AUD-20260508-WA0013

May 08, 2026 09:52 · 30:38 · English · Whisper Turbo · 1 speakers
Rekodi hii inamalizika 27 siku. Kufugwa kwa ajili ya uhifadhi wa kudumu →
Lecture Index
Kuonyesha tu
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S… Speaker 1 (AUD-20260508-WA0013)
Good morning,
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S… Speaker 1 (AUD-20260508-WA0013)
ma 'am.
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S… Speaker 1 (AUD-20260508-WA0013)
Good morning.
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S… Speaker 1 (AUD-20260508-WA0013)
Okay.
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S… Speaker 1 (AUD-20260508-WA0013)
I'm Dr.
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S… Speaker 1 (AUD-20260508-WA0013)
Mutu Koryad -Otun and Whitney here is Dr.
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S… Speaker 1 (AUD-20260508-WA0013)
Adaw Goji.
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S… Speaker 1 (AUD-20260508-WA0013)
And so we are here to ask you some questions.
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S… Speaker 1 (AUD-20260508-WA0013)
And this question has to do with the UPTH
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S… Speaker 1 (AUD-20260508-WA0013)
strategic plan for 2026 to 2030.
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S… Speaker 1 (AUD-20260508-WA0013)
And just a way to develop the facility and to
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have a plan that we run throughout this period.
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S… Speaker 1 (AUD-20260508-WA0013)
And I want to let us a conversation,
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S… Speaker 1 (AUD-20260508-WA0013)
maybe brief as much as possible.
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S… Speaker 1 (AUD-20260508-WA0013)
And I'm seeking your consent to record.
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S… Speaker 1 (AUD-20260508-WA0013)
And I would like to have your consent to record.
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S… Speaker 1 (AUD-20260508-WA0013)
Okay,
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S… Speaker 1 (AUD-20260508-WA0013)
so thank you very much.
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S… Speaker 1 (AUD-20260508-WA0013)
And so I'll start by asking you
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for your name.
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Also, I want you to introduce yourself to us.
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S… Speaker 1 (AUD-20260508-WA0013)
I'm Dr.
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S… Speaker 1 (AUD-20260508-WA0013)
Belema Manuel.
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S… Speaker 1 (AUD-20260508-WA0013)
I'm the President's Head of the Department of Radiology.
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S… Speaker 1 (AUD-20260508-WA0013)
Thank you very much.
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S… Speaker 1 (AUD-20260508-WA0013)
How long have you been the HOD of this department?
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S… Speaker 1 (AUD-20260508-WA0013)
so that's just about eight months nine months thereabouts okay
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S… Speaker 1 (AUD-20260508-WA0013)
thank you very much and then so i will allow the product
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S… Speaker 1 (AUD-20260508-WA0013)
to do the interview to go ahead to the interview now okay so
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um what are the major bottlenecks affecting clinical
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service delivery in your department okay one of the
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S… Speaker 1 (AUD-20260508-WA0013)
major bottlenecks that we have right now is mostly
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S… Speaker 1 (AUD-20260508-WA0013)
to do with equipment
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S… Speaker 1 (AUD-20260508-WA0013)
and then stuffing.
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S… Speaker 1 (AUD-20260508-WA0013)
If we have more,
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S… Speaker 1 (AUD-20260508-WA0013)
for example,
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S… Speaker 1 (AUD-20260508-WA0013)
let me use ultrasound.
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S… Speaker 1 (AUD-20260508-WA0013)
We only have one ultrasound machine,
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S… Speaker 1 (AUD-20260508-WA0013)
which is not even ours.
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S… Speaker 1 (AUD-20260508-WA0013)
It actually belongs to the Renault unit.
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So we actually have it like on loan.
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S… Speaker 1 (AUD-20260508-WA0013)
So, if we have only one ultrasound machine,
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S… Speaker 1 (AUD-20260508-WA0013)
that means that it's only one patient that can be attended to at a time.
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S… Speaker 1 (AUD-20260508-WA0013)
If we have at least four,
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that means that we can see four patients at the same time,
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S… Speaker 1 (AUD-20260508-WA0013)
within the same frame of time,
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S… Speaker 1 (AUD-20260508-WA0013)
and that means that we can see more patients during the day.
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S… Speaker 1 (AUD-20260508-WA0013)
So,
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if we have 20 patients for the day,
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imagine 20 patients waiting for one machine,
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there's 20 patients waiting for four machines.
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So,
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the waiting time drastically changes.
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And also the number of staff.
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For example,
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S… Speaker 1 (AUD-20260508-WA0013)
even if we get the phone machines,
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you will need people to man the phone machines at the same
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time.
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S… Speaker 1 (AUD-20260508-WA0013)
So this is also another issue that we are also having.
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S… Speaker 1 (AUD-20260508-WA0013)
Okay.
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Which services are overstretched,
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underutilized,
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or need expansion?
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S… Speaker 1 (AUD-20260508-WA0013)
Okay.
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S… Speaker 1 (AUD-20260508-WA0013)
Overstretched.
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S… Speaker 1 (AUD-20260508-WA0013)
Definitely ultrasound is overstretched.
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For expansion,
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like for example,
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right now we don't have a mobile x -ray.
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What we have for the mobile x -ray is not functioning right now.
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So patients in IC,
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if we have,
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we can't go and do chest x -rays for them.
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Patients on traction in orthopedic port,
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we can't do x -rays for them.
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So that is a place that we need expansion.
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Under -utilization,
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I don't think we have that problem right now.
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But these are the two main things.
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For this,
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we have restarted the MRI.
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We're working towards bringing CT back up.
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So once those ones come up,
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we'll now see where we go from there.
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So it's over -utilization that we have.
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With the ultrasound.
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And the need for expansion.
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Yes,
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definitely.
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So what practical changes will most improve efficiency and
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quality of equipment?
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S… Speaker 1 (AUD-20260508-WA0013)
Definitely,
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everything still boils down to both the
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equipment and the human factor.
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Also,
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light.
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power but we have the solar now so we are seeing some improvement
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today because this is a radiology department it works with lights
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it's not like some of the clinical departments you can still
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do some things you can do wardrobes even if there's no light the natural light
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will still allow you to work but here the machines are not working they
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can't do anything
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Another issue we also have concerning bottlenecks.
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Another bottleneck is reports,
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giving of reports.
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Because after the investigations are done,
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what the patient wants,
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the sign that they actually did the investigation is a
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report.
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And we don't have enough systems to...
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make those reports.
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We have a number of staff,
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which also everybody always asks for more staff,
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but we actually need more systems so that we
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can utilize the only staff we have.
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Because now you have maybe about...
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three systems to import x -ray
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and ultrasound and everything so
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that means that if one person is using this system
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That is only one report.
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If there are three systems,
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that means only three reports are there written at any given point in time.
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But if you have more systems,
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that means more reports can go.
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So we can shorten the time between when the investigation is
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done and when the report is given to the patient.
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For example,
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in ultrasound now,
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if you are willing to tell the patients to go and come back maybe an hour for
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themselves because did we actually have steps to mitigate
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any issues?
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to make sure that the report you are given is your proper report.
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So you have steps.
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The report is typed.
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The report is verified.
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The document goes through what was written before it is printed,
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before it is now signed.
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So the process of signing,
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we are going to still reread what was printed.
