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Individualized, guideline-based training in electrolyte and acid-base disorders in the Maldives 

Professor Chothia presenting on electrolyte and acid-base disorders during an ISN Educational Ambassador visit 

A recent training at the Indira Gandhi Memorial Hospital (IGMH) in the Maldives highlights the far-reaching benefits of the ISN Educational Ambassadors Program. 

Led by Mogamat Yazied Chothia, associate professor of medicine and consultant nephrologist at Stellenbosch University and Tygerberg Hospital in South Africa, the training introduced a novel, simplified, physiology-based approach to diagnosing and managing electrolyte and acid-base disorders. 

Through a combination of interactive theory sessions and real-life case-based discussions, the program helped participants deepen their understanding of renal physiology, improve their diagnostic skills, and build confidence in delivering individualized, guideline-based care. The training also laid the foundation for an ongoing educational framework to ensure continuous learning beyond the visit. 

Around 25 medical officers from a range of specialties, including nephrology, emergency care, ICU, and surgery, took part in the sessions, with several joining from a neighboring institution. 

Real-life case-based discussions supervised by Professor Chothia (left) and Dr Ibrahim Shiham (far right), head of nephrology at IGMH 

Post-teaching evaluations showed overall improvement in assessments, and attendees reported a marked transformation in their approach to practice and teaching.  

Post-training evaluations showed clear improvements in knowledge and clinical approach. “Almost all participants reported that this program enhanced their understanding, approach, and management of acid-base and electrolyte disorders. Many said they felt better able to think like clinicians and tailor treatment to individual patients,” said Ahmed Abdulla, consultant sub-specialist in nephrology at IGMH. 

Training attendees discuss clinical cases in groups 

The collaboration with Professor Chothia will continue virtually with his input on challenging clinical cases and webinars on advanced topics in electrolyte and acid-base disorders. 

About the Educational Ambassadors Program 

The ISN Educational Ambassadors Program (EAP) supports healthcare institutions in low, middle, and upper-middle income countries by connecting them with experts for hands-on, locally relevant training. These focused visits, sometimes combined with online sessions in a hybrid format, strengthen kidney care services and improve patient outcomes. At its core, the program fosters long-term, collaborative relationships between host centers and visiting experts to ensure lasting impact. 

Learn more and apply for EAP support 

Follow the seven-part Electrolytes and Acid-Base Disorders Curriculum at the ISN Academy 

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