Hoping for a domino effect

A physician has a challenging first day on the job in Ghana

GregBasura2

Greg Basura, M.D., Ph.D., remembers the first time he examined patients in an ear, nose and throat clinic in the West African nation of Ghana.

The examination room was crowded with 10 to 15 nurses, doctors, residents and other people. He was trying to figure out the set-up and the workflow. What instruments were available? How did the patient’s chair work? What did the medical records say?

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