06/03/2026
🏥Sustainable healthcare is about building local capacity.
During , James Watkins, MD and nurses Sabrina Lile and Jeremy Miller focused on supporting long-term independence for ERCP procedures at Moi Teaching Referral Hospital (MTRH) in Eldoret, Kenya.
Physician Progress: The MTRH ERCP team has continued to progress since our last visit, consistently performing 1-2 cases per week. This week, they performed 18 complex procedures with 40% done independently with minimal guidance from the IU team. Working side-by-side on bile duct stone cases, they are moving closer to autonomy in the suite. The team also successfully completed an MTRH first: a cholangioscope procedure with electrohydraulic lithotripsy for treatment of large bile duct stones, gaining vital experience with advanced equipment.
Nursing Collaboration: Sabrina and Jeremy worked with MTRH GI nurses Grace and Geoffrey on advanced wire techniques. By the end of the week, they were running procedures alongside the doctors with minimal assistance.
The dramatic increase in autonomy by the endoscopic and nursing teams is very gratifying. It brings immense hope for the future in Eldoret and the large catchment area MTRH serves.
🎥 Watch the recap here: https://www.facebook.com/reel/1511072903758535
Indiana University School of Medicine
Ampath Kenya
IU Center for Global Health