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Joint Statement from BHB, PALS, Bermuda Cancer and Health Centre (BCHC) and Ministry of Health on oncology referral navigation

Friday 15 November 2024: Cancer care service providers are working together around the clinical care of all patients with cancer and wanted to provide an overview of how new cancers will be managed while Bermuda Hospitals Board’s (BHB’s) two newly appointed oncologists go through the final stages of moving to the island.

Bermuda Hospitals Board (BHB) announced last week that two new full-time oncologists had been hired.  Their immigration applications have now been approved and BHB is in the process of confirming start dates of the new oncologists.

Although BHB’s medical oncology capacity has been reduced, the clinical teams are all here to help and will remain involved for all those with cancer. Moving forward, all referrals for oncology patients should be sent via email to the BCHC Cancer Navigator at referrals@chc.bm. Any referrals received directly to medical oncology via the current route will be forwarded on.

This includes new consults, previously seen patients with new issues and any returning overseas patients.

As standard, referrals should include a referral letter, pathology report, imaging reports, lab work and any overseas notes.

Each patient will be triaged and reviewed through an additional oncology tumour board dedicated to triaging patient care. This will occur weekly or as needed for urgent patients.  Recommendations will be documented in a tumour board note, and the patient will be followed to the next steps of their pathway.

Patients requiring further discussion with the wider multidisciplinary team will be presented at the General tumour board, which occurs each Friday.

Patients requiring referral overseas for treatment will have their HIAB form completed by the navigation team. However, the GP or referring physician will remain the point of contact for those patients and will be required to contact the patient to advise them of the tumour board recommendation.

The cancer navigator will then follow up with the patient regarding overseas referral information/process.  Patients will be advised to liaise with their insurance company regarding which facility they should be referred to.

Patients who can receive treatment on the island will be referred to the appropriate physicians and monitored by the navigation team for any status updates/changes.

The Navigation team can be contacted with any other questions or concerns:

Michele Hypolite & Harriet Stuckes

referrals@chc.bm

441-621-1003

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15 November 2024 Home Page, News

Sterile processing department at KEMH to be upgraded

Thursday 7 November 2024: Bermuda Hospitals Board today announced that it is starting a major renovation project for its sterile processing department that will run from February to July 2025.

Sterile processing is the sanitisation of equipment and items used in clinical care. The highly specialised cleaning process ensures items are completely safe for use. All surgical tools are cleaned and packaged in this area to support the over 9,000 surgeries undertaken at KEMH per year. Any items that are re-used across the hospitals are also processed through this department.

Chief Operating Officer Preston Swan comments: “This is a long overdue upgrade project that will remedy the issues that have impacted SPD over the last few years, such as equipment failure and floods.  The equipment is over 14 years old and the area is in the older part of the General Wing so the infrastructure is in urgent need of work. A failure in SPD could impact our ability to deliver life saving procedures and deliver safe care across our inpatient and outpatient service. This is a priority project for us that will enable us to deliver the safest, most efficient sterile processing service in the support of patient care.”

The project will cost about $4.5 million in total and will include the replacement of equipment, furniture and the floor as well as an upgrade of the infrastructure.

Mr Swan continues: “We anticipate the upgrade work in SPD will start in February and be completed by July 2025. While the department is upgraded, we will use a temporary sterile processing area that is currently being constructed in the old surgical area of the General Wing, just opposite the existing location.

“The capacity of the temporary area will be enough to meet most of our needs during the upgrade, but there will be some patient impact. We anticipate there will be a reduction in the number of major elective surgeries undertaken in any one day, such as hips and knee replacements, as these are very instrument intensive. I would stress, however, that we will be able to complete all emergency and time-sensitive surgical needs, for example trauma, emergency caesarians or cancer surgeries, and there will be less impact on procedures that don’t need much instrumentation, such as pain management, some cardiology procedures, endoscopy and urology procedures.”

Once complete, the upgrade will ensure a much more consistent sterile processing service, optimising safety, quality and efficiency.

“We apologise that there will likely be fewer major elective surgeries during the first half of year,” Mr Swan says. “We will continue to do all we can to minimise the patient impact across all our services. Certainly the upgrade of this critical area is required to ensure that the sterile processing service is as robust and efficient as possible to meet the long term needs of Bermuda patients for the years ahead.”

