Abstract
In 1985 a diploma program in anaesthesia was established in Kathmandu, Nepal, as a joint venture between the Institute of Medicine in Kathmandu and the University of Calgary. Development of the program and of the specialty in the capital city of Kathmandu was continuously documented during the next five years by local and visiting faculty. In 1990 teams of two Nepali and one Canadian anaesthetist also conducted a survey of each of the seven 50–100 bed zonal hospitals which did not previously have a trained anaesthetist and which are now staffed by graduates of the diploma program. In 1985 Nepal, with a population of 16 million, had seven trained Nepali anaesthetists all of whom worked in two hospitals in Kathmandu. By the end of 1989, 19 physicians had graduated. Seven of these continue to work in Kathmandu hospitals. nine work in zonal hospitals throughout the country and two are taking higher anaesthesia training in the United Kingdom. Additional Nepali anaesthetists have returned from training abroad, and the Society of Anaesthesiologists of Nepal, which joined the World Federation of Societies of Anaesthesiologists in 1988, now has 34 members. An annual anaesthesiology symposium is held, and weekly clinical meetings are organized in the major hospitals in Kathmandu. Anaesthetists who work in the zonal hospitals have limited supplies of drugs and equipment and opportunities for continuing medical education are virtually nonexistent. Despite these problems, the establishment of an ongoing anaesthesia training program based in Nepal has had a dramatic impact on the number of trained anaesthestists in the country, and has improved the morale of the anaesthetists and the image of the specialty of anaesthesia in that country.
Résumé
En 1985 un programme pour l’obtention d’un diplôme en anesthésie a été établi à Kathmandu (Nepal) en collaboration avec l’Institut de Médecine de Kathmandu et l’Université de Calgary. La suivie du programme et de la spécialité dans la capitale de Kathmandu a été continuellement documenté pendant les cinq années par des professeurs visiteurs et locaux. En 1990, un groupe de deux anesthésistes Nepalais et un anesthésiste canadien ont fait une étude de chacun des sept hôpitaux régionaux de 50–100 lits qui n’avaient pas au préalable des anesthésistes entrainés et qui ont actuellement un anesthésiste gradué du programme établit. En 1985, le Nepal avec une population de 16 millions avait sept anesthésistes Nepalais qui travaillaient tous dans deux hôpitaux à Kathmandu. A la fin de l’année 1989, 19 médecins furent gradués, sept de ceux-là ont continué à travailler dans les hôpitaux de Kathmandu, neuf travaillent dans les hôpitaux régionaux à travers le pays et deux sont en train d’acquérir un entrainement plus poussé en anesthésie en Angleterre. D’autres anesthésistes Nepalais sont retournés faire un stage à l’extérieur et la Société des Anesthésistes du Nepal qui s’est joint à la Fédération Mondiale des Sociétés des Anesthésiologistes en 1988, compte actuellement 34 membres. Un symposium en anesthésie annuel est tenu et des réunions cliniques hebdomadaires sont organisées dans les grand hôpitaux de Kathmandu. Les anesthésistes qui œuvrent dans les hôpitaux régionaux ont des ressources limitées de médicaments et déquipements et les opportunités pour une éducation médicale continu sont virtuellement non existante. Malgré ces problèmes, l’établissement d’un programme d’entrainement en anesthésie basé au Nepal a eu des effets dramatiques sur le nombre d’anesthésistes entrainés dans le pays et a amélioré le moral des anesthésistes et l’image de la spécialité anesthésique dans ce pays.
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References
Maltby JR, Rana NB, Amatya R, Shrestha BM. Anaesthesia training in Nepal. Can J Anaesth 1987; 34: 51–5.
Regulations Relating to the Examinations for the Diploma of Fellow in the Faculty of Anesthetists (FFARCS Eng.). Faculty of Anaesthetists Royal College of Surgeons of England 1984.
Weiner SJ. “Source Force” and the Nepal medical profession. Soc Sc Med 1989; 29: 669–75.
Epstein HG, Mcintosh RR. An anaesthetic inhaler with automatic thermocompensation. Anaesthesia 1956; 11: 83–8.
Houghton IT. The Triservice anaesthetic apparatus. Anaesthesia 1981; 36: 1904–8.
Farman JV. Economical anaesthesia overseas: airentrainment device in conjunction with draw-over vaporisers in children. Br Med J 1965; 2: 1428.
Greene NM. An ASA overseas teaching program. Anaesthesiology 1990; 72:1–2.
Shrestha PN. Health manpower in Nepal. Basle, Switzerland: Ciba Geigy Ltd. 1984: 34.
Donald S. Use of Haloxair apparatus with an oxygen concentrator. Can J Anaesth 1987; 34: 537–8.
Swar BB. Oxygen concentrators. Can J Anaesth 1987; 34: 538.
Tweed WA, Amatya R, Spoerel WE. Re-evaluation of the Farman entrainer in a low pressure system for field anaesthesia. Can J Anaesth 1990; 37: 924–7.
Tweed WA, Amatya R, Spoerel JWE. A low pressure portable anaesthesia system for field use: clinical trials. Can J Anaesth 1990; 37: 928–31.
King M (Ed.). Primary Anaesthesia. Oxford: Oxford University Press 1986.
Dobson MB. Anaesthesia at the district hospital. World Health Organization 1988.
Forrest JB, Cahalan MK, Rehder K et al. Multicenter study of general anesthesia. II. Results. Anesthesiology 1990; 27: 262–8.
Slogoff S, Keats AS. Randomized trial of primary anesthetic agents on outcome of coronary artery bypass operations. Anesthesiology 1989; 70: 179–88.
Tuman KJ, McCarthy RJ.Spiess BD et al. Does the choice of anesthetic agent affect outcome after coronary artery surgery? Anesthesiology 1989; 70: 189–98.
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Maltby, J.R., Amatya, R., Rana, N.B. et al. Anaesthesia training and development in Nepal 1985–1990. Can J Anaesth 38, 105–110 (1991). https://doi.org/10.1007/BF03009172
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DOI: https://doi.org/10.1007/BF03009172