KEPHAS ELIMON MWANZA

• Provided primary and emergency health care at remote construction sites in Clough Manus Project
• Conduct clinical training to local healthcare staff in the field of emergency medicine, relevant to remote medicine practice. Also, develop emergency drills to assist with facility emergency preparedness.
• Escalate appropriately to coordinating doctor for critical or severe cases that required medical evacuation.
• Adhere to Occupational Health and Safety guidelines for the benefit of the employees' health, well-being, and clients' target goals, contributing to ISOS and OSHA goals.
• Conduct relevant monthly quality improvement audits to improve remote site clinic services through clients' feedback and clinical audit. Holding regular clinical governance meetings.
• Implemented and supervised medical electronic medical record system, PPS, for the Clough Manus.

• Worked as a full-time consultant from May 2021 to September 2022.
• Currently works as a volunteer specialist from 2022 to date. Working 3 days a week, volunteers during ISOS rotational breaks, and utilising telemedicine when away for day-to-day consultation from the department.
• Provide hospital consultations and treatments for both internal medicine, emergency departments, including intensive care. Supervise all the management of adult medical patients in the Intensive Care Unit.
• Supervised the setup of a follow-up clinic for Hypertension, Diabetes Mellitus, specific general medical patients, including those who had an ICU stay.
• System strengthening through the setup of safe referral systems from 13 hospitals (including first and second level hospitals). Protocol designing and dissemination of up-to-date treatment guidelines.
• Conducts regular teaching and mentorship, both bedside and classroom-based, to rotating medical students, intern doctors, and general medical officers. Took advantage of Microsoft Teams, Google Meet, and Zoom to provide online tutorials and advocate talks for improving emergency care in a low-resource setting. Utilisation of telemedicine through WhatsApp to support management of critically ill in the intensive care unit in rural Zambia. I have also mentored 2 medical doctors for enrolment into a competitive emergency medicine specialist training in South Africa, Cape Town, and also mentored them to obtain a competitive graduate scholarship with Beit Trust for the academic year 2025.
• Introduced a formalised patient triage system for the department and customised appropriate critical patient assessment forms and monitoring tools in Intensive Care Unit
• Advocated for the employment of health workers. 4 doctors and 20 nurses, 1 dietitian were informed during a 4-month period in 2021, during the COVID-19 pandemic.
• Conducts regular mortality and morbidity meetings monthly to improve quality of care for patients.
• Managed required care equipment, rapid infusers, ventilators, code resuscitation supplies, and crash carts in both emergency room and Intensive Care Unit.
• Provide relevant departmental information to assist organization annual planning, budgeting, and financing.
• Was part of the local lead team in planning, implementing, and monitoring of a countrywide research (WHO Emergency Care Tool Kit) done by WHO/African Federation for emergency medicine and the Ministry of Health from April 2022 to Nov 2023 in 8 hospitals in Zambia. Other support obtained from Colorado University. This was followed by the WHO Emergency Care Toolkit rollout evaluation, scheduled to end in Nov 2024, supported by the University of Southern California. Also, collaborated/co-authored with McMaster University research team led by Sara Alavian to conduct research titled 'A needs assessment for formal emergency medicine curriculum and training in Zambia,' which has been submitted (8 July 2024) for publication to the African Journal of Emergency Medicine.

