Identifier
Created
Classification
Origin
06TRIPOLI487
2006-09-12 13:27:00
UNCLASSIFIED
Embassy Tripoli
Cable title:  

PROPOSED COOPERATION WITH LIBYAN BOARD OF MEDICAL

Tags:  TBIO OEXC LY 
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Brooke F Adams 09/12/2006 06:26:57 PM From DB/Inbox: Brooke F Adams

Cable 
Text: 
 
 
UNCLAS TRIPOLI 00487

SIPDIS
CXCAIRO:
 ACTION: ECON
 INFO: POL NAMRU IPS FAS DCM AID MGT

DISSEMINATION: SCI
CHARGE: PROG

VZCZCCRO927
PP RUEHEG
DE RUEHTRO #0487/01 2551327
ZNR UUUUU ZZH
P 121327Z SEP 06
FM AMEMBASSY TRIPOLI
TO RUEHC/SECSTATE WASHDC PRIORITY 1191
INFO RUEHTRO/AMEMBASSY TRIPOLI 1349
RUEHEG/AMEMBASSY CAIRO PRIORITY 0412
RUEHAM/AMEMBASSY AMMAN 0016
RUEHTU/AMEMBASSY TUNIS 0534
RUEHVT/AMEMBASSY VALLETTA 0100
RUEHLO/AMEMBASSY LONDON 0438
RUEAUSA/DEPT OF HHS WASHINGTON DC
UNCLAS SECTION 01 OF 02 TRIPOLI 000487 

SIPDIS

DEPARTMENT FOR NEA/MAG GAVITO, NEA/RA, OES FOR SENSENEY, HHS FOR
COURY AND STIEGER, CAIRO FOR DR. MARIE RICCIARDONE, NAMRU 3 FOR
DR. BOYNTON AND DR. MANSOUR

E.O. 12958: N/A
TAGS: TBIO OEXC LY
SUBJECT: PROPOSED COOPERATION WITH LIBYAN BOARD OF MEDICAL
SPECIALTIES IN TRAINING AND BOARD CERTIFICATION PROCEDURES

UNCLAS SECTION 01 OF 02 TRIPOLI 000487

SIPDIS

DEPARTMENT FOR NEA/MAG GAVITO, NEA/RA, OES FOR SENSENEY, HHS FOR
COURY AND STIEGER, CAIRO FOR DR. MARIE RICCIARDONE, NAMRU 3 FOR
DR. BOYNTON AND DR. MANSOUR

E.O. 12958: N/A
TAGS: TBIO OEXC LY
SUBJECT: PROPOSED COOPERATION WITH LIBYAN BOARD OF MEDICAL
SPECIALTIES IN TRAINING AND BOARD CERTIFICATION PROCEDURES


1. SUMMARY: On August 30, 2006, ESTH officer and Dr. Mustafa
Mansour of the Navy Medical Research Unit 3 (NAMRU 3) in Cairo,
visited the Libyan Board of Medical Specialties to follow up on
the July visit of U.S. Department of Health and Human Services
Deputy Secretary Alex Azar. DepSec Azar and the Board agreed to
collaborate, expand and improve Libya's medical board
certification process with particular attention to creating
recognized certifications in sub-specialties. The Libyans were
challenged by ESTH officer to determine what sort of cooperation
or workshop programs would benefit the board, and they responded
with two reasonable proposals. The first was a basic discussion
on the benefits, feasibility and technology associated with a
telemedicine program. The second proposal was for the Libyans
to fully fund a series of workshop visits by U.S. physicians,
capable of conducting sub-specialty focused workshops in a
continuing education capacity, with a secondary goal of
discussing and evaluating the board certification criteria in
the relevant sub-specialty during the visit. END SUMMARY.