 

7 November 2024 Home Page, News

No through traffic at KEMH between Point Finger and Berry Hill roads on Saturday morning

Wednesday 6 November 2024: Bermuda Hospitals Board advises the public that there will be no through traffic on the campus of King Edward VII Memorial Hospital (KEMH) between Point Finger Road and Berry Hill Road on Saturday 9 November from 7am- noon.

People will be able to access the Emergency Department, the main Acute Care Wing (ACW) entrance and the ACW visitor parking lot from Point Finger Road.

Access from Berry Hill Road will stop at the Botanical Gardens’ gate to KEMH.

To ensure safety, please adhere to all signage, barricades and directions of personnel at the site.

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6 November 2024 Home Page, News

Oncology Service Notice

Friday 1 November 2024: BHB is close to bringing two new oncologists to Bermuda. The new oncologists are in the final stages of recruitment having completed their local registration with the Bermuda Medical Council and we are in the process of securing immigration approval.

Following the departure of Acting Director of Oncology Dr Michael Hawking in September, BHB has one full time oncologist until the new appointees arrive.  Urgent work continues with overseas partners in order to refer newly diagnosed patients for consultation and treatment during this transition period, until the on-island Oncology service is able to have those patients transition back to Bermuda for continued treatment and follow up.

New patients with insurance will be referred overseas following a review by the Tumour Board, and we will work on individual solutions for patients who do not have insurance or cannot travel.

Acting Chief of Staff Anna Nielson-Williams comments: “We understand that our oncology patients will be very concerned about what this means to their treatment, and we recognise patients with newly discovered cancers during this time may worry about what this means to their care.

“There are up to 300 oncology patients seen by the service each month, and existing patients will continue with their chemotherapy treatments, though some appointments with the oncologist may be rescheduled for patients who are stable.

“We will do all we can to facilitate overseas referrals as quickly as possible for patients newly diagnosed until we can either secure more locum coverage or the new oncologists arrive. We will work individually with patients who do not have the option of travelling overseas.”

“A cancer diagnosis is extremely stressful for patients and families, so we apologise for the additional anxiety caused and will continue to do everything possible to ensure we can return to delivering on-island care for all.”

1 November 2024 Home Page, News

Reduce your stroke risk with physical activity

Tuesday 22 October 2024: Bermuda Hospitals Board’s (BHB) Emergency Department sees an average of five people every week who are experiencing a stroke. That’s over 200 people every year.

“Our Primary Stroke Centre provides comprehensive stroke services, but we would like the public to take necessary actions to prevent stroke in the first instance and to seek medical care immediately if affected by stroke,” said Dr Srinath Meadipudi, BHB Primary Stroke Centre director.

“Knowing the risks and taking conscious action to reduce them will help you avoid becoming a stroke victim,” he continued.

October 29th is World Stroke Day, and in keeping with the international theme to boost physical activity, BHB encourages the public to be as physically active as they can.

Regular physical activity is a preventative measure for stroke. Statistics show that at least 30 minutes of physical activity five times a week reduces stroke risk by 20-25%. Physical activity after a stroke aids in recovery and the quality of life of stroke patients.

“At BHB we are encouraging all our staff to take the stairs where possible, instead of using elevators,” said Dr Meadipudi. “We invite the public to join our take the stairs effort or to create a movement goal that better suits their environment, from 28 October.”

BHB also reminds the public to BE FAST in recognising and responding to stroke symptoms.

B is for Balance – sudden loss of balance, headache or dizziness

E is for Eyes – sudden blurred vision

F is for Face – one side of the face is drooping

A is for Arms – sudden weakness in an arm or leg

S is for Speech – sudden difficulty speaking or making sense

T is for Time – Time to call 911 and get to the Emergency Department as soon as possible

 

More about the BHB Primary Stroke Centre

 

22 October 2024 Home Page, News

Free public event to focus on treatments for urinary incontinence

Wednesday 16 October 2024: Bermuda Hospitals Board is partnering with Lahey Hospital & Medical Center, Optimum Wellness and the Bermuda College Division of Nursing & Allied Health to offer a free, public panel discussion about the latest treatment options for male and female incontinence.

The free event will take place from 3pm to 5pm on Saturday 19 October in the Bermuda College Lecture Hall H-100. The goal is to share the latest treatments for urinary incontinence and improve understanding about this common issue. No registration is required; people can just turn up.

