Advertisement

The Place of Global Education in Anesthesia

  • Angela Enright
Chapter

Abstract

Modern medical education frequently includes education in global health. This provides exposure to different health systems and cultures. It can lead to better understanding of the global burden of disease. Participants in global health programs may improve their cultural competence and understanding. There are many examples of global anesthesia experiences. Benefits may accrue from these that are educational and attitudinal in nature. Skills development may also improve. However, residents require proper preparation for and appropriate supervision during these rotations. There should be a well-defined curriculum with clearly stated goals and objectives. Participation in global education should include benefits for the host programs. There are many ethical issues that should be considered when developing global education activities.

Keywords

Global Health Residency Training Program Host Institution Anesthesia Resident Surgical Safety Checklist 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Abbreviations

AAGBI

Association of Anaesthetists of Great Britain and Ireland

ABA

American Board of Anesthesiology

ASA

American Society of Anesthesiologists

ASA

Australian Society of Anaesthetists

CASIEF

Canadian Anesthesiologists’ Society International Education Foundation

GAT

Group of Anaesthetists in Training

HIV

Human immunodeficiency virus

RCoA

Royal College of Anaesthetists

USA

United States of America

WEIGHT

Working Group on Ethics Guidelines for Global Health Training

WFSA

World Federation of Societies of Anaesthesiologists

References

  1. 1.
    MacFarlane SB, Jacobs M, Kaaya EE. In the name of global health: trends in academic institutions. J Public Health Policy. 2008;29:383–401.PubMedCrossRefGoogle Scholar
  2. 2.
    University of British Columbia Global Health. Available at https://globalhealth.med.ubc.ca. Accessed 26 April 2013.
  3. 3.
    Yale Global Health initiative. Available at https://ghi.yale.edu. Accessed 26 April 2013.
  4. 4.
    Duke Global Health Institute. Available at https://globalhealth.duke.edu. Accessed 26 April 2013.
  5. 5.
    Coupet S. International health electives: strengthening graduate medical education. J Am Osteopath Assoc. 2012;112:800–4.PubMedGoogle Scholar
  6. 6.
    Francis ER, Goodsmith N, Michelow M, et al. The global health curriculum of Weill Cornell Medical College: how one school developed a global health program. Acad Med. 2012;87:1296–302.PubMedCrossRefGoogle Scholar
  7. 7.
    Miller WC, Corey GR, Lallinger GJ, Durack DT. International health and internal medicine residency training: The Duke University experience. Am J Med. 1995;99:291–7.PubMedCrossRefGoogle Scholar
  8. 8.
    McKimm J, McLean M. Developing a global health practitioner: time to act? Med Teach. 2011;33:626–31.PubMedCrossRefGoogle Scholar
  9. 9.
    Campbell A, Sullivan M, Sherman R, Magee WP. The medical mission and modern cultural competency training. J Am Coll Surg. 2011;212:121–9.CrossRefGoogle Scholar
  10. 10.
    Institute of Medicine, National Academy of Sciences. Unequal treatment: confronting racial and ethnic health disparities in health care. Washington, DC: Institute of Medicine; 2002. Available at http://www.iom.edu/reports/2002/unequal-treatment-confronting-racial-and-ethnic-health-disparities-in-health-care.aspx. Accessed 21 April 2013.
  11. 11.
    Powell AC, Casey K, Liewehr DJ, et al. Results of a national survey of surgical resident interest in international experiences, electives and volunteerism. J Am Coll Surg. 2009;208:304–12.PubMedCrossRefGoogle Scholar
  12. 12.
    Thompson MJ, Huntingdon MK, Hunt DD, et al. Educational effects of international health electives on US and Canadian medical students and residents: a literature review. Acad Med. 2003;78:342–7.PubMedCrossRefGoogle Scholar
  13. 13.
    Chiller TM, De Mieri P, Cohen I. International health training: the Tulane experience. Infect Dis Clin North Am. 1995;9(2):439–43.PubMedGoogle Scholar
  14. 14.
    Gupta AR, Wells CK, Horwitz RI, et al. The international health program: the fifteen-year experience with Yale University’s Internal Medicine Residency program. Am J Trop Med Hyg. 1999;61:1019–23.PubMedGoogle Scholar
