Wednesday 21 Feb 2018

TEE Training Program

A transesophageal echocardiogram, or TEE is an alternative way to perform an echocardiogram. A specialized probe containing an ultrasound transducer at its tip is passed into the patient's esophagus. This allows image and Doppler evaluation which can be recorded. It has several advantages and some disadvantages compared to a transthoracic echocardiogram. The advantage of TEE over TTE is usually clearer images, especially of structures that are difficult to view transthoracicly (through the chest wall). The explanation for this is that the heart rests directly upon the esophagus leaving only millimeters that the ultrasound beam has to travel. This reduces the attenuation (weakening) of the ultrasound signal, generating a stronger return signal, ultimately enhancing image and Doppler quality. Comparatively, transthoracic ultrasound must first traverse skin, fat, ribs and lungs before reflecting off the heart and back to the probe before an image can be created. All these structures, along with the increased distance the beam must travel, weaken the ultrasound signal thus degrading the image and Doppler quality. In adults, several structures can be evaluated and imaged better with the TEE, including the aorta, pulmonary artery, valves of the heart, both atria, atrial septum, left atria appendage, and coronary arteries. TEE has a very high sensitivity for locating a blood clot inside the left atrium. This technology is not used commonly in China. BMDAC is going to organize a training program in China to help train dozens of TEE specialists there.


 Jorge Cruz MD, FASE
     Program director

Endoscopic Vein Harvesting Training Program

The goal of CABG surgery is not to repair or remove any blocked arteries, but to detour blood around a blockage in a coronary artery . As a result, oxygen-rich blood can flow more freely to nourish the heart muscle. To create the detour, a segment of a blood vessel is taken from another part of the body. The segment is usually taken either from the Internal Mammary Artery from the chest, or the saphenous vein from the leg. In contrast with traditional vein harvesting, endoscopic saphenous vein harvesting does not require a long incision down the length of the leg in order to remove the saphenous vein. Instead, endoscopic saphenous vein harvesting requires only a few small incisions in the leg to remove the vein, with the aid of a special scope ( endoscope ). The saphenous vein is found on the inside of the leg, from the groin to the ankle. Patients undergoing this minimally invasive technique not only avoid a long scar along their leg, but they are also significantly less likely to experience wound complications, swelling, leg pain or another surgery events that can lengthen hospital stay or require re-admission. This is particularly true for patients at otherwise greater risk for leg wound complications, such as those having diabetes or peripheral vascular disease . Patients can therefore have a shorter recovery time and be back on their feet sooner than with traditional vein harvesting. This minimal invasive surgical technology is not used commonly in China. BMDAC is going to organize a training program to help train dozens specialists in China.







 Brain Moran M.D
 Program director

Healthcare Management Training Program

BMDAC is in discussion with Toronto of University and York University to form a specific program designed for healthcare management personnel from China to learn about the Canadian health-care system and its policies. The curriculum is customized for the attendees with the aim of potentially emulating Canada’s healthcare system to cover topics such as Canadian patient safety, health policy, informatics and emergency management, as well as many others. The curriculum will equip trainees with the necessary knowledge to assist in reforming the current privatized healthcare system in China by the end of this program.

Fellowship and Scholarship

BMDAC is calling for donations to assist with setting up fellowships and scholarships for international medical professions who wish to be trained in Canada.

 Yuan Zhou MD, Ph.D
Chair of Education Committee



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