The following experts will provide short presentations, followed by a Q&A panel discussion in which attendees can ask questions.

  • Dr Jonathan Makanjuola, Urology Consultant, Bermuda Hospitals Board
    Learn how your family doctor can assess you for lower urinary tract symptoms,
    and become familiar with questions you can ask about your urinary habits.
  • Dr Jessica Mandeville, Director of Endourology, Lahey Hospital and Medical Center
    Learn about medical and surgical treatment options for an enlarged prostate.
  • Dr Arthur Mourtzinos, Vice Chair Division of Urology, Lahey Hospital and Medical Center
    Learn what the current surgical options are for managing urinary incontinence for men and women.
  • Michelle Monk, Registered Physiotherapist and Pelvic Floor Provider, Optimum Wellness
    Learn more about the pelvic floor, treatment approaches, common misperceptions,
    what the common dysfunctions are and how to treat them early.

Dr Makanjuola comments: “In the UK it’s estimated that at least 7-10% of the population have urinary incontinence, but this could well be under-reported as people feel embarrassed. If the same is true in Bermuda, that translates to over 6,000 people. Women are five times more likely to experience it, but men are impacted too. We will be sharing some great information that will help people know what to ask their doctor, for example, as well as what the latest treatment options are available.”

Dr Mourtzinos comments; “Lahey is excited to help share the latest treatments available for incontinence for men and women.  Lahey is dedicated to helping care for the Bermuda community. Our specialist urology services along with the treatments and care available on island give patients not just hope but effective treatments when dealing with incontinence.”

Ms Monk adds: “I’m looking forward to sharing some of the physiotherapy options available to improve pelvic floor health and bring relief from urinary incontinence. If you or a family member is experiencing an issue, however minor, it’s a great opportunity to learn more about the latest treatments and therapies available. In fact, there are early treatments that can make a big difference so people shouldn’t wait.”

BHB and Lahey are also partnering to deliver a physician continuing medical education symposium in the morning providing an update on urology. Details about the morning session for physicians can be found on the BHB website under CME events. BHB delivers a year-round educational calendar for free to all local physicians on various medical topics in partnership with leading hospitals from overseas.

 

Watch on YouTube

16 October 2024 Home Page, News

Caring for patients at KEMH

Tuesday 15 October 2024: Bermuda Hospitals Board has posted a frequently asked questions (FAQ) on its website that explains how patients are cared for and by whom at King Edward VII Memorial Hospital (KEMH).

CEO & President Scott Pearman says: “We want to demystify as much as possible how care works at KEMH. BHB follows the same quality standards as the UK, US, and Canada, with inpatient acute care led by onsite hospitalists on our acute care inpatient units, with other specialists leading in critical and emergency care units. We often get questions from patients about their inpatient care, especially about the role of their general practitioners (GPs) while they are in the hospital. We hope the factsheet posted on our website will help.”

Acting Chief of Medicine and Director of the Hospitalist Programme Dr Nevin Williams explains: “A common question is about the role of a patient’s GP while they are in hospital. In KEMH, a patient’s care is led by the ‘most responsible physician’ (MRP) and this will be the main contact for the patient and family. At KEMH, your most responsible physician may vary depending on the area you are in, but it will always be an on-site physician specialist with the most appropriate training for your care.”

  • In the Emergency Department, the MRP is an emergency physician.
  • For a patient admitted after planned surgery, the MRP will be the surgeon.
  • Patients admitted to an inpatient unit from the Emergency Department will have a hospitalist as an MRP.
  • If a patient becomes critically ill and is moved to the Intensive Care Unit, the MRP will be one of the anaesthetists trained in critical care.

Click here for a factsheet and click here for a short animation about the role of hospitalists on the inpatient acute care units.

The MRP directs the clinical team of nurses, allied health staff (such as physiotherapists and dietitians), and other doctors who might need to advise on a patient’s care, like a cardiologist (heart specialist) or geriatrician (a specialist in senior care). A BHB physician is only the MRP while the patient is in the hospital.

Dr Williams continues: “There are over 3,100 inpatient acute care admissions to KEMH each year, mostly cared for by hospitalists. Hospitalists are doctors with special training in internal medicine and hospital care. They are on site 24/7, so they can quickly respond to any sudden issue a patient experiences.