• Trainer for the Ministry of Health in Zambia for a structured in-service course called Emergency Obstetrics and Neonatal Care (EmONC). The course was a competence-based training delivered over three weeks, with classroom learning using blended learning methods from didactic, case studies, role plays, and simulation. The course included 2 weeks of practical time with learning by simulation on models/manikins and apprenticeship in the real hospital environment using a mentor-mentee model. Successful completion of the course required passing a theory test and a structured clinical examination (practical assessment). These trainings were supported by ZISSP and JHPIEGO through the Ministry of Health, Zambia.
• Participated in structured follow-up health facility visits following emergency obstetrics and neonatal care (EmONC) training, which was called a mentorship program in EmONC, where trainees were followed to their work site to ascertain the implementation of the course and to provide coaching in their work environment through bedside teaching, hands-on, and clinical skills transfer by apprenticeship. This mentorship program was supported by JHPIEGO through the Ministry of Health, Zambia.
• Trainer in neonatal resuscitation program called "Helping Babies Breathe" between Feb 2012 and Feb 2016. The 2 days course Targeted in-service teaching/training using simulation. Successful completion of the course required candidates to pass a clinical assessment (OSCE).The trainings were supported by MCHIP(Maternal Child Health Integrated program ) and the USAID through Ministry of Health ,Zambia.
• Learning facilitator/trainer in long term family planning and postpartum intra-uterine device.Course targeted health care workers working in Zambia with a goal to transfer skills of device insertion .Manikins/models were used and then coaching in the practical area was mandatory to assist learners translate classroom based learning to practice on real patients.Successful completion of the course required a log book completion of intra-uterine devices inserted.
• Conducted teaching in the skills lab to the University of Cape Town Undergraduate medical students between Jan,2017 to Feb, 2020 as a mandatory requirement during the specialist emergency medicine training .The skills lab had high fidelity manikin simulators for training students in a simulation manner.Participated in their formal emergency clinical skills assessment.
• Manage the Junior doctors clerkship program at Solwezi General Hospital in Zambia from Jul 2021 to date.Designing objectives for their rotation/clerkship in internal medicine /emergency department and intensive care. Participate in the intern doctors learning journey through bed side teaching ,major ward rounds, medical emergencies protocal development and conducting regular tutorials.Preparing their end of block assessments mainly clinical examination format done orally and demonstration of a critical procedure.
• Participated in a regular Continuous Medical Education (CME) program to transfer knowledge and skills to the local health workforce in Papua New Guinea in the past two years. As a mandatory succession plan requirement for expatriate physicians in International SOS. The CMEs included the development and conducting of emergency drills in a simulated manner to assist with facility emergency readiness.
• Participate in Zambia in the WHO Basic Emergency care training as a trainer.Learning done using didatic,role plays and simulation.Use of manikins and available local materials for splinting .Trainings were supported by First Aid Africa in Zambia and AFEM/WHO
• Manage a mentorship program that uses various learning methods for emergency medicine specialist training program in South Africa whose goal is to prepare interested Zambians for successful placement into program in South Africa and also to contribute to training of registrars for successful completion of specialist training program in South Africa.In the year 2021 was mentor for Dr Ushira Ganas who completed Fellowship in emergency medicine South Africa(FCEM-SA) .In the year 2022 was mentor for Dr Solomon Jere who completed FCEM-SA and in 2023-2024,was mentor for Dr Murad Alhamzy who completed FCEM-SA.Prepared 2 Zambians namely Dr Mulemwa Lubinda and Dr Kasoka Lukama who have recently obtained placement and prestigious Beit Scholarship into University of Cape Town and Witswaterands respectively to commence in January 2025.

• System strengthening through the development of a referral criteria for the entire province to the biggest COVID 19 centre.Also developed a surge capacity plan for the Hospital with specific focus on space and staff escalation cascade.
• Introduced a formalized triage system for all patients at the COVID centre at Solwezi General Hospital from no triage.
• Set up an intensive care unit for COVID 19 at Solwezi General Hospital and lobbied for appropriate human resource re-allocation and temporal employment.
• Reduced number of flow bed from average 6 per week to 0 during 3rd wave pandemic by introduction and implementation of admission criteria ,discharge criteria and home based COVID 19 care.
• Developed case management guidelines for both home based COVID 19 care and in patient severe COVID 19 patients.
• Lobbied for extra health care staff to increase nurse to patient ratio from 1 to 18 to 5 to 18 per shift. Also increased doctors from 1 doctor per week to 3 doctors pay day during COVID peak pandemic
• Collaborated with personnel to define guidelines for diagnostic testing and initiate test requirements.
• Managed required care equipment, rapid infusers, ventilators, code resuscitation supplies and crash carts.
• Provided day to day consultations for the care of COVID 19 patients through major ward rounds twice a day during peak of pandemic.
• Also provided direct care for COVID 19 patients during their acute illness as well as post acute illness.
• Set up a functional post acute COVID 19 clinic for follow up and data capture for research purposes
• Conducted regular teaching through bed side and online plat forms(Zoom) to continuously improve care of COVID 19 patients
• Advocated for the use and procurement of various important oxygen delivery equipment among them: 1 CPAP machine with 2mask,one syringe driver and appropriate syringes were donated by Merry Berg Community hospital.100 non rebreather masks were procured.2 Ventilators were relocated and used in the centre improving centre from zero ventilators to 2.Also lobbied for one highflow machine and 4 infusion pumps raising the number from zero.
• Established a public private partner relation with Merryberg Community hospital to conduct important laboratory tests such as CRP ,Troponins and D dimers which could not be done at the public hospital.