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So all of that takes time.
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But you can imagine a situation where it is only one person typing because
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there's only one system to type it instead of three or four people
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typing.
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so that that way you're producing more reports and then you can move
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faster you need more systems for production of reports
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more printers another thing too even the those two or three systems i'll
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show you one printer so it's more like okay you have printed which
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i need let me bring the flash let me print here so this
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adds to the time factor although
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you did talk about staffing
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What could you say the critical staffing cap is?
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The critical,
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very critical.
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Everybody is critical.
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One thing I've realized working in a radiology department is,
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you know,
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we like to say,
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you know,
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that,
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oh, the people at the top or the people at the bottom and all of that.
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But I've not realized working especially in a radiology department is that every
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step is important.
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Because once you have a break,
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some more.
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you will now realize that your whole system collapses.
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Because for example now,
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even if now the department gives me four ultrasound machines and I
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only have one person typing,
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there will still be a backlog.
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Now it will now not be a backlog of attending to patients,
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it will be a backlog of getting reported.
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Which is still part of the system.
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If I say get me more x -ray equipment and I only
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have two radiographs,
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demand four machines,
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then the machines are under interest.
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If I say,
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okay, get me more radiographers,
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get me more radiographers,
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I have more,
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you know,
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machines, they're utilizing me.
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Now, my extra assistants,
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and then my,
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what do they call this,
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my records people,
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I only have two.
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They will work,
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that's the place they can work at.
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So you will now have one pad,
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the system will now hang at that point.
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So these are the things.
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So I can't,
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I don't think it to be fair for me to say that this one is more important
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than this because I've realized it's really working here.
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Any step that is ignored will throw your whole process
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off.
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That will now be your bottleneck.
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Then everything will hang at that.
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So generally,
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but right now the main shortages that we say are for the
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radiographers,
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the radiologists,
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especially the residents.
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We have a short change of residence now because we've had a lot of success in
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our exams.
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Congratulations.
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Thank you so much.
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We have a new consultant.
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Just this time.
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Okay.
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And we have a new fellow.
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We are happy for that.
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But that now means that the bottom.
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Yeah.
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Top heavy bottom.
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Even the top.
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People are retiring.
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People are leaving.
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People make it even the top a bit light.
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Then for the radiographers,
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a lot of people are leaving for greener pastures.
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So the radiographer number has fallen drastically,
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let me say in the past two years.
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Then, funnily enough,
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I know it's not what most people complain about,
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but we have a serious shortage of health assistance cleaners.
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This department is actually divided into two.
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Where you are,
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right, is the main department.
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We have an annex.
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And so now,
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we now need people to clean all of this.
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And places like ultrasound,
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as we are working.
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A cleaner needs to be there to keep up.
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Even when we do specials or procedures,
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somebody has to be there.
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But in the process of working,
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patients weigh on themselves,
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patients may vomit,
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you know,
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fluid might be spilled,
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we need to change sheets.
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So somebody has to be on the ground for that.
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So it's not a matter of cleaning,
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I'm going to sit somewhere.
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And there are many rooms,
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so you need more cleaners.
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The cleaners we have are barely cooking.
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They are really trying,
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but I know that they are barely cooking.
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This is,
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I'm talking about the main work.
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This does not include offices and corridors and toilets.
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I'm just talking about where the work is actually taking place.
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So cleaners is actually one place.
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We really need a lot more people in this department.
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Well,
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I think you've mentioned some of these things.
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I think what we need here for motivation
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is when they are motivated that you tend to retain them.
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I'm not even going to go into money because that one is beyond,
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you know,
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but I think everybody wants to be appreciated.
11:00
S… Speaker 1 (AUD-20260508-WA0013)
They want to come to work and be appreciated and have a good working
11:04
S… Speaker 1 (AUD-20260508-WA0013)
environment.
11:05
S… Speaker 1 (AUD-20260508-WA0013)
It's very depressing when you come to work.
11:09
S… Speaker 1 (AUD-20260508-WA0013)
You're ready to work.
11:10
S… Speaker 1 (AUD-20260508-WA0013)
When you come, there's no light.
11:11
S… Speaker 1 (AUD-20260508-WA0013)
It's mainly for a department like radiology.
11:13
S… Speaker 1 (AUD-20260508-WA0013)
So that means that you sit and wait.
11:16
S… Speaker 1 (AUD-20260508-WA0013)
There were times in the past where you come to work.
11:19
S… Speaker 1 (AUD-20260508-WA0013)
You can't stand.
11:21
S… Speaker 1 (AUD-20260508-WA0013)
You will wait till 12 o 'clock.
11:23
S… Speaker 1 (AUD-20260508-WA0013)
That is when light will now come.
11:24
S… Speaker 1 (AUD-20260508-WA0013)
It's deporalizing.
11:28
S… Speaker 1 (AUD-20260508-WA0013)
Or sometimes you will come to work.
11:30
S… Speaker 1 (AUD-20260508-WA0013)
Okay, you started work.
11:31
S… Speaker 1 (AUD-20260508-WA0013)
The machine will now glitch.
11:32
S… Speaker 1 (AUD-20260508-WA0013)
And then now you have to wait one or two weeks before
11:36
S… Speaker 1 (AUD-20260508-WA0013)
it can get fixed.
11:38
S… Speaker 1 (AUD-20260508-WA0013)
These are the sort of things.
11:40
S… Speaker 1 (AUD-20260508-WA0013)
So it's like,
11:40
S… Speaker 1 (AUD-20260508-WA0013)
okay, are we working today?
11:42
S… Speaker 1 (AUD-20260508-WA0013)
Are we going to be able to get anything done?
11:43
S… Speaker 1 (AUD-20260508-WA0013)
You can't even bring your own family members because you
11:48
S… Speaker 1 (AUD-20260508-WA0013)
don't know what you will meet when you come to work.
11:51
S… Speaker 1 (AUD-20260508-WA0013)
So these are the things I think for us in radiology,
11:54
S… Speaker 1 (AUD-20260508-WA0013)
the main thing is if we can get the working environment right,
11:57
S… Speaker 1 (AUD-20260508-WA0013)
equipment that is working,
11:59
S… Speaker 1 (AUD-20260508-WA0013)
maybe we are trying to lace with the biomedical engineers if they're trying for us.
12:04
S… Speaker 1 (AUD-20260508-WA0013)
And also people have really tried getting our service level agreements so that
12:08
S… Speaker 1 (AUD-20260508-WA0013)
the machine, the downtime is not so much.
12:11
S… Speaker 1 (AUD-20260508-WA0013)
You know,
12:12
S… Speaker 1 (AUD-20260508-WA0013)
those things help that you know that,
12:13
S… Speaker 1 (AUD-20260508-WA0013)
okay, even if I come at this machine as bad,
12:15
S… Speaker 1 (AUD-20260508-WA0013)
at least before the end of the day,
12:17
S… Speaker 1 (AUD-20260508-WA0013)
it will be sorted out.
12:19
S… Speaker 1 (AUD-20260508-WA0013)
When I come to work,
12:20
S… Speaker 1 (AUD-20260508-WA0013)
I'm working in a clean environment.
12:22
S… Speaker 1 (AUD-20260508-WA0013)
The AC is working.
