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The Journal of the American Board of Family Practice 17:276-282 (2004)
© 2004 American Board of Family Practice

Family Practice-World Perspective

Advanced Life Support in Obstetrics in Ecuador: Teaching the Teachers

Lee T. Dresang, MD, Wm. MacMillan Rodney, MD, Lawrence Leeman, MD, MPH, Jason Dees, DO, Paul Koch, MD, ScM and Mauricio Palencia, MD

University of Wisconsin Medical School and St. Luke’s Family Practice Residency, Milwaukee (LTD, PK, MP)
Department of Family and Community Medicine, Meharry Medical College and Vanderbilt University School of Medicine, Nashville, Tennessee (WMR, JD)
Departments of Family & Community Medicine and Obstetrics & Gynecology, University of New Mexico School of Medicine, Albuquerque (LL)

Correspondence: Address correspondence to Lee T. Dresang, MD, Johnston Community Health Center, 1230 W. Grant Street, Milwaukee, WI 53215 (E-mail: ldresang{at}fammed.wisc.edu)

Abstract

The advanced life support in obstetrics (ALSO) course is designed to help maternity care providers prepare for obstetrical emergencies. A team of 12 US physicians and a medical interpreter recently taught the ALSO course in Ecuador, with the goal of addressing Ecuador’s high maternal and infant mortality rates. To have a greater impact, a teach-the-teacher model was used so that Ecuadorian physicians can now hold their own ALSO courses. In the process of implementing the courses, valuable lessons were learned which can be applied to future ALSO courses in developing countries and in the United States.


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Copyright © 2004 by the American Board of Family Medicine.