Compliance and Ethics: Central to your Business or on the Periphery?

Dr Nikki Allorto Specialist Surgeon

Head Edendale Burn Service President SABS

Founder SA Burn Care Trust

MRC 2003 : 3.2% = 1,6 million burns per year

90% minor 10% severe

268 patients/month needing specialised care

Audit 2014/5

21 “units”

8800 admissions per year

Large numbers managed in non specialist units

Training & Education

Questionnaire 70/100 respondants

39% specialists

77% learnt through hospital experience

30% burn rotation as an intern, 60% registrar/MO rotation

50% were currently training registrars

Large burden of disease – poorly defined

Largely untrained personal

0

10

20

30

40

50

60

Emotionally

difficult

Nature of

surgery

Poor prognosis Difficult

working

environment

Lack of

support

Lack of training

and skill dev

Poor payment Lack of

associated

academic

prestige

0

10

20

30

40

50

60

Diploma in BC Subspecialist

training in BC

Research dev Better facilities

and resources

HCW

psychological

support

Training and

skills dev

Flexible

working hours

Better payment

National burns registry

Research foundation

Widely accessible and practical education/information

Need for data

Defining the problem

Resource allocation

Quality improvement

Research tool

High income countries – data captureres

Complex systems

Electronic medical record separate entity

Solution:

Electronic medical discharge record

Driven by doctor as part of clinical process

Provide legible and standard discharge record for largely paper based hospitals

Also serves as a national registry

Research tool

iBER had been developed

It works, its simple

Needs to be national

Needs to be sustainable

Needs a system of governance and accessibilty

Data benenfits ALL role players

Facilitate research in South Africa

Lead to development of Research Foundation

Information applications

Internet, e-learning

Burns are visual – lends itself to this platform

Need practical components

Little available

High income countries – high resource low burden

Need to develop locally applicable courses

Widely accessible

Exciting & desirable

Minimum acceptable standard

Burn injury is a big burden of disease

Neglected

Big picture projects - Bigger impact

Data and Training

Uplift the field

Better patient care

Your industry grows