12:23
S… Speaker 1 (AUD-20260508-WA0013)
I'm not cooking while I'm trying to work.
12:26
S… Speaker 1 (AUD-20260508-WA0013)
We have had time when we had to,
12:27
S… Speaker 1 (AUD-20260508-WA0013)
because the AC is now open.
12:29
S… Speaker 1 (AUD-20260508-WA0013)
You now open the doors.
12:30
S… Speaker 1 (AUD-20260508-WA0013)
And it's alright that you're standing in a patient and the door is wide open.
12:34
S… Speaker 1 (AUD-20260508-WA0013)
That is wrong.
12:36
S… Speaker 1 (AUD-20260508-WA0013)
What?
12:36
S… Speaker 1 (AUD-20260508-WA0013)
Even the patient is cooking.
12:40
S… Speaker 1 (AUD-20260508-WA0013)
So, you know,
12:41
S… Speaker 1 (AUD-20260508-WA0013)
these are the things.
12:42
S… Speaker 1 (AUD-20260508-WA0013)
When you walk in a comfortable working environment,
12:44
S… Speaker 1 (AUD-20260508-WA0013)
to come to work,
12:44
S… Speaker 1 (AUD-20260508-WA0013)
the place is clean.
12:46
S… Speaker 1 (AUD-20260508-WA0013)
Your ACs are working.
12:47
S… Speaker 1 (AUD-20260508-WA0013)
Your equipment is working.
12:48
S… Speaker 1 (AUD-20260508-WA0013)
When you ask for paper,
12:49
S… Speaker 1 (AUD-20260508-WA0013)
there's paper.
12:50
S… Speaker 1 (AUD-20260508-WA0013)
You ask for the printer,
12:51
S… Speaker 1 (AUD-20260508-WA0013)
the printer is working.
12:52
S… Speaker 1 (AUD-20260508-WA0013)
You know,
12:53
S… Speaker 1 (AUD-20260508-WA0013)
when you call this person,
12:55
S… Speaker 1 (AUD-20260508-WA0013)
help me do this.
12:55
S… Speaker 1 (AUD-20260508-WA0013)
This person isn't giving you stories.
12:57
S… Speaker 1 (AUD-20260508-WA0013)
Ah, that thing,
12:58
S… Speaker 1 (AUD-20260508-WA0013)
it's bad,
12:59
S… Speaker 1 (AUD-20260508-WA0013)
though. Oh,
13:00
S… Speaker 1 (AUD-20260508-WA0013)
didn't you hear yesterday?
13:01
S… Speaker 1 (AUD-20260508-WA0013)
They didn't bring this.
13:02
S… Speaker 1 (AUD-20260508-WA0013)
You know,
13:03
S… Speaker 1 (AUD-20260508-WA0013)
so I think if we can have...
13:06
S… Speaker 1 (AUD-20260508-WA0013)
Smooth is a good working environment.
13:08
S… Speaker 1 (AUD-20260508-WA0013)
Our consumables come on time.
13:11
S… Speaker 1 (AUD-20260508-WA0013)
Our equipment is well maintained.
13:13
S… Speaker 1 (AUD-20260508-WA0013)
The department is well maintained.
13:17
S… Speaker 1 (AUD-20260508-WA0013)
I think we will retain people better.
13:19
S… Speaker 1 (AUD-20260508-WA0013)
I think people will be happier to come to work.
13:21
S… Speaker 1 (AUD-20260508-WA0013)
They will be motivated more.
13:26
S… Speaker 1 (AUD-20260508-WA0013)
So what strategies will strengthen the workforce over the next
13:30
S… Speaker 1 (AUD-20260508-WA0013)
five weeks?
13:31
S… Speaker 1 (AUD-20260508-WA0013)
I think it's still the same answer.
13:34
S… Speaker 1 (AUD-20260508-WA0013)
I think it's still the same answer.
13:35
S… Speaker 1 (AUD-20260508-WA0013)
Good working environment,
13:38
S… Speaker 1 (AUD-20260508-WA0013)
consumables,
13:40
S… Speaker 1 (AUD-20260508-WA0013)
equipment,
13:41
S… Speaker 1 (AUD-20260508-WA0013)
you know,
13:43
S… Speaker 1 (AUD-20260508-WA0013)
then if the hospital can.
13:45
S… Speaker 1 (AUD-20260508-WA0013)
Maybe some encouragement at the end of the year.
13:48
S… Speaker 1 (AUD-20260508-WA0013)
Maybe we'll have...
13:50
S… Speaker 1 (AUD-20260508-WA0013)
Not everything has to be money.
13:51
S… Speaker 1 (AUD-20260508-WA0013)
Just maybe something to say,
13:53
S… Speaker 1 (AUD-20260508-WA0013)
okay, who is the best radiologist for the residents?
13:58
S… Speaker 1 (AUD-20260508-WA0013)
Some form of recognition.
14:00
S… Speaker 1 (AUD-20260508-WA0013)
Maybe we'll post it on the notice
14:05
S… Speaker 1 (AUD-20260508-WA0013)
board or something.
14:06
S… Speaker 1 (AUD-20260508-WA0013)
Maybe we can print something at the end of the year.
14:09
S… Speaker 1 (AUD-20260508-WA0013)
These are the people who...
14:10
S… Speaker 1 (AUD-20260508-WA0013)
one is even if nothing because you print out that page and
14:15
S… Speaker 1 (AUD-20260508-WA0013)
be showing it to all the family and friends and then you can also bring
14:19
S… Speaker 1 (AUD-20260508-WA0013)
that competition that this one i work harder than this person don't
14:23
S… Speaker 1 (AUD-20260508-WA0013)
worry it's a new year you know so i think things like that
14:27
S… Speaker 1 (AUD-20260508-WA0013)
forms of recognition even if you won't say oh you know even if you won't
14:31
S… Speaker 1 (AUD-20260508-WA0013)
do it by departments as well like right now i think on the
14:35
S… Speaker 1 (AUD-20260508-WA0013)
platform um at this safe hygiene
14:39
S… Speaker 1 (AUD-20260508-WA0013)
I mean, that was yesterday.
14:41
S… Speaker 1 (AUD-20260508-WA0013)
They gave urology,
14:43
S… Speaker 1 (AUD-20260508-WA0013)
the award.
14:44
S… Speaker 1 (AUD-20260508-WA0013)
Yes,
14:45
S… Speaker 1 (AUD-20260508-WA0013)
the urology was not the award,
14:49
S… Speaker 1 (AUD-20260508-WA0013)
I think, as the cleanest award that adhered to IPV principles.
14:53
S… Speaker 1 (AUD-20260508-WA0013)
So,
14:54
S… Speaker 1 (AUD-20260508-WA0013)
of course, they are very proud.
14:55
S… Speaker 1 (AUD-20260508-WA0013)
They are very happy.
14:57
S… Speaker 1 (AUD-20260508-WA0013)
The matrons are ecstatic.
15:00
S… Speaker 1 (AUD-20260508-WA0013)
has been recognized.
15:01
S… Speaker 1 (AUD-20260508-WA0013)
Nobody gave them money,
15:02
S… Speaker 1 (AUD-20260508-WA0013)
but that's in the hospital records.