“The hospitalist’s key focus is providing acute care until a patient is discharged home to their GP. For over 60% of our patients, the hospital stay is under seven days. The relationship between the hospitalist and GP is therefore very important. The patient’s GP is notified by email when the patient is admitted to an inpatient acute care unit under a hospitalist’s care and information is sent when they are discharged to ensure patient care is coordinated when they leave the hospital. We are working to improve this communication, especially using our electronic medical record, PEARL.”

Chief of Family Practice Dr Burton Butterfield, the GP representative on the BHB Medical Staff Committee, acts as the link between community-based GPs and BHB.

Dr Butterfield explains: “As GPs we know our patients well since we see them over long periods of time. Our expertise is in caring for patients with illnesses and injuries in the community, managing chronic illnesses, and knowing when a patient needs hospital care or a specialist. It is important that GPs get timely and accurate information when a patient is admitted. We may speak with the hospitalists in cases where our understanding of the patient’s history may help in making decisions, but most critical for us is getting the discharge summary so we can smoothly coordinate the patient’s care back in the community.”

Dr Williams notes: “BHB is responsible for sending a patient’s discharge summary to the GP listed on the patient’s admission file, but it’s very important patients confirm their most current information, including their primary GP. They should do this when they come to the Emergency Department or are admitted. It is not uncommon for members of our community to sometimes have more than one GP or change their GP over time. Making sure we have the right details ensures the information goes to the right GP.”

Currently, GPs receive BHB discharge summaries by fax, email or by having read access to the BHB electronic medical record, PEARL. BHB is planning to follow the lead in the UK by discontinuing the use of fax in the future due to issues of reliability and confidentiality . This requires collaboration between BHB and community physicians. The chief medical information officer position, held by Consultant Anaesthetist Dr Simon Morton, is being expanded to lead the work required, and a physician committee that includes GPs is already meeting to help optimise the use of PEARL in sharing secure and confidential patient information.

15 October 2024 Home Page, News

Bermuda Public Services Union partners with BHB for Mental Health Expo

Thursday 10 October 2024: Bermuda Hospitals Board (BHB) has partnered with the Bermuda Public Services Union (BPSU) for its upcoming Mental Health Expo, scheduled for Saturday 12 October 2024 from 1pm to 4:30pm at the Bermuda Underwater Exploration Institute (BUEI).

The two organisations joined forces after BHB’s planned Mental Health Awareness Fair, set for World Mental Health Day on Thursday, was cancelled due to forecasted heavy winds. The joint event on Saturday will now feature a broader range of participation from mental health professionals, expanding the scope and impact of the Expo.

“We’re delighted that the Mid-Atlantic Wellness Institute team will have a greater presence than initially planned,” said Karen Grant-Simmons, BHB clinical director of mental health and BPSU chairperson of the Mental Health Campaign Committee. “We look forward to continuing this collaboration to benefit our Bermuda community.”

Psychiatric nurse Rebecca Fisayo, chair of BHB’s Mental Health Awareness Committee and clinical manager of community mental health, expressed similar sentiments: “Our disappointment with the cancellation of Thursday’s fair was quickly reversed at the BPSU’s  willingness for us to partner with them for Saturday’s event.”

Bro. Armell Thomas, President of the BPSU, emphasised the importance of unity in these efforts: “As a union, we believe in the strength of collaboration. When BHB, one of our largest bargaining units, approached us, we did not hesitate to join forces. Together, we are stronger, and we believe this partnership will greatly benefit Bermuda.”

BHB CEO & President Scott Pearman agreed.

“Efforts like this strengthen our community partnerships and ultimately benefit Bermuda as a whole,” he said. “We are proud to work alongside the BPSU for the Mental Health Expo.”

The Expo will offer various interactive booths, providing resources and support to address workplace and community mental health challenges. The collaboration between BPSU and BHB ensures an even more comprehensive and impactful event for the community.

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10 October 2024 Home Page, News

Baby Sarai born in the eye of Ernesto

Sunday 18 August 2024: Hurricane Ernesto brought more than wind and rain on Saturday, with the birth of a baby girl, Sarai Bailey, at 8am to proud parents Stephanie and Keenan Bailey. Sarai is a new sister for 18-month-old brother, Kaden.

Stephanie and Keenan were at home when Stephanie’s contractions started at 4am, four days ahead of the baby’s due date.

