The iPATH program consists of 2 phases:
  • phase 1 : fellowship training phase in International Training Centre Mbale (Uganda)
  • phase 2 : home institution becomes iPATH site

Phase 1: fellowship training phase in International Training Centre Mbale (Uganda)

1. Intensive hands-on instructions of selected fellow by Dr Warf (Mbale, 2 weeks), including:
  • Lectures on hydrocephalus, ventricular anatomy, ETV/CPC techniques and outcomes
  • Hands-on workshop to learn equipment and setup as well as practicing flexible endoscope manipulation in a simulator model (in cooperation with Karl Storz Co)
  • Live operations performed with Dr. Warf on a minimum of 20 cases selected and reserved in advance
  • Review and conclusions
2. Additional fellow training by Dr Mugamba (Mbale, 2 months):
  • Live operations performed with Dr Mugamba on an additional 80 children
  • Review and conclusions
  • Introduction and training for patient database
  • Discussion of plan for continued communication and support
Phase 2: home institution becomes iPATH site
  1. Set up and training visit Dr Warf to iPath site (1 week) Onsite setup of equipment (Karl Storz, 1 week)
  2. Selection operating theatre staff (by selected site)
  3. Training operating theatre staff by technical advisor; instruction nursing staff on  proper care of instruments and correct setup of units (Karl Storz)
  4. Installation and training for patient database
  5. Selection local hydrocephalus/spina bifida nurse coordinator (by selected site)
  6. Training local hydrocephalus/spina bifida nurse coordinator (IF, 2 weeks)
  7. Set up cooperation with local partners involved in patient and parent education and follow up (selected site, other organizations and NGO's, IF)
  8. Development parent support groups (IF, 2 weeks)
  9. Development public education package (IF)
  10. Development prevention package (IF, Dr Warf)
  11. Evaluation phase neurosurgery (1 week, after 1 year)
  12. Evaluation phase nurse training (1 week, after 1 year)
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