15:05
S… Speaker 1 (AUD-20260508-WA0013)
Now everybody's going to be looking at theology like,
15:07
S… Speaker 1 (AUD-20260508-WA0013)
yes, you know,
15:09
S… Speaker 1 (AUD-20260508-WA0013)
these are the people who know what they are doing.
15:11
S… Speaker 1 (AUD-20260508-WA0013)
The rest of you step up.
15:12
S… Speaker 1 (AUD-20260508-WA0013)
So these are the things.
15:14
S… Speaker 1 (AUD-20260508-WA0013)
I think it's a recognition.
15:17
S… Speaker 1 (AUD-20260508-WA0013)
Okay, thank you very much,
15:19
S… Speaker 1 (AUD-20260508-WA0013)
ma 'am.
15:19
S… Speaker 1 (AUD-20260508-WA0013)
You've said a lot and actually I'm still going to ask you some
15:24
S… Speaker 1 (AUD-20260508-WA0013)
questions and it still goes in line with some of the things you have said but I
15:28
S… Speaker 1 (AUD-20260508-WA0013)
still wanted to say it again.
15:30
S… Speaker 1 (AUD-20260508-WA0013)
So now I want to ask about infrastructures,
15:34
S… Speaker 1 (AUD-20260508-WA0013)
equipment and the technology and how this can help
15:38
S… Speaker 1 (AUD-20260508-WA0013)
the unit and even our hospital as a whole.
15:42
S… Speaker 1 (AUD-20260508-WA0013)
So what are the key infrastructures or equipment gaps?
15:46
S… Speaker 1 (AUD-20260508-WA0013)
that limits service delivery.
15:48
S… Speaker 1 (AUD-20260508-WA0013)
Fine,
15:49
S… Speaker 1 (AUD-20260508-WA0013)
we've mentioned some,
15:50
S… Speaker 1 (AUD-20260508-WA0013)
but I wanted to highlight them now.
15:52
S… Speaker 1 (AUD-20260508-WA0013)
Okay,
15:53
S… Speaker 1 (AUD-20260508-WA0013)
we need ultrasound.
15:54
S… Speaker 1 (AUD-20260508-WA0013)
Ultrasound scan.
15:55
S… Speaker 1 (AUD-20260508-WA0013)
Yes.
15:56
S… Speaker 1 (AUD-20260508-WA0013)
Presently,
15:57
S… Speaker 1 (AUD-20260508-WA0013)
the hospital is working on the CT and the flow room.
16:00
S… Speaker 1 (AUD-20260508-WA0013)
We have already discussed with the hospital for getting
16:04
S… Speaker 1 (AUD-20260508-WA0013)
a cath lab.
16:07
S… Speaker 1 (AUD-20260508-WA0013)
so that we can have some interventional radiology,
16:10
S… Speaker 1 (AUD-20260508-WA0013)
some interventional procedures.
16:12
S… Speaker 1 (AUD-20260508-WA0013)
But that will have to be in a different building.
16:14
S… Speaker 1 (AUD-20260508-WA0013)
We have discussed getting an ultrasound room and space
16:18
S… Speaker 1 (AUD-20260508-WA0013)
for ultrasound -guided procedures.
16:21
S… Speaker 1 (AUD-20260508-WA0013)
So now we'll have,
16:24
S… Speaker 1 (AUD-20260508-WA0013)
apart from the normal ultrasound,
16:26
S… Speaker 1 (AUD-20260508-WA0013)
we'll have one dedicated.
16:28
S… Speaker 1 (AUD-20260508-WA0013)
for interventional procedures,
16:30
S… Speaker 1 (AUD-20260508-WA0013)
things like drainages,
16:31
S… Speaker 1 (AUD-20260508-WA0013)
ultrasound -guided injections,
16:33
S… Speaker 1 (AUD-20260508-WA0013)
things like that.
16:35
S… Speaker 1 (AUD-20260508-WA0013)
Then a mobile ultrasound that we can take to ICU and theater,
16:38
S… Speaker 1 (AUD-20260508-WA0013)
because we do ultrasound -guided theater procedures,
16:42
S… Speaker 1 (AUD-20260508-WA0013)
ultrasound -guided procedures in ICU.
16:44
S… Speaker 1 (AUD-20260508-WA0013)
So we can have one mobile machine,
16:46
S… Speaker 1 (AUD-20260508-WA0013)
or even two,
16:47
S… Speaker 1 (AUD-20260508-WA0013)
so that one can be dedicated to ICU,
16:49
S… Speaker 1 (AUD-20260508-WA0013)
one can be dedicated to theater.
16:51
S… Speaker 1 (AUD-20260508-WA0013)
So that is that.
16:55
S… Speaker 1 (AUD-20260508-WA0013)
and extra equipment, the mobile machine.
17:00
S… Speaker 1 (AUD-20260508-WA0013)
So those are the main things we need right now.
17:03
S… Speaker 1 (AUD-20260508-WA0013)
But we still have the time to prepare within the next year.
17:06
S… Speaker 1 (AUD-20260508-WA0013)
Thank you.
17:07
S… Speaker 1 (AUD-20260508-WA0013)
Thank you very much.
17:08
S… Speaker 1 (AUD-20260508-WA0013)
So now which one is the most important?
17:10
S… Speaker 1 (AUD-20260508-WA0013)
Ultrasound.
17:10
S… Speaker 1 (AUD-20260508-WA0013)
So what are your priority equipment?
17:13
S… Speaker 1 (AUD-20260508-WA0013)
Ultrasound.
17:14
S… Speaker 1 (AUD-20260508-WA0013)
Ultrasound is a priority equipment now.
17:16
S… Speaker 1 (AUD-20260508-WA0013)
Okay.
17:16
S… Speaker 1 (AUD-20260508-WA0013)
So what improvements are needed in digital systems or
17:21
S… Speaker 1 (AUD-20260508-WA0013)
clinical technology for your unit?
17:22
S… Speaker 1 (AUD-20260508-WA0013)
Okay.
17:23
S… Speaker 1 (AUD-20260508-WA0013)
Well, suppose we should actually at this stage as a department have a
17:27
S… Speaker 1 (AUD-20260508-WA0013)
public access system.
17:29
S… Speaker 1 (AUD-20260508-WA0013)
picture archiving communication system so that we can do it with films.
17:33
S… Speaker 1 (AUD-20260508-WA0013)
Films are becoming very expensive.
17:35
S… Speaker 1 (AUD-20260508-WA0013)
So one of the things that was being worked on was getting a PAC system
17:39
S… Speaker 1 (AUD-20260508-WA0013)
for the hospital.
17:41
S… Speaker 1 (AUD-20260508-WA0013)
That's supposed to come in with the CT.
17:42
S… Speaker 1 (AUD-20260508-WA0013)
So they are still working on it.
17:44
S… Speaker 1 (AUD-20260508-WA0013)
But if it doesn't work out,
17:46
S… Speaker 1 (AUD-20260508-WA0013)
that is the next step for this department.
17:49
S… Speaker 1 (AUD-20260508-WA0013)
A PAC system will allow us.
17:51
S… Speaker 1 (AUD-20260508-WA0013)
We don't have to do films anymore.
17:52
S… Speaker 1 (AUD-20260508-WA0013)
As the X -ray is taken,
17:54
S… Speaker 1 (AUD-20260508-WA0013)
it will be sent to a system.
17:55
S… Speaker 1 (AUD-20260508-WA0013)
It will be reported on that system.