“Thankfully the contractions started just as the eye of Hurricane Ernesto was coming over so the winds had died down,” said Stephanie. “Even though we live close to the hospital, however, we had to navigate roads blocked with trees to get in. I was surprised at how fast Sarai was born. Just four hours after contractions started.”

“Sarai was here before I could get back to the hospital from dropping Kaden off at my mother’s,” Mr Bailey added. “When I walked back in, there Sarai was.”

Mr Bailey was unable to stay long as the hospital was in lockdown and the second half of the storm was beginning to be felt, but he was able to return later that night.

18 August 2024 Home Page, News

BHB awards $190,000 in scholarships

Monday 29 July 2024: Bermuda Hospitals Board is pleased to announce it has awarded a total of $190,000 in scholarships to 12 local students.

In a ceremony on Tuesday 16 July, the students were presented certificates of their awards in front of their families and BHB leaders.

Ryan Topple, a medical student, received the top award – the GlaxoSmithKline Scholarship of $20,000 for two years.

The other 11 students each received a BHB general scholarship in their speciality area, valued up to $15,000 for one year. Applicants must be enrolled in an accredited educational institution approved by a relevant licensing council and maintain at least a 3.0 or equivalent grade point average.

Six of the general scholarship recipients are medical students and received BHB Medicine Scholarships. Nia Dailey, Storm Gibbons, Keesha Roberts and Veronica-Swan-DeGraff were each awarded $15,000, while Jahmir Celestine and J’hordon Emery received $10,000 each.

Studying physiotherapy, Tre Outerbridge received the 2024 BHB Allied Health Scholarship of $15,000. Kyra Butterfield was awarded a $15,000 BHB Psychology Scholarship.

BHB Nursing Scholarships of $15,000 were awarded to Alaiyah Hayward and Izeya Wainwright, while nursing student Sarae Botelho received $10,000.

“We had outstanding submissions from each of our 12 recipients in their applications for these scholarships,” said BHB Vice President of People Angela Fraser-Pitcher. “As the head of human resources, I urge our students to learn all they can and return to BHB to share their expertise. We wish them well.”

BHB CEO & President Scott Pearman said: “BHB is proud to assist these 12 deserving students. The health sector represents tremendous opportunity for immediate and future job growth, and we are pleased to support the current cohort of scholarship recipients in realising their dream of becoming healthcare professionals.

“BHB can offer immediate employment and guarantee employment over the next five years to newly qualified registered nurses with demonstrated competencies. Few employers and professions can provide such guarantees.

“Fuelled by an aging population and high rates of chronic disease, the demand for a broad cross section of healthcare professionals ensures that compassionate and highly capable students can secure a career in health.

“Health sector employment is open to traditional students matriculating from high school to college and mature students seeking a second career. Anchored by programmes offered locally at the Bermuda College, there are great educational options for those that cannot relocate overseas.

“For students who pursue their education overseas, we look forward to them eventually returning home to fulfil their commitment to our community.

“I thank the scholarship recipients for investing in themselves to serve the future needs of our community by taking care of Bermuda.”

 

Student biographies

Ryan Topple

College/University: University of Warwick, UK

“Having graduated with my honours degree in medical sciences from Dalhousie University, I will be pursuing a Bachelor of Medicine, Bachelor of Surgery at the University of Warwick in the UK in September,” says Ryan.

He works as an advanced EMT at BHB during his university breaks and says he is thankful for the support of his mentors and colleagues in the Emergency Department.

“Over the next few years, I plan on exploring different medical and surgical specialties,” he adds. “I look forward to eventually returning to Bermuda as a doctor at KEMH.”

 

Nia Daley

College/University: Barts & The London School of Medicine and Dentistry, UK

“I am interested in pursuing a career in dermatology or general surgery,” says Nia. “I hope to make meaningful contributions towards equitable health by utilising public health in my career.

“My passion for community involvement and representation drives my goals of working with underserved populations both locally and globally.”

 

Storm Gibbons

College/University: St George’s University School of Medicine, Grenada

“As a future physician with a profound interest in psychiatry, it is my goal to provide well-rounded care to patients, with a focus on addressing their mental health needs comprehensively,” says Storm.

“I look forward to staying informed on the latest advancements in medicine, continually honing my skills to offer the highest standard of treatment.

“I aspire to be a doctor who not only excels in clinical practice but advocates for accessible and intersectional treatment within our community.”

