Newsletter News from the Directors Following the completion of the first year of the inaugural two year training program in Speech Therapy, TFA Directors recently met with our Partners, Dr Dung from the ENT Hospital and Vice Rectors Dr Dung and Dr Dieu from Pham Ngoc Thach University of Medicine. Mr Claude Potvin, in country manager for Australian Volunteers International also attended this meeting, the purpose of which was to evaluate the current program as well as engage in strategic planning for the future expansion of the current speech therapy program at PNTU and throughout Vietnam. Our Vietnam partners expressed their enthusiasm for the current program, particularly acknowledging, in addition to the two fulltime AVI volunteers, the efforts of TFA, with some assistance from Australian Business Volunteers (ABV) to enable 25 speech therapy lecturers and clinicians to provide in total over 300 days of voluntary work. Planning for a second cohort of students to commence in 2012 is underway and for a subsequent cohort to commence in 2013. PNTU has selected an ENT specialist to undertake a masters degree in Australia to enable her to be a future program leader, thus continuing to work towards the long term goal of the first undergraduate program which will be run by PNTU in 2015. This progress has only been made possible because of the assistance from our supporters and volunteers. We would like to express our sincere gratitude and wish you all a joyous festive season and a happy and successful new year ahead. We look forward to your continuing support in the year ahead. Directors Lindy McAllister and Sue Woodward enjoyed meeting up with students and lecturers during their recent visit to HCMC. The Directors of TFA would like to thank all supporters, volunteer lecturers and clinical educators for their vital contribution to the Speech Therapy Training Course and would like to extend Seasons Greetings to you all. News from Course Co-ordinator, Ms Marie Atherton Term 5 of the Speech Therapy Program has again been an exciting, hectic period. As you may recall from my last communication, Janella Christie commenced at PNTU in July to assume responsibility for the clinical education component of the Program. It is indeed wonderful to now be part of a team and to share the experience of working at Pham Ngoc Thach University of Medicine (PNTU) and living in HCMC. They say “two heads are better than one” and this is no truer than here where there are many “first times” for so many things, whether it be developing the Speech Therapy Program and working with the students and colleagues, or living day to day in a country where we know and understand so little. Term 5 saw the ever-enthusiastic students embrace a huge workload in the subjects of Communication Disorders of Neurological Origin (CDNO), Cleft Lip and Palate and Craniofacial Disorders, Childhood Stuttering, Paediatric Language Disorders and Professional Research Projects. Mrs. Chris Sheard, from the University of Sydney very bravely agreed to take on the task of teaching the ASHA Conference 2011(L-R) Professor Sharynne McLeod, Marie Atherton, Ken Biele, Bea Staley, Kartini Ahmad and Karen Wiley. December 2011 ● Trinh Foundation Australia Limited ● ACN 134 997 694 students all there is to know about CDNO. Chris arrived at the start of September for a 4 week block of teaching that was supported by a second successful collaboration between TFA and Australian Business Volunteers (ABV), (Louise Brown had previously been supported by a collaboration between TFA and ABV). Chris hit the ground running and it would be fair to say sustained a pace that left both students and lecturers amazed! I did wonder on more than one occasion whether Chris would like a little break from the frenetic pace but the answer to my enquires was always...”No, I‟m fine, as long as the students are”. Sincere thanks to Chris for her wonderful work and never-ending enthusiasm. Sincere thanks are also extended to Dr Sally Hewat, Dr Di Jacobs, Professor Lindy McAllister and Ms Felicity Megee. Sally paid a flying visit to introduce the students to the theories of stuttering and to the assessment and management of stuttering in childhood. It was extremely exciting to learn that Sally and her family will be returning to HCMC in late February/March 2012 when Sally will continue her lectures and clinical education in stuttering, and also assist the students with their research projects and anything else that Janella and I may need assistance with! Di Jacobs was welcomed to HCMC in November to provide lectures in Paediatric Language Disorders and like Chris and Sally, embraced all that HCMC had to offer. Professor Lindy McAllister generously gave of her time to provide a lecture on Qualitative Research Methods and Felicity Megee provided clinical education opportunities in Speech Therapy for Head and Neck Cancer and assisted with the preparation of the students‟ oral exams and clinical education experiences in Term 6. Many thanks for your wonderful