17:57
S… Speaker 1 (AUD-20260508-WA0013)
And then if the hospital can also do EMR.
18:01
S… Speaker 1 (AUD-20260508-WA0013)
So that now,
18:02
S… Speaker 1 (AUD-20260508-WA0013)
instead of when a patient comes,
18:05
S… Speaker 1 (AUD-20260508-WA0013)
he has to come and get him from the radiology and take to the doctor.
18:07
S… Speaker 1 (AUD-20260508-WA0013)
The doctor just accesses all this carrying of holder up
18:11
S… Speaker 1 (AUD-20260508-WA0013)
and down.
18:12
S… Speaker 1 (AUD-20260508-WA0013)
If you can integrate that into the hospital system,
18:15
S… Speaker 1 (AUD-20260508-WA0013)
then integrate the packs of the radiology department into the hospital system.
18:20
S… Speaker 1 (AUD-20260508-WA0013)
That way,
18:21
S… Speaker 1 (AUD-20260508-WA0013)
less holders,
18:22
S… Speaker 1 (AUD-20260508-WA0013)
less paper.
18:23
S… Speaker 1 (AUD-20260508-WA0013)
Paperless.
18:24
S… Speaker 1 (AUD-20260508-WA0013)
That's the next step.
18:28
S… Speaker 1 (AUD-20260508-WA0013)
Okay.
18:28
S… Speaker 1 (AUD-20260508-WA0013)
Thank you very much.
18:29
S… Speaker 1 (AUD-20260508-WA0013)
So now I want to ask about patient care and their experience.
18:35
S… Speaker 1 (AUD-20260508-WA0013)
So what are the main challenges affecting patient care and
18:39
S… Speaker 1 (AUD-20260508-WA0013)
satisfaction?
18:39
S… Speaker 1 (AUD-20260508-WA0013)
You know,
18:40
S… Speaker 1 (AUD-20260508-WA0013)
they come here,
18:40
S… Speaker 1 (AUD-20260508-WA0013)
they talk to you,
18:41
S… Speaker 1 (AUD-20260508-WA0013)
they ask questions,
18:42
S… Speaker 1 (AUD-20260508-WA0013)
you know, some of them may feel that they are not getting enough or they are not satisfied.
18:47
S… Speaker 1 (AUD-20260508-WA0013)
So what are the things?
18:48
S… Speaker 1 (AUD-20260508-WA0013)
Why?
18:48
S… Speaker 1 (AUD-20260508-WA0013)
What are the things that affect patient care?
18:51
S… Speaker 1 (AUD-20260508-WA0013)
What are the challenges affecting care and satisfaction?
18:55
S… Speaker 1 (AUD-20260508-WA0013)
Most of the complaints we receive usually border
18:59
S… Speaker 1 (AUD-20260508-WA0013)
down, border on waiting,
19:01
S… Speaker 1 (AUD-20260508-WA0013)
waiting time when the patient comes.
19:03
S… Speaker 1 (AUD-20260508-WA0013)
I mean,
19:04
S… Speaker 1 (AUD-20260508-WA0013)
yes, it's morning,
19:04
S… Speaker 1 (AUD-20260508-WA0013)
nobody has attended to me,
19:06
S… Speaker 1 (AUD-20260508-WA0013)
nobody has spoken to me.
19:07
S… Speaker 1 (AUD-20260508-WA0013)
But the issue is that when you came in,
19:11
S… Speaker 1 (AUD-20260508-WA0013)
you came in maybe at the same time with 15 other people.
19:14
S… Speaker 1 (AUD-20260508-WA0013)
And this is only one scan machine or just two X -ray machines.
19:18
S… Speaker 1 (AUD-20260508-WA0013)
Only one person can be done at a time.
19:21
S… Speaker 1 (AUD-20260508-WA0013)
So at the end of the day,
19:22
S… Speaker 1 (AUD-20260508-WA0013)
yes, you came by seven.
19:23
S… Speaker 1 (AUD-20260508-WA0013)
Nobody is doubting that.
19:25
S… Speaker 1 (AUD-20260508-WA0013)
But since it is one at a time,
19:27
S… Speaker 1 (AUD-20260508-WA0013)
and your number is maybe somehow fell at 11,
19:30
S… Speaker 1 (AUD-20260508-WA0013)
you'll probably not get to maybe 12 o 'clock.
19:33
S… Speaker 1 (AUD-20260508-WA0013)
So these are the issues,
19:36
S… Speaker 1 (AUD-20260508-WA0013)
and it still comes down to having more equipment and more staff.
19:39
S… Speaker 1 (AUD-20260508-WA0013)
Some will come and complain that,
19:41
S… Speaker 1 (AUD-20260508-WA0013)
oh, they did the investigation,
19:43
S… Speaker 1 (AUD-20260508-WA0013)
their report is not yet out.
19:44
S… Speaker 1 (AUD-20260508-WA0013)
Their report is not yet out because...
19:47
S… Speaker 1 (AUD-20260508-WA0013)
It's only one person typing with one system.
19:50
S… Speaker 1 (AUD-20260508-WA0013)
Sometimes there's no consumables.
19:52
S… Speaker 1 (AUD-20260508-WA0013)
So patients will come and when they come they'll tell them,
19:55
S… Speaker 1 (AUD-20260508-WA0013)
oh there's no film,
19:56
S… Speaker 1 (AUD-20260508-WA0013)
oh there's no paper to print,
19:58
S… Speaker 1 (AUD-20260508-WA0013)
oh there's no...
20:00
S… Speaker 1 (AUD-20260508-WA0013)
this to do that so that is why you're sometimes okay if
20:04
S… Speaker 1 (AUD-20260508-WA0013)
there's no film so you can't do the extra film when they come okay they don't film all
20:08
S… Speaker 1 (AUD-20260508-WA0013)
right where's my report oh sorry there's been no lights so there was no way to
20:12
S… Speaker 1 (AUD-20260508-WA0013)
report your film
20:13
S… Speaker 1 (AUD-20260508-WA0013)
Okay, fine.
20:14
S… Speaker 1 (AUD-20260508-WA0013)
Now there was light,
20:15
S… Speaker 1 (AUD-20260508-WA0013)
there was film.
20:16
S… Speaker 1 (AUD-20260508-WA0013)
I'm sorry,
20:16
S… Speaker 1 (AUD-20260508-WA0013)
there was no paper to print your report.
20:19
S… Speaker 1 (AUD-20260508-WA0013)
So that is why your report is still coming out on time.
20:22
S… Speaker 1 (AUD-20260508-WA0013)
So these are the bottlenecks.
20:26
S… Speaker 1 (AUD-20260508-WA0013)
These are the things that most patients are coming about.
20:28
S… Speaker 1 (AUD-20260508-WA0013)
Waiting for too long for the investigation.
20:31
S… Speaker 1 (AUD-20260508-WA0013)
Waiting for too long to get their report.
20:35
S… Speaker 1 (AUD-20260508-WA0013)
We thank God for the management and the way that the hospital is
20:39
S… Speaker 1 (AUD-20260508-WA0013)
an old source.
20:42
S… Speaker 1 (AUD-20260508-WA0013)
She has been training for years.