  15. 15.
    Sawatsky AP, Rosenman DJ, Merry SP, McDonald FS. Eight years of the Mayo International Health program: what an elective adds to resident education. Mayo Clin Proc. 2010;85:734–41.PubMedCrossRefGoogle Scholar
  16. 16.
    Royal College of Physicians and Surgeons of Canada. Available at http://rcpsc.medical.org/residency/certification/training/anesthesiology_e.pdf. Accessed 1 May 2013.
  17. 17.
    The American Board of Anesthesiology. Available at www.theaba.org/Training_Away_Checklist.pdf. Accessed 1 May 2013.
  18. 18.
    The Royal College of Anesthetists. Annex D: higher level training in anaesthetics. p. 48. Available at www.rcoa.ac.uk. Accessed 1 May 2013.
  19. 19.
    The Association of Anaesthetists of Great Britain and Ireland. Available at www.aagbi.org/international. Accessed 1 May 2013.
  20. 20.
    The Association of Anaesthetists of Great Britain and Ireland. Organising a year abroad. Available at www.aagbi.org/sites/default/files/organising_year_abroad09.pdf. Accessed 1 May 2013.
  21. 21.
    Anaesthesia in developing countries. Available at http://www.nda.ox.ac.uk/courses/anaesthesiaHealth-in-developing-countries. Accessed 27 April 2013.
  22. 22.
    The Real World Anesthesia Course. Available at http://asa.org.au/events/future_events/detail/index_html?content_id=162706. Accessed 27 April 2013.
  23. 23.
    The Global Health Outreach Course. Available at http://anesthesia.medicine.dal.ca/global-health-outreach-course.php. Accessed 27 April 2013.
  24. 24.
    Dubowitz G, Detlefs S, McQueen KA. Global anesthesia work force crisis: a preliminary survey revealing shortages contributing to undesirable outcomes and unsafe practices. World J Surg. 2010;34:438–44.PubMedCrossRefGoogle Scholar
  25. 25.
    Linden AF, Sekidde FS, Galukande M, et al. Challenges of surgery in developing countries: a survey of surgical and anesthesia capacity in Uganda’s public hospitals. World J Surg. 2012;36:1056–65.PubMedCrossRefGoogle Scholar
  26. 26.
    Enright AC. Review article: safety aspects of anesthesia in under-resourced locations. Can J Anaesth. 2013;60:152–8.PubMedCrossRefGoogle Scholar
  27. 27.
    Spiegel DA, Choo S, Cherian M, et al. Quantifying surgical and anesthetic availability at primary care facilities in Mongolia. World J Surg. 2011;35:272–9.PubMedCrossRefGoogle Scholar
  28. 28.
    Twagirumugabe T, Carli F. Rwandan anesthesia residency program: a model for north-south educational partnership. Int Anesthesiol Clin. 2010;48(2):71–8.PubMedCrossRefGoogle Scholar
  29. 29.
    Lipnick M, Mijumbi C, Dubowitz G, et al. Surgery and anesthesia capacity building in resource-poor settings: description of an ongoing academic partnership in Uganda. World J Surg. 2013;37:488–97.PubMedCrossRefGoogle Scholar
  30. 30.
    Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360:461–9.CrossRefGoogle Scholar
  31. 31.
    Dubowitz G, Evans FM. Developing a curriculum for anesthesia training in low- and middle-income countries. Best Pract Res Clin Anaesthesiol. 2012;26(1):17–21.PubMedCrossRefGoogle Scholar
  32. 32.
    World Federation of Societies of Anaesthesiologists. Education committee report 2008–2012. Available at www.anaesthesiologists.org/document-files/Education%202008-12.pdf. Accessed 10 May 2013.
  33. 33.
    DeCamp M, Rodriguez J, Hecht S, et al. An ethics curriculum for short-term global health trainees. Global Health. 2013,9:5. Available at http://www.globalizationandhealth.com/content/9/1/5. Accessed 10 May.
  34. 34.
    Crump JA, Sugarman J. and the Working Group on Ethics Guidelines for Global Health Training (WEIGHT). Global health training: ethics and best practice guidelines for training experiences in global health. Am J Trop Med Hyg. 2010;83:1178–82.PubMedCrossRefGoogle Scholar
  35. 35.
    Ethical challenges in global health training. Available at http://ethicsandglobalhealth.org. Accessed 11 May 2013.
  36. 36.
    The ethics of international engagement and service-learning. Available at http://ethicsofisl.ubc.ca/. Accessed 11 May 2013.

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.University of British ColumbiaRoyal Jubilee HospitalVictoriaCanada

Personalised recommendations