 

 

Keesha Roberts

College/University: St George’s University School of Medicine, Grenada

Keesha says: “I want to become a world-renowned physician who is going to shift the paradigm of how health is managed and afforded, firstly in my society and then the world around it.

“I have seen how the rising costs of healthcare have had a massively negative impact on our community and I cannot wait to be a part of a system that wants to change this. If education is a right, why is equal access to healthcare a privilege? A question I want to work towards abolishing.”

 

 

Veronica Swan-DeGraff

College/University: St George’s University School of Medicine, Grenada

Veronica says: I have a passion for public health and advocating for young people through my work in the community as a student clinical coordinator for the Daily Male Health Clinic and through my organisation Bermuda Youth Connect.

“As a first-year medical student, I am very keen on specialising in emergency medicine, however, I am open to exploring what other specialties have to offer.”

 

 

Jahmir Celestine

ge/University: St George’s University School of Medicine, Grenada

Jahmir says: “My career aspirations are deeply rooted in earning the ‘Doctor’ title and making a meaningful impact on my community. Becoming a doctor is very meaningful to me because it allows me to come back to Bermuda to help my community with the shortage of medical professionals.

“I am committed to providing quality healthcare to all Bermudians, including those that cannot afford healthcare. I am grateful that BHB has awarded me this scholarship as it will help bring me closer to achieving these goals.”

 

J’hordan Emery

College/University: St George’s University School of Medicine, Grenada

J’hordan says: My career aspiration to become a surgeon is driven by my profound love for anatomy. This passion was further strengthened during a transformative trip to Kenya, where I had the opportunity to assist surgeons in the operating theatre. The hands-on experience and exposure to different surgical procedures deepened my commitment to this field.

“I am excited to combine my enthusiasm for anatomy with the dynamic and impactful field of surgery.”

 

Alaiyah Hayward

College/University: University of Manchester, UK

“After graduating from the University of Manchester with my Bachelor of Nursing (honours) in 2025, I am looking to pursue further education and obtain my Bachelor of Medicine (MB ChB) within a discipline in women’s health,” says Alaiyah.

She says her motivation to work in this area came after reading a paper on racial and ethnic disparities in maternal health in the UK.

“My passion was reinforced while volunteering abroad as part of my nursing programme in Busua, Ghana, where I spent time in the NICU, maternity and labour ward,” she says.

“I look forward to utilising my knowledge and skills to provide the best patient care possible to the residents of Bermuda.”

 

Izeyah Wainwright

College/University: Kingston University, UK

Izeyah says:My career aspirations are centred around constant growth and skill enhancement. Since childhood, I have always dreamed of becoming a nurse. Not only is it my career aspiration, but it is my passion to help provide holistic care to my patients and be a bright component to their dark times.”

 

 

 

 

 

Sarae Botelho

College/University: University of Central Florida, USA

Sarae says: “I have always wanted to pursue a career where I can make an impact by helping others, which is why I have an interest in healthcare. My career aspirations are to complete my Bachelor of Science in nursing and then pursue a master’s degree focusing on neonatal health/women’s health.

“Bermuda’s future is in our hands, and I want to be one of the skilled individuals who makes a difference on the island. Knowing that Bermuda has a shortage of local nurses, and as a young woman who is proud of her heritage, I want to be a part of ensuring that skilful, qualified healthcare talent is something that can be continued and at the same time, give back to my community.”

 

 

Tre Outerbridge

College/University: University of East London, UK

Tre says: “As I continue my educational journey at the University of East London, I aim to gain further experience and understanding of the various facets of clinical and sports-related physiotherapy. By gaining experience globally I strive to take the knowledge gained and apply it to benefit the local community of Bermuda.

“My goal is to provide Bermuda with a robust and modern approach to care and rehabilitation, and to help improve Bermuda’s overall health literacy.”

 

 

Kyra Butterfield

College/University: Stevenson University, USA

Kyra says: “My career aspirations are centred around becoming a clinical psychologist specialising in children, adolescents and their families. I am passionate about contributing to Bermuda’s mental health landscape by conducting research that advances our understanding of mental health, improves treatment options, and addresses current gaps in mental healthcare.

“My goal is to offer psychological service, focusing on supporting, nurturing the wellbeing and resilience of young people within Bermuda’s community.”

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29 July 2024 Home Page, News