centers as one would want as fine stuff goes the technology

is working in IR are usually general technologist you get a few enthusiasts will then come on board with the

interventionalist and then clean on the job but there is no specialized or separate training for the technologies if you are lucky to have supporting missing stuff you generally get a

general theater ness I'm a good luck when you're doing it tips with an orthopaedic trained yes it's quite a challenge but somehow get by saying as

far as equipment goes in some remote places all they have is the sium and you

gotta make do with it and then you get some usually the big centers both public and private sector with reasonably good equipment where I can do reasonably good work so the I think the hard way is there what's missing is the manpower to

run it we don't have enough who good

quite an interest out in the general radiology population average age is different sexes we'll both women and men and we hoping to build on their enthusiasm by getting a formal local

training program with the support of SI r that will develop this and as well as said we've gone continental and created this entity called sapphire when we're happy to host next year it's going to be joint local society the continental

society and we've added the diagnostic radiologist on board as well so we'll have a continental meeting next year which involves dr and I are in Cape Town and for those of you interested in this we really look forward to you joining

thank you very much [Applause]

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