contribution and tireless support of the students and of the Speech Therapy Program. Also in November I was fortunate to be able to attend the American Association of Speech and Hearing (ASHA) National Conference in San Diego. I had been invited to speak at a symposium on working in countries such as Africa, Malaysia, Nicaragua and Vietnam where there is little access to speech pathology services. San Diego is a lovely city and it was wonderful to be part of an event where up to 12,000 delegates were in attendance! I feel there were a number of very positive outcomes from my attendance at the conference, not least a greater understanding and appreciation on my behalf of the different processes and challenges to introducing a new profession within a development context. I am hopeful that attendees at the seminar gained an awareness of the importance of taking on the challenge of introducing speech therapy to countries that have little experience with the profession. If the number of emails I have received since the conference is anything to go by, I am confident that increased numbers of speech pathologists are considering working in the development area and hopefully will commit to undertaking this important work. My thanks are extended to TFA for supporting my travels to the ASHA conference. I would also like to thank Professor Sharynne McLeod for her support, and to all who made the trip possible. And so, it is likely that by the time you read this article, Term 5 of the Speech Therapy Program will have finished, the students will be back in their work places, and visiting volunteer clinicians from Australia and other places abroad will be in HCMC to provide clinical education and supervision for the students. I am preparing to head home for Christmas – it has been a hectic 12 months and the thought of spending some quiet time with family and friends is very appealing. For those of you who are still considering coming to HCMC to be part of this amazing initiative, please DO send me an email or contact TFA….I‟d love to be able to discuss with you how we may be able to meet here next year! I look forward to being in contact in the New Year, and I wish you all a safe and happy festive season. TFA Speech Pathologist Volunteers Day 15 October 2011, Sydney Report from Director, Alison Winkworth About seventeen speech pathologists got together in Sydney on a Saturday in October, to share experiences volunteering for TFA in Vietnam, or to consider volunteering during 2012. The aim of the get-together was to also divide up into groups of potential project mentors for the current Vietnamese speech therapy students who will each be conducting a research or quality project, in small groups of 4 or 5, in topics that relate to their patient caseloads in their hospitals. These mentor groups of volunteers will be an essential resource as students conduct a real project that will be of benefit to their future practice and to their patients who have communication and swallowing difficulties. Thank you to St Andrews College at The University of Sydney for hosting our Volunteers Day. The University of Newcastle Speech Pathology Students Fundraising for TFA Special thanks to Katrina Lim and her fellow students for holding a raffle at their recent Graduation Ball. They raised $230.15 for TFA. Thanks also to Gabrielle and Damon McCabe, proprietors of the Customs House Hotel, Newcastle for providing the first prize. ‘Speech Therapy Vietnam’ Fundraiser for TFA in Canada Thank you to Sandra Feduszczak for holding this fundraiser in her local pub the Casbah in Hamilton, Ontario, Canada. This band night featured a local band „The Vanishers‟ as well as a raffle with some impressive prizes. The total amount raised was $1,500.00 Canadian Dollars. Sandra also was interviewed about this event on local radio which also increased awareness of TFA in Canada. A remarkable effort Sandra! Thank you also to returned Clinical Education volunteer Emily Armstrong and her local community of Bangalow for raising a further $400.00 for TFA December 2011 ● Trinh Foundation Australia Limited ● ACN 134 997 694 Dr Cuong working with a patient at Ho Chi Minh City Oncology Hospital Spotlight on a Course Participant: Dr Cuong My name is Le Van Cuong. I‟m a doctor working at Ho Chi Minh City Oncology Hospital which is one of the two national cancer centers with 1200 beds for in patients. I graduated from University of Medicine at HCM City in 1994. Since then I have specialized in head and neck cancer as a surgeon. After operation and radiation the patients usually have voice and swallowing disorders. It is difficult for us to control these problems with surgery and medicine alone. That‟s why I decided to attend the speech therapy course. It‟s the first intensive course of speech therapy in Vietnam. Before, I learnt myself from text books and from senior‟s experience but I have felt an urge to be more professional in my work. Speech Pathology is itself a huge area with sub-specialties. The course