20:44
S… Speaker 1 (AUD-20260508-WA0013)
So most of the complaints are not about the technical aspects
20:49
S… Speaker 1 (AUD-20260508-WA0013)
that the doctor,
20:50
S… Speaker 1 (AUD-20260508-WA0013)
the geographer doesn't know what they are doing.
20:52
S… Speaker 1 (AUD-20260508-WA0013)
Most of the things now are in the process.
20:54
S… Speaker 1 (AUD-20260508-WA0013)
That is where most of the problems come.
20:57
S… Speaker 1 (AUD-20260508-WA0013)
Okay, thank you very much.
20:59
S… Speaker 1 (AUD-20260508-WA0013)
You've answered the next question in what you just said now,
21:02
S… Speaker 1 (AUD-20260508-WA0013)
but I will still say it.
21:03
S… Speaker 1 (AUD-20260508-WA0013)
So we have the major issues in waiting time,
21:06
S… Speaker 1 (AUD-20260508-WA0013)
communication,
21:08
S… Speaker 1 (AUD-20260508-WA0013)
and all continuity of care.
21:10
S… Speaker 1 (AUD-20260508-WA0013)
So where do they go?
21:12
S… Speaker 1 (AUD-20260508-WA0013)
It's still,
21:12
S… Speaker 1 (AUD-20260508-WA0013)
like I said before,
21:14
S… Speaker 1 (AUD-20260508-WA0013)
the waiting time is because there's not enough equipment,
21:17
S… Speaker 1 (AUD-20260508-WA0013)
not enough staff to be able to efficiently attend to more
21:22
S… Speaker 1 (AUD-20260508-WA0013)
patients within the same time frame.
21:26
S… Speaker 1 (AUD-20260508-WA0013)
And then also the report still comes down to the same thing.
21:29
S… Speaker 1 (AUD-20260508-WA0013)
Most systems to type report and making sure that the consumables
21:33
S… Speaker 1 (AUD-20260508-WA0013)
are always available.
21:34
S… Speaker 1 (AUD-20260508-WA0013)
Things like the printer,
21:36
S… Speaker 1 (AUD-20260508-WA0013)
printer E,
21:37
S… Speaker 1 (AUD-20260508-WA0013)
you know,
21:38
S… Speaker 1 (AUD-20260508-WA0013)
things like that have to always be available so that patients
21:42
S… Speaker 1 (AUD-20260508-WA0013)
can get their reports all the time.
21:45
S… Speaker 1 (AUD-20260508-WA0013)
Thank you so much.
21:47
S… Speaker 1 (AUD-20260508-WA0013)
So what changes will significantly improve patients' experience
21:52
S… Speaker 1 (AUD-20260508-WA0013)
and outcomes?
21:53
S… Speaker 1 (AUD-20260508-WA0013)
So what are the changes we think the management need to put in place so
21:58
S… Speaker 1 (AUD-20260508-WA0013)
that the waiting time,
22:00
S… Speaker 1 (AUD-20260508-WA0013)
all those things can be,
22:01
S… Speaker 1 (AUD-20260508-WA0013)
overall the patient can have good experience when they come here?
22:05
S… Speaker 1 (AUD-20260508-WA0013)
I think the main thing is to get more equipment.
22:09
S… Speaker 1 (AUD-20260508-WA0013)
more staff,
22:10
S… Speaker 1 (AUD-20260508-WA0013)
improve the working environment,
22:12
S… Speaker 1 (AUD-20260508-WA0013)
making sure that consumables are always available.
22:16
S… Speaker 1 (AUD-20260508-WA0013)
And we thank God for this new simulation center that has come up.
22:19
S… Speaker 1 (AUD-20260508-WA0013)
We have been speaking with the director because we've also realized that,
22:23
S… Speaker 1 (AUD-20260508-WA0013)
unfortunately,
22:25
S… Speaker 1 (AUD-20260508-WA0013)
the communication culture,
22:28
S… Speaker 1 (AUD-20260508-WA0013)
the customer service culture is generally poor in most places
22:32
S… Speaker 1 (AUD-20260508-WA0013)
in Nigeria, especially in government establishment.
22:34
S… Speaker 1 (AUD-20260508-WA0013)
So we have been speaking with the simulation center for...
22:37
S… Speaker 1 (AUD-20260508-WA0013)
Maybe if we can have like a simulation or a training,
22:39
S… Speaker 1 (AUD-20260508-WA0013)
especially for our front desk staff,
22:41
S… Speaker 1 (AUD-20260508-WA0013)
those in reception,
22:42
S… Speaker 1 (AUD-20260508-WA0013)
those in nursing,
22:44
S… Speaker 1 (AUD-20260508-WA0013)
those who actually interact with the patients when they come.
22:47
S… Speaker 1 (AUD-20260508-WA0013)
They can know how to speak to patients,
22:49
S… Speaker 1 (AUD-20260508-WA0013)
how you manage patients and treat patients,
22:51
S… Speaker 1 (AUD-20260508-WA0013)
how to deal with an angry patient,
22:53
S… Speaker 1 (AUD-20260508-WA0013)
how to deal with a frustrated patient,
22:55
S… Speaker 1 (AUD-20260508-WA0013)
how to deal with someone who is just coming here for the first time and doesn't know.
22:59
S… Speaker 1 (AUD-20260508-WA0013)
the procedures.
23:00
S… Speaker 1 (AUD-20260508-WA0013)
So the way you talk to the patient also helps the patient's experience.
23:04
S… Speaker 1 (AUD-20260508-WA0013)
The patients are already upset.
23:06
S… Speaker 1 (AUD-20260508-WA0013)
They don't need somebody telling them,
23:08
S… Speaker 1 (AUD-20260508-WA0013)
go and pay.
23:09
S… Speaker 1 (AUD-20260508-WA0013)
Go and pay away.
23:10
S… Speaker 1 (AUD-20260508-WA0013)
Oh,
23:13
S… Speaker 1 (AUD-20260508-WA0013)
you should have brought this.
23:14
S… Speaker 1 (AUD-20260508-WA0013)
How am I supposed to?
23:15
S… Speaker 1 (AUD-20260508-WA0013)
You know,
23:16
S… Speaker 1 (AUD-20260508-WA0013)
so I think that,
23:17
S… Speaker 1 (AUD-20260508-WA0013)
so I've spoken,
23:18
S… Speaker 1 (AUD-20260508-WA0013)
we've spoken, we're trying to draft something.
23:21
S… Speaker 1 (AUD-20260508-WA0013)
So I think those things also help.
23:23
S… Speaker 1 (AUD-20260508-WA0013)
Training in customer sex for front,
23:26
S… Speaker 1 (AUD-20260508-WA0013)
for reception staff.
23:30
S… Speaker 1 (AUD-20260508-WA0013)
Thank you very,
23:31
S… Speaker 1 (AUD-20260508-WA0013)
very much.
23:32
S… Speaker 1 (AUD-20260508-WA0013)
I want to dwell with it on training and capacity development.
23:35
S… Speaker 1 (AUD-20260508-WA0013)
What gaps exist in clinical training of
23:40
S… Speaker 1 (AUD-20260508-WA0013)
residency programs?