--------------
Medical Board Hopes for Sustained Mutual Cooperation
--------------


2. DepSec Azar met in July with President of the Libyan Board
of Medical Specialties Dr. Mustafa M. Zaidi. Dr. Zaidi was not
able to attend the August 30 Embassy coordination session, but
his priorities were presented by the three following board
members:

--Dr. Elhadi Hussein, Consultant of Urology and Andrology to
Libyan Board of Medical Specialties
--Dr. Abdulhalim Shebani, Specialist Surgeon (ENT),Director of
International Cooperation for Libyan Board
--Dr. Gasem Amar Baruni, Chairman of Examination Committee,
Libyan Medical Board

The Board had retained a great deal of excitement from Mr.
Azar's visit, and was adamant about not "letting the fire grow
cold" on U.S. cooperation with the Libyan medical community.
The group's proposals are focused and reasonable, but they are
concerned that their practical efforts will be fruitless if they
do not lead to institutional cooperation between the Libyan
government and the U.S. government. They expressed their

understanding of the importance of personal relationships in
such cooperation, but showed an insightful knowledge of how
sustained institutional / federal cooperation could enhance the
board's capabilities and international standing.

--------------
Libyans Propose Enhancing Medical Board Certification Process
--------------


3. The board members proposed "concrete" programs to enhance
Libya's medical board certification process, first, expanding
Libya's ability to certify (with credibility) physicians in
sub-specialties. Visiting U.S. physicians would be asked to
conduct workshops with a secondary focus on examining and
enhancing the Libyan Board's certification process for the
relevant sub-specialty. The Libyans offered to fully fund the
travel, lodging and expenses of the visiting physicians. A
workshop on laparoscopic techniques is the boards first
priority. ESTH officer asked if there were particular
techniques or procedures in which they were interested, or if
they were interested in a more general endoscopic workshop. The
board restated that a general workshop on laparoscopic
techniques was ideal, and that they preferred a U.S. physician
capable of evaluating/improving their related sub-specialty
board certification process. They were also open to any
technological aspects that could be added to such a presentation
such as partnering with equipment manufacturers to demonstrate
or provide equipment familiar to the visiting surgeon.


4. As a sample visit itinerary, the Libyan Board suggested the
following:

--A one week visit to Tripoli fully funded (Travel, Lodging and
Per Diem)
--Conduct workshop lectures in the Libyan Medical Board
conference auditorium.
--Perform Rounds in a local hospital with the aim of discussing
management practice and bedside manner
--Lead or observe a series of surgical procedures (at Physicians
discretion)
--(ESTH Officer also recommended cadaver labs or animal labs if
the surgeon so desired)
--Evaluate and discuss board certification procedures and
examinations. Provide feedback and recommend areas for
improvement.

--------------
Libyans Seek Assistance in Developing Telemedicine Program
--------------


5. In addition, the board members were interested in discussing
medical information technology issues, with regard to developing
a comprehensive telemedicine program for Libya. ESTH Officer is
working with local medical IT providers and the Embassy Family
Nurse Practitioner, a former telemedicine unit manager, to
arrange a presentation to the board detailing hardware, software
and hospital infrastructure requirements necessary for such a
program.



6. The board mentioned several long term proposals that were in
line with DepSec Azar's July discussions, including a visit for
4-6 of the board members to the U.S. to work toward
strengthening their board evaluation and examination procedures.
ESTH Officer agreed to pass the request to HHS and OES. Please
advise department interest in pursuing such a program.

--------------
Next Steps:
--------------


7. ESTH Officer will meet with the Libyan Board again on the
week of September 17-21 (before the beginning of Ramadan) to
discuss the proposed cooperative programs. The Libyan Board
made clear their desire to maintain the momentum generated by
Mr. Azar's visit, and showed their good faith by offering to
fund the travel of U.S. physicians/surgeons to conduct the
workshops. Their proposed visit to the U.S. would provide an
excellent opportunity for the board members to discuss their
processes and procedures and observe, first-hand, U.S.
evaluation and examination procedures. The trip would also
engender a great deal of good-will within the Libyan health
community. If OES, HHS or NAMRU 3 have additional insights or
particular interest in participation in such programs, please
notify Embassy Tripoli.


8. Although the Libyan Board has agreed to support visa
issuance for travel related to their proposals, any U.S.
travelers planning travel to Libya should allow a minimum of
eight weeks for visa approvals to be processed. Similarly,
Libyans must travel to Embassy Tunis to apply for visas, and any
proposals for activities including Libyan travel to the U.S.
should factor a minimum of eight weeks lead time for visa
issuance.
GOLDRICH