• Provided patient diagnosis, test evaluation, and treatment under strict time constraints.
• Recorded patients' medical history, vital statistics, and test results in Seacare and Riskconnect in a timely manner to allow for decision-making and for the company, and to ensure safe record-keeping for the patients.
• Prescribed medications, explaining side effects and possible adverse reactions, to keep patients informed and alert to potential complications.
• Maintained strict patient privacy and confidential patient information.
• Referred patients to outside specialists, offshore, or hospital admission for more advanced care.
• Collaborated closely with fellow medical team members to share knowledge and discuss the best courses for treatment.
• Respond on time to emergency coded calls onboard-alpha,bravo and Oscar.
• Ensured International Occupation Health and Safety standards were adhered to and inline with employer protocol while prioritising patient best outcomes/case management. Timeous reporting and ensured all injuries on board were captured and closed in risk connect information system.
• Remained compliant with all mandatory e-learning courses for professional development.

• System strengthening: Developed provincial referral criteria to the biggest Center for COVID-19 care. Also developed a case management guide. Disseminated up-to-date guidelines for COVID-19 case management.
• Analyzed data on a daily basis for decision making in terms of identifying hot spots for the development of a multi-disciplinary technical support and supervision.
• Developed and implemented 2 local training concepts to improve COVID-19 case management between May and 30th September, 2021. Total staff trained: 109, out of planned 90, giving a percentage turn up of 120%. This reduced referrals from peripheral COVID centers by 30% and encouraged appropriate patient referrals. 100% of patients received at the biggest Provincial COVID center (Solwezi General Hospital) have been discussed with the accepting doctor.
• Conducted one on-site mentorship to five districts' COVID centers, which were identified as hot spots and with significant mortalities, in order to improve COVID-19 case management outcomes.
• Advocated through the Provincial Health director for procurement of critical care equipment that included oxygen delivery devices, such as non-rebreather masks, and ensured oxygen availability in all districts, including the biggest COVID 19 centre, Solwezi General Hospital, through partner engagement (both local from the Mining Companies and international, USAID).

• Managed required care equipment, rapid infusers, ventilators, code resuscitation supplies, and crash carts.
• Ordered and executed diagnostic tests, and analyzed diagnostic images to investigate patient conditions.
• Diagnosed and treated patients with MI, arrhythmias, asthma, COPD, and pneumonia.
• Conducted post-stabilization procedures, which include referral to specialists, migration to hospital rooms, or discharge.
• Collaborated with personnel to define guidelines for diagnostic testing and initiate test requirements.
• Supported a system strengthening program under Zambia Flying Doctors Service in February 2021, whose overall goal was to improve aeromedical critical care transfers in the Country.
• Provided technical support and supervision to Kitwe Teaching Hospital to improve triage and patient flow in their emergency department in April,2021.
• Team lead for 1 COVID 19 trainings for Copperbelt Province with total participants 30.
• Team lead for care of critically ill COVID 19 patients in the Ndola Intensive Care Unit during the COVID 19 second wave
• Collaborated with other healthcare professionals to provide comprehensive patient care.