23:42
S… Speaker 1 (AUD-20260508-WA0013)
For our residency program right now,
23:44
S… Speaker 1 (AUD-20260508-WA0013)
because we don't have certain requirements like the ECT has
23:49
S… Speaker 1 (AUD-20260508-WA0013)
endowed for a while,
23:50
S… Speaker 1 (AUD-20260508-WA0013)
so our residents are lacking in CT training.
23:54
S… Speaker 1 (AUD-20260508-WA0013)
Luckily for us,
23:55
S… Speaker 1 (AUD-20260508-WA0013)
most of the colleges do as a handoff.
23:59
S… Speaker 1 (AUD-20260508-WA0013)
So if you can have CT or you can have MRI,
24:03
S… Speaker 1 (AUD-20260508-WA0013)
you don't necessarily need to have that.
24:06
S… Speaker 1 (AUD-20260508-WA0013)
But we know that those rules also change and must have.
24:10
S… Speaker 1 (AUD-20260508-WA0013)
So for the city,
24:11
S… Speaker 1 (AUD-20260508-WA0013)
they have been lacking for a few years.
24:13
S… Speaker 1 (AUD-20260508-WA0013)
Then for the special procedures,
24:16
S… Speaker 1 (AUD-20260508-WA0013)
and then interventional radiology is really kicking up now.
24:20
S… Speaker 1 (AUD-20260508-WA0013)
In fact,
24:21
S… Speaker 1 (AUD-20260508-WA0013)
now it has actually become a sub -special team that we trained in.
24:24
S… Speaker 1 (AUD-20260508-WA0013)
But there are only two training centers,
24:26
S… Speaker 1 (AUD-20260508-WA0013)
one in Kano,
24:27
S… Speaker 1 (AUD-20260508-WA0013)
one in Mediguri.
24:28
S… Speaker 1 (AUD-20260508-WA0013)
So those are the training centers.
24:31
S… Speaker 1 (AUD-20260508-WA0013)
So this is also a place that we need to pick up.
24:36
S… Speaker 1 (AUD-20260508-WA0013)
So those are the things.
24:37
S… Speaker 1 (AUD-20260508-WA0013)
Those are mostly for
24:41
S… Speaker 1 (AUD-20260508-WA0013)
the training needs.
24:42
S… Speaker 1 (AUD-20260508-WA0013)
And also our rural hosting,
24:44
S… Speaker 1 (AUD-20260508-WA0013)
our ALU center that is not taken up.
24:47
S… Speaker 1 (AUD-20260508-WA0013)
There were a lot of issues concerning that center.
24:50
S… Speaker 1 (AUD-20260508-WA0013)
We're supposed to have rural hosting for our junior residents.
24:54
S… Speaker 1 (AUD-20260508-WA0013)
So that is another gap in training.
24:56
S… Speaker 1 (AUD-20260508-WA0013)
Okay,
24:57
S… Speaker 1 (AUD-20260508-WA0013)
so for the family house center,
24:58
S… Speaker 1 (AUD-20260508-WA0013)
yeah.
25:00
S… Speaker 1 (AUD-20260508-WA0013)
We're supposed to have a place for the geologist.
25:01
S… Speaker 1 (AUD-20260508-WA0013)
Yes, in the alley.
25:03
S… Speaker 1 (AUD-20260508-WA0013)
We actually have a place,
25:04
S… Speaker 1 (AUD-20260508-WA0013)
but there were issues with the machines.
25:07
S… Speaker 1 (AUD-20260508-WA0013)
We didn't have the extra machine had issues,
25:10
S… Speaker 1 (AUD-20260508-WA0013)
then there was no light.
25:11
S… Speaker 1 (AUD-20260508-WA0013)
We tried and tried to get light,
25:14
S… Speaker 1 (AUD-20260508-WA0013)
and without light,
25:15
S… Speaker 1 (AUD-20260508-WA0013)
there's nothing that can be done.
25:17
S… Speaker 1 (AUD-20260508-WA0013)
We actually tried to start,
25:18
S… Speaker 1 (AUD-20260508-WA0013)
but it didn't,
25:21
S… Speaker 1 (AUD-20260508-WA0013)
it didn't pan out.
25:22
S… Speaker 1 (AUD-20260508-WA0013)
So for the rural person,
25:23
S… Speaker 1 (AUD-20260508-WA0013)
we're having issues with that.
25:27
S… Speaker 1 (AUD-20260508-WA0013)
What are the major,
25:28
S… Speaker 1 (AUD-20260508-WA0013)
or those, that we say you've still studied,
25:30
S… Speaker 1 (AUD-20260508-WA0013)
but what are the major constraints to continuous professional development?
25:34
S… Speaker 1 (AUD-20260508-WA0013)
Okay,
25:35
S… Speaker 1 (AUD-20260508-WA0013)
well, for the continuous work right now,
25:38
S… Speaker 1 (AUD-20260508-WA0013)
at least we have,
25:40
S… Speaker 1 (AUD-20260508-WA0013)
we still make way to make sure that our residents work
25:44
S… Speaker 1 (AUD-20260508-WA0013)
for their mandatory training.
25:46
S… Speaker 1 (AUD-20260508-WA0013)
For the consultants,
25:48
S… Speaker 1 (AUD-20260508-WA0013)
well,
25:50
S… Speaker 1 (AUD-20260508-WA0013)
most of them are there.
25:54
S… Speaker 1 (AUD-20260508-WA0013)
I'm not really seeing a lot of training.
25:56
S… Speaker 1 (AUD-20260508-WA0013)
I think maybe because of the workload and then also
26:01
S… Speaker 1 (AUD-20260508-WA0013)
the costs of,
26:02
S… Speaker 1 (AUD-20260508-WA0013)
you know, trying to go for these trainings.
26:04
S… Speaker 1 (AUD-20260508-WA0013)
And then if you go,
26:06
S… Speaker 1 (AUD-20260508-WA0013)
we're going to,
26:07
S… Speaker 1 (AUD-20260508-WA0013)
you know, with those left behind,
26:09
S… Speaker 1 (AUD-20260508-WA0013)
be able to pick up the slack because there's a lot,
26:11
S… Speaker 1 (AUD-20260508-WA0013)
you know,
26:12
S… Speaker 1 (AUD-20260508-WA0013)
because there are only 10 consultants in
26:17
S… Speaker 1 (AUD-20260508-WA0013)
the whole department.
26:17
S… Speaker 1 (AUD-20260508-WA0013)
So it's a lot.
26:21
S… Speaker 1 (AUD-20260508-WA0013)
Most of the consultants haven't been able to go for a lot of trainings.
26:25
S… Speaker 1 (AUD-20260508-WA0013)
And I'm not sure if the hospital stands
26:29
S… Speaker 1 (AUD-20260508-WA0013)
on training,
26:33
S… Speaker 1 (AUD-20260508-WA0013)
further fellowships and monthly
26:37
S… Speaker 1 (AUD-20260508-WA0013)
trainings and things like that.
26:39
S… Speaker 1 (AUD-20260508-WA0013)
That's something that I'm also looking
26:43
S… Speaker 1 (AUD-20260508-WA0013)
to.
26:43
S… Speaker 1 (AUD-20260508-WA0013)
So that brings me to the question,
26:46
S… Speaker 1 (AUD-20260508-WA0013)
how can training be strengthened to improve services?
26:49
S… Speaker 1 (AUD-20260508-WA0013)
How can it be strengthened?