gives me knowledge to understand the causes, nature and treatment strategies to deal with voice and swallowing difficulties as well as other problems. Now, every week we have about 40 patients who need speech therapy. They have vocal cord paralysis, laryngeal cancer (treated with radiation, total and partial laryngectomy), glossectomy, floor of mouth surgery, maxillo-facial surgery and palatal surgery. By completing the course, I hope that I will be able to professionally manage the voice, speech and swallowing issues associated with patients who have head and neck cancer. I will then train my colleagues and develop speech therapy services in my hospital. Views of a Returning Volunteer clinical education blocks, therapy was always postoperative. In some cases patients were already weeks or months post-op, many with very limited communication or swallowing capacity, and most with no understanding of why they were experiencing these problems. It became clear early on that if nothing else, we needed to educate and inform patients and clinicians about the potential implications that their surgery could have on communication and swallowing. On my most recent visits, we have had patients scheduled for “pre-operative counseling” and provided people with the opportunity to meet with a laryngectomee visitor prior to their surgery, a major shift in the management of this caseload. The work at the Oncology Hospital, and in Vietnam in general, is challenging but incredibly rewarding. Initially, it was very difficult to imagine how a clinician might function without a videofluoro suite or an endoscopy tower. It was even more difficult to fathom an enormous caseload of patients post laryngectomy with no communication rehabilitation, let alone the consideration of a voice prosthesis. Each visit these once “shocking realities” seem less problematic as we work with the students and their colleagues to maximize therapy within the constraints of their resources. Each visit, we learn more about Head and Neck Cancer treatment in Vietnam, including the unique challenges for Vietnamese patients and therapists. Regardless of the caseload, this work is challenging and demands flexible, resourceful clinicians who are willing to learn as much as they are to teach. The time I have spent in Vietnam, and particularly at the Oncology Hospital, makes me appreciate the access to, and quality of, Head and Neck Cancer Care in Australia. Felicity Megee being observed by the students at the Oncology Hospital by Felicity Megee I became involved with the Trinh Foundation and speech therapy in Vietnam in 2009. Since then I have visited several times and have taken on varied roles including, examining, lecturing and clinical education. I am very fortunate to have been involved with Trinh and the speech therapy program from the outset. The awareness of communication and swallowing disorders and the impact these problems have on people continues to improve with each trip. My clinical background is in Head and Neck Oncology and ENT, and so I have worked predominantly at the ENT and Oncology Hospitals. Speech Therapy has changed significantly over the past 2 1/2 years. During the first Sapa Puppets from Vietnam Thank you to our supporters who are selling Sapa Puppets on behalf of TFA. These are our latest fundraising venture. Order forms are available by emailing TFA info@trinhfoundation.org December 2011 ● Trinh Foundation Australia Limited ● ACN 134 997 694 Acquiring New Knowledge in Vietnam Dr Dianne Jacobs during her lecture series in Paediatric Language Disorders Mrs Chris Sheard teaching Communication Disorders of Neurological Origin Chris with student Hang Dr Sally Hewat during her lecture series on stuttering Janella Christie assisting a child with feeding as her mother and the students observe Dianne Jacobs lecturing Janella discussing the development of a Vietnamese speech assessment Sally with the students at the conclusion of her lecture series Students discussing speech characteristics of children with cleft palate A Clinical Education Session at the Oncology Hospital How can you help us? For all donations please see our website Students Dao, Xuan and Quyen working with a child www.trinhfoundation.org Thank you to all those who continue to provide support in the form of funds, expertise and resources. This on-going support is vital to our program. For further information about how you can help us please see our website www.trinhfoundation.org Trinh Foundation Australia is proud to be a partner of Global Development Group (Vietnam Speech-Language Program Project J594). GDG is an Australian Non Government Organisation [NGO] carrying out humanitarian projects with approved partners and providing aid to relieve poverty and provide long term solutions through the provision of quality aid and development projects. For more information about Global Development Group, (ABN 57 102 400 993), visit www.globaldevelopment.org.au December 2011 ● Trinh Foundation Australia Limited ● ACN 134 997 694