The registrars and residents generally make morning rounds after the 7:30 a.m. conference called Morning Report – this means generally between 8:30 and 9:00 a.m. Postoperative care is limited by severe resource constraints. Wound care, monitoring and recording of vital signs and fluid status remain challenges.

Weekly Schedule

0730 Morning Conference, Sewahaji Annex
0830 Firm I Cases (Operating Theatre)
08:30Firm 2 Cases (Operating Theatre)
0900 Firm I Clinic, OPD (near Maternity Ward Gate, where you enter MUHAS from Kalenga House)
1400 Tumor Board, Kibasila Annex
0830 Firm 2 Cases (Operating Theatre)
0830 Firm 1 Major Ward Rounds
Clinic for Firm 2
0830 Firm I Cases (Operating Theatre)

For those of you who are interested in teaching operative surgery, a good strategy is to attend all of the operating sessions of both firms. You will quickly be asked to assist with difficult cases. The pre-operative assessment is not what you are used to in the US and you will find that you will frequently make suggestions to alter the operative plan (or even cancel the operation on occasion). You also will find that both firms will schedule high risk cases on 4
“non-operative days” in order to get your assistance on as many cases as possible during your stay. If this is your first visit, remember that it may take some time to develop the interpersonal relationships leading to case referrals (as it would in the US). If you elect to return, you will find yourself getting busier and busier.