26:51
S… Speaker 1 (AUD-20260508-WA0013)
I think maybe if we can now,
26:53
S… Speaker 1 (AUD-20260508-WA0013)
if maybe people know that maybe there is a grant or something,
26:56
S… Speaker 1 (AUD-20260508-WA0013)
maybe granted to a department,
26:58
S… Speaker 1 (AUD-20260508-WA0013)
like you can inform the department that you're entitled to
27:03
S… Speaker 1 (AUD-20260508-WA0013)
sending maybe two consultants.
27:05
S… Speaker 1 (AUD-20260508-WA0013)
a year for maybe a training within this amount,
27:08
S… Speaker 1 (AUD-20260508-WA0013)
for this amount of time,
27:10
S… Speaker 1 (AUD-20260508-WA0013)
then maybe we can now work towards that,
27:13
S… Speaker 1 (AUD-20260508-WA0013)
we can now nominate people,
27:14
S… Speaker 1 (AUD-20260508-WA0013)
okay, if there is such and such a training that falls within what
27:19
S… Speaker 1 (AUD-20260508-WA0013)
the hospital has given us,
27:21
S… Speaker 1 (AUD-20260508-WA0013)
okay,
27:22
S… Speaker 1 (AUD-20260508-WA0013)
who will go,
27:22
S… Speaker 1 (AUD-20260508-WA0013)
who is willing to go,
27:24
S… Speaker 1 (AUD-20260508-WA0013)
you know, and things like that,
27:25
S… Speaker 1 (AUD-20260508-WA0013)
you will go, you will come back,
27:26
S… Speaker 1 (AUD-20260508-WA0013)
you will train.
27:30
S… Speaker 1 (AUD-20260508-WA0013)
It has to be something structured.
27:32
S… Speaker 1 (AUD-20260508-WA0013)
Every department is entitled to
27:36
S… Speaker 1 (AUD-20260508-WA0013)
this. Whatever you're doing must fall within this range,
27:40
S… Speaker 1 (AUD-20260508-WA0013)
this cost,
27:41
S… Speaker 1 (AUD-20260508-WA0013)
this time period.
27:42
S… Speaker 1 (AUD-20260508-WA0013)
Maybe you can send one consultant.
27:45
S… Speaker 1 (AUD-20260508-WA0013)
If you're going to send a resident,
27:47
S… Speaker 1 (AUD-20260508-WA0013)
this is what the hospital is doing.
28:02
S… Speaker 1 (AUD-20260508-WA0013)
What are
28:10
S… Speaker 1 (AUD-20260508-WA0013)
the top three strategic priorities UPTH must
28:14
S… Speaker 1 (AUD-20260508-WA0013)
focus on between 2026 and 2030?
28:17
S… Speaker 1 (AUD-20260508-WA0013)
I
28:22
S… Speaker 1 (AUD-20260508-WA0013)
think we need to work on infrastructure
28:26
S… Speaker 1 (AUD-20260508-WA0013)
and human resource development.
28:29
S… Speaker 1 (AUD-20260508-WA0013)
I think those are the two main things.
28:32
S… Speaker 1 (AUD-20260508-WA0013)
I think we'll work on that.
28:34
S… Speaker 1 (AUD-20260508-WA0013)
I don't think we really need a third.
28:35
S… Speaker 1 (AUD-20260508-WA0013)
Because if you strengthen
28:39
S… Speaker 1 (AUD-20260508-WA0013)
your infrastructure and you strengthen your human resource,
28:43
S… Speaker 1 (AUD-20260508-WA0013)
every other thing will fall into place.
28:46
S… Speaker 1 (AUD-20260508-WA0013)
Train your workers,
28:48
S… Speaker 1 (AUD-20260508-WA0013)
maintain your workers,
28:49
S… Speaker 1 (AUD-20260508-WA0013)
make sure the infrastructure,
28:50
S… Speaker 1 (AUD-20260508-WA0013)
make sure that the working environment is optimal.
28:53
S… Speaker 1 (AUD-20260508-WA0013)
I think every other thing will take care of itself.
28:56
S… Speaker 1 (AUD-20260508-WA0013)
So to conclude...
28:59
S… Speaker 1 (AUD-20260508-WA0013)
What should you,
29:00
S… Speaker 1 (AUD-20260508-WA0013)
BTH, start doing at this moment?
29:04
S… Speaker 1 (AUD-20260508-WA0013)
What you're doing now,
29:06
S… Speaker 1 (AUD-20260508-WA0013)
planning.
29:07
S… Speaker 1 (AUD-20260508-WA0013)
Because once you have a plan,
29:09
S… Speaker 1 (AUD-20260508-WA0013)
then it is now.
29:10
S… Speaker 1 (AUD-20260508-WA0013)
You can't just start moving without a plan.
29:13
S… Speaker 1 (AUD-20260508-WA0013)
So what you're doing is actually the first and the proper step.
29:16
S… Speaker 1 (AUD-20260508-WA0013)
When you plan,
29:18
S… Speaker 1 (AUD-20260508-WA0013)
you've made your plan,
29:19
S… Speaker 1 (AUD-20260508-WA0013)
and it's now to follow through on the plan.
29:22
S… Speaker 1 (AUD-20260508-WA0013)
What should they stop doing?
29:31
S… Speaker 1 (AUD-20260508-WA0013)
There should be more walking and less talking.
29:33
S… Speaker 1 (AUD-20260508-WA0013)
More action.
29:37
S… Speaker 1 (AUD-20260508-WA0013)
More action.
29:37
S… Speaker 1 (AUD-20260508-WA0013)
Less talking.
29:39
S… Speaker 1 (AUD-20260508-WA0013)
So what should we do differently?
29:51
S… Speaker 1 (AUD-20260508-WA0013)
Thank you so much for your time,
29:55
S… Speaker 1 (AUD-20260508-WA0013)
the valuable insights and your
29:59
S… Speaker 1 (AUD-20260508-WA0013)
contribution to this strategic plan.
30:01
S… Speaker 1 (AUD-20260508-WA0013)
Thank you so much.
30:03
S… Speaker 1 (AUD-20260508-WA0013)
So is there another thing you want to say,
30:05
S… Speaker 1 (AUD-20260508-WA0013)
final word?
30:05
S… Speaker 1 (AUD-20260508-WA0013)
No,
30:06
S… Speaker 1 (AUD-20260508-WA0013)
I appreciate you taking your time to come and
30:10
S… Speaker 1 (AUD-20260508-WA0013)
find out from me what the department is.
30:14
S… Speaker 1 (AUD-20260508-WA0013)
I know that you have other things to make the sacrifice for the hospital.
30:18
S… Speaker 1 (AUD-20260508-WA0013)
I really appreciate it.
30:20
S… Speaker 1 (AUD-20260508-WA0013)
I know that everything that we have said to take it to management.
30:23
S… Speaker 1 (AUD-20260508-WA0013)
Thank you so much.
30:26
S… Speaker 1 (AUD-20260508-WA0013)
Thank you.
30:26
S… Speaker 1 (AUD-20260508-WA0013)
Thank you so much for your time.
30:29
S… Speaker 1 (AUD-20260508-WA0013)
And very soon we'll see a great UPTH.

This transcript was generated by AI (automatic speech recognition). May contain errors — verify against the original audio for critical use. AI policy

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