Upskilling for better patient outcomes and care

Dr Loata Tabua Taura

Dr Loata Tabua Taura’s passion for medicine was sparked by the care and compassion she received from medical staff during a hospital stay at the age of seven. Initially aiming for a career in paediatrics, her focus shifted to ophthalmology when her mother developed diabetic retinopathy. Witnessing her gradual loss of sight from the disease motivated Loata to pursue a career where she could make a meaningful impact on others’ lives through eye care. This personal experience continues to inspire Loata’s commitment to restoring vision.

Currently a resident ophthalmologist completing a postgraduate diploma at the Pacific Eye Institute (PEI) and CWM Hospital in Suva, Loata joined the ophthalmology program after working as a resident at Labasa Hospital.

Loata’s ophthalmology journey is marked by continuous learning and hands-on experience, enhancing her skills and knowledge in this specialised field. In September, she completed the Microsurgical Skills Course directed by A/Prof Graham Wilson, A/Prof Con Petsoglou, and Dr. Yves Kerdraon at Sydney Eye Hospital. Her participation was made possible by an ANZEF grant sponsoring two doctors from the Pacific to attend.

The Microsurgical Skills Course

Loata described the course as an incredible experience. The hands-on practice with advanced surgical techniques and cutting-edge technologies was invaluable in refining her skills. Practical sessions allowed her to apply theoretical knowledge in a controlled environment, boosting her confidence and precision in delicate eye surgeries.

She highlighted the value of working with state-of-the-art equipment like the phacoemulsification machine, simulations, and practicing on cadavers. These experiences bridged the gap between theory and practice, helping her stay current with modern ophthalmology techniques. Despite the challenges, particularly mastering fine motor skills for intricate surgeries, Loata found the course rewarding and transformative.

Loata also enjoyed exploring Sydney with her colleague, Dr Kalbule Willie, with a highlight being their visit to the Sydney Opera House.

Eye Health challenges and opportunities in Fiji

Loata explained that one of the biggest challenges in Fiji is limited access to specialised eye care, especially in rural areas, due to a shortage of ophthalmologists and optometrists. Community outreach programs and international partnerships provide resources, training, and equipment. Mobile eye clinics bring services directly to underserved communities, and international collaborations enhance local healthcare providers’ capabilities through training programs and workshops.

Loata’s participation in the Sydney course exemplified the benefits of these collaborations. She hopes such opportunities will continue, allowing more healthcare professionals to benefit from international expertise and resources. “Public awareness campaigns and international support are also crucial in improving eye health and reducing vision impairment in Fiji.”

A memorable professional moment

Loata reflected on one of her most memorable professional moments: performing her first successful cataract surgery. Despite her nerves and apprehension, she carefully followed each step, applying the skills and knowledge gained through her training. The surgery was delicate, requiring precision and careful handling of the eye tissues.

“After the successful surgery, I felt an overwhelming sense of accomplishment; but the true highlight was the postoperative checkup, where the patient’s joy and gratitude were deeply moving. Seeing them ecstatic to regain their sight after struggling with vision impairment for a long time reinforced my commitment to ophthalmology and reminded me of the meaningful difference I can make in people’s lives.”

This profound experience not only marked a milestone in Loata’s surgical career but also deepened her passion for the field, fueling her drive and inspiring her to keep improving her skills and ability to make a difference.

Dr Kalbule Willie

Dr Kalbule Willie, an ophthalmologist from Vanuatu, is also completing his postgraduate diploma training at PEI alongside Loata, and eagerly awaiting his results to begin a Master’s program. Formerly based at the Northern Provincial Hospital in Santo, Vanuatu, Kalbule has dedicated his career to addressing eye health challenges in his community.

Kalbule attended the Microsurgical Skills Course with Loata in September, also supported by an ANZEF grant. He found this to be an invaluable experience, particularly for the hands-on learning provided by the wet lab, EyeSi Surgical simulator and phaco machine. “The setup was excellent and gave me the chance to refine my skills,” he said. The course significantly improved his surgical coordination, precision, and ability to identify anatomical structures during procedures.

Kalbule was inspired to pursue medicine by his father and older brother, as well as by his experience caring for his uncle, an asthmatic patient. “Those early experiences showed me the importance of good healthcare and made me want to contribute,” he explains.

One of Kalbule’s most meaningful moments as an ophthalmologist came when he performed his first cataract surgery. “The patient was blind before the surgery, and seeing their reaction afterward was incredibly rewarding,” he recalls.

Looking ahead, Kalbule is eager to complete his Master’s and return to Vanuatu to address critical eye health challenges which include a lack of trained personnel, equipment, and access to ongoing training. He also recognises the growing burden of diabetic eye disease and hopes to play a significant role in tackling this issue.

Kalbule’s story highlights the importance of access for clinicians from low resource settings to world class training opportunities like the Microsurgical Skills Course. Despite the challenges of studying abroad, he remains committed to developing his skills and giving back to his community. His journey is a testament to his dedication to improving eye health in Vanuatu.