SAT-341 OUTCOME OF TRAINING COURSES TO CAMBODIAN STUDENTS AND DOCTORS IN RENAL REPLACEMENT THERAPY, NEPHROLOGY, NUTRITION, DIABETES, AND CLINICAL ENGINEER SUPPORTED BY JAPANESE DIALYSIS RELATED SOCIETIES

Abstract

Cambodia is a Southeast Asian nation which has just been free from the civil war within the last two decades. Therefore, dialysis therapy is still very limited both material and human resources. As a result, Japanese Assistance Council of Establishing Dialysis Specialist System in Cambodia (JAC-DSC) was formed to assist building specialist in renal area and education under the support of JAC-DSC, Japanese Society for Technology of Blood Purification (JSTB) and Japanese Society for Dialysis Therapy (JSDT) conducted yearly training course in Renal Replacement Therapy, Nephrology, Nutrition, Diabetes, and Clinical Engineer in Cambodia to Cambodian medical students and doctors. Furthermore, the outstanding attendees were selected to have a further intensive training in Japan for two weeks. This study will show the outcome of these training courses in Cambodia and Japan. There are two groups of attendee were in the study. Group A is a total of 58 attendees who had joined the training course in Cambodia in 2018, and all of these attendees were selected for answering a set of designed questionnaires. Group B is a total of 13 attendees whose 2-week intensive training course were in Japan in 2013, 2016, 2017 and 2018, were all selected for phone call interview. Group A’s result. Among 58 attendees, 83% is medical student, 10% is medical doctor, and 7% is medical resident. The average pre-test score 6.3 point about CKD while the average post-test is 8.3. After joining the training, there is 70.7% of attendee who interested in the field of nephrology, dialysis and/or clinical engineer. The benefits from attending the training are more understanding of nephrology lessons and dialysis, sharing knowledges gained from training, adding-on clinical experiences, being able to educate patients about renal health and nutrition, being able to provide dialysis information to patients, and understanding about clinical engineer work. 91.4% of the attendees agree that the training should continue to conduct annually. Group B’s result. Among 13 attendees, 77% were medical students when they got the intensive training in Japan and only 23% were clinicians. Currently, 77% are clinicians, 4 of whom are dialysis specialists, and the others are resident in family medicine, pediatric, internal medicine, pneumology, and psychiatry. Before the training in Japan, only 38% are interested in dialysis specialty or nephology as their future carrier. After getting back from Japan, 77% is interested in dialysis specialty which 4 of them are currently working in Dialysis Centers, 2 of them promisingly want to be Pediatric Nephrologists, 3 of them want to be Nephrologists, and one is interested in launching dialysis center. Direct action taken after getting back from Japan, the clinicians have changed their organization infrastructure, upgraded their administration to follow Japan standard, and created education brochures for their patients. The study has shown that the knowledge of Cambodian medical students and doctors in the area of CKD and clinical engineer have been improved. In addition, the number of doctors working in dialysis center or students interested in dialysis and nephrology are significant increased. The outcome of the training provided benefits for both Cambodian doctors and students to improve the dialysis therapy in Cambodia.