Zambia Flying Doctor Service(ZFDS) is the only government supported air ambulance service in Zambia. During period under review in collaboration with Ndola Teaching Hospital,i supported their works in the following;

• In February 2021,as part of the team,we conducted a needs assessment whose main goal was strengthening of existing aeromedical evacuation services to an equitable and safe critical care transfer. This started the process of aerocraft modification,equipment procurement and recruitment of one paramedics among other achievements
• Conducted transfer of a medical patient with COVID 19 who was on oxygen therapy from Mansa to Lusaka (University Teaching Hospital)
• Conducted transfer of a cardiac failure patient from Kasama to Lusaka (University Teaching Hospital)
• Supervised the transfer of head injury patient from Mwinilunga District Hospital to University Teaching Hospital(Lusaka)
• Worked as medic command to receive calls to assess patients with attending clinicians in order to decide on the right team capacity to conduct the medical evacuation of the patient or to provide alternative transfer means.
• Worked hand in hand with permanently employed chief medical officer to provide technical support in the area of critical patient transfer.

• Recorded patients' medical history, vitals,examination findings and test results in medical records.
• Monitored treatment regimens to determine efficacy and adjusted according to results achieved.
• Referred patients to outside specialists or hospital admission for more advanced care.
• Assessed notes by nursing staff for accuracy, completion, services rendered and patient responses.
• Delivered on-call care in large hospital day and night for multiple days.We run weekly on call roster due to shortage of medical staff.
• Taught other medical professionals(clinic officers and nurses ) how to effectively manage short-term and long-term needs of each patient.

• Provided patient diagnosis, test evaluation and treatment under strict time constraints.
• closely with fellow medical team members, including general medical officer and pharmacists and physiotherapists to share knowledge and discuss best courses for treatment.
• Recorded patients' medical history, examination findings, test results and treatment plans in the available medical records
• Prescribed medications, explaining side effects and possible adverse reactions to keep patients informed and alert to potential issues
• consulted senior physician and made appropriate referrals when necessary

Intensive Care Experience - Grooteschuur Hospital from 01.03.20 to 01.07.20, caring for critically ill adult patients with medical, COVID-19, and surgical conditions.

• Responded to all ICU consultations within the Province to the Tertiary Intensive Care Unit at Groote Schuur Hospital and discussed with consultant for final assessment on admission or declining ICU care.
• Provided daily and night duty care for admitted critically ill Intensive Care Unit patients.
• Performed advanced monitoring for patients, which included arterial line placement.
• Facilitated dialysis for organ support for ventilated patients in the ICU.
• Collaborated with other disciplines of medicine for the care of critically ill patient.
• Participated in end-of-life decisions and counseling for families who had non-salvageable ill family members, with support from consultants and palliative care staff.
• Implemented final discharge plan for ICU patients to wards following consultant ward rounds.
• Participated in the care of COVID-19 ICU patients.

Intensive Care Experience - New Somerset Hospital from 01.07.19 to 30.09.20, caring for critically ill adult patients with medical and surgical conditions.

• Attended to a unique patient population that included overdose patients, in addition to medical and surgical patients.
• The ICU also worked as a high-dependent unit.

• Collaborated with multi-disciplinary staff to improve overall patient care and response times.
• Led and motivated 29 employees(7 immediate subordinates at the district health office and 22 health facility incharges ) through supervision, training and coaching on duties and daily operational activities.
• Managed operations in accordance with budget requirements.
• Oversaw clinic administration, including financial management, recruitment and human resources.
• Recruited 4 general workers to fill vacancies in a period of 2 years.
• Oversaw the 1000 most critical days program (SUN), and developed and initiated policies and procedures to standardize delivery of care.
• Led junior level physicians, nurses,Clinic officer(physician assistants) and medical students to deliver quality inpatient, outpatient and surgical patient care.
• Supervised the completion of an Isolation Centre at Mwinilunga District Hospital
• Lobbied and implemented the completion of a mourners shelter at the hospital
• Lobbied the Ministry of Health for the procurement of 1 ambulance during the period under review.
• Lobbied partners -World Vision for the construction of 2 maternity wards at Chibwika and Minyanya Rural Health centre which were completed and handed over during period under review
• Lobbied World Vision Zambia for the procurement of one ambulance at Chibwika rural health center to assist with maternity referrals.
• Advocated for a modern Mwinilunga District Hospital that was approved by the head of state works began in 2016.
• The District health Office won one labour day award for exemplary team work and improvement in performance indicators.