Global Health Resources for Anesthesia Providers

Global Health Resources for Anesthesia Providers
Lena E. Dohlman, MD MPH - 11/2013

Global Health Overview:

  • Frenk J, Gomez-Dantes O, Moon S. From sovereignty to solidarity: a renewed concept of global health for an era of complex interdependence. The Lancet 2014; 383: 94-97.
  • Frenk J, Moon S. Governance challenges in Global Health. NEJM 2013; 368: 936-42.
  • Jamison DT, Summers LH, Alleyne G, Arrow KJ, et al. Global health 2035: a world converging within a generation. The Lancet 2013; 382: 1898-1955.

Global Burden of Disease:

  • Weiser TG, Regenbogen SE, Thompson KD, Haynes AB, Lipsitz SR, Berry WR et al. An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet 2008; 372: 139–144.
  • Murray CJL, Vos T, Naghari M, Flaxman AD, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010.The Lancet 2012; 380: 2197-2223.
  • WHO. Publications, World Health Reports, World Health Statistics. http://www.who.int/publications/en/

State of Anesthesia and Surgical Services in Developing Countries:

  • Bainbridge D, et al. Perioperative and anaesthetic related mortality in developed and developing countries: a systematic review and meta-analysis. Lancet 2012; 380: 1075-81
  • Enright A. Review article: Safety aspects of anesthesia in under-resourced locations. Can J Anesth 2012; 60:152-158.
  • Funk LM, Weiser TG, Berry WR, et al. Global operating theatre distribution and pulse oximetry supply: An estimation from reported data. Lancet  2010; 376:1055-1061.
  • Hodges S, Mijumbi C, Okello M, McCormick A, et al. Anaesthesia services in developing countries: defining the problems. Anaesthesia 2007; 62: 4-11.
  • Lavy C, Sauven K, Mkandawire N, et al. State of surgery in tropical Africa: A review. World J Surg 2011; 35: 262-271.
  • Petroze RT , Nazyisenga A, Rusanganwa V, Ntakiyiruta G, and Calland JF. Comprehensive national analysis of emergency and essential surgical capacity in Rwanda. British Journal of Surgery 2012; 99: 436–443.
  • WHO Global Health Workforce Statistics. http://who.int/hrh/statistics/hwfstats/en/

Education:

  • Bartholomeusz, Lucile.  Safe Anaesthesia: A Training Manual Where Facilities Are Limited, 3rd edition (2006).
  • Durieux ME. But what if there are no teachers…? Anesthesiology 2014; 120:15-17.
  • Dyer RA, Reed AR, James MF.  Obstetric anesthesia in low-resource settings. Best Pract Res Clin Obstet Gynaecol. 2010 Jun;24(3):401-12. doi: 10.1016/j.bpobgyn.2009.11.005. Epub 2009 Dec 16.
  • Evert J, Stewart C, Chan K, Rosenberg M, et al. Developing Residency Training in Global Health: A Guidebook. San Francisco, CA: Global Health Education Consortium, 2008.
  • Frenk J, Chen L, Bhutta ZA, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet  2010; 376: 1923-1958.
  • Nelson BD, Kasper J, Hibberd PL, et al. Developing a Career in Global Health: Considerations for Physicians-in-Training and Academic Mentors. J Grad Med Educ. 2012; 301-306.
  • Mullan F, Seble F, Omaswa F, et al. Medical schools in sub-Saharan Africa. Lancet 2011; 377:1113-1121. 
  • Website providing low cost textbooks useful for teaching anesthesia in developing countries.  Teaching Aids at Low Cost (TALC). https://healthbooksinternational.org/

Equipment:

  • Gatrad AR, Gatrad S, Gatrad A. Equipment donation to developing countries. Anaesthesia 2007; 62: 90-95.
  • McCormick BA, Eltringham RJ. Anaesthesia equipment for resource-poor environments.  Anaesthesia 2007; 62: 54-60.

Cultural Differences and Communication:

  • Beyond Culture Shock. New York, NY: Routledge, 2013.
  • Gannon, M. J., and R. K. Pillai. Understanding Global Cultures: Metaphorical Journeys Through 31 Nations, Clusters of Nations, Continents, and Diversity. 5thed. Thousand Oaks, CA: Sage, 2012. 
  • Lowman, R. L. Internationalizing multiculturalism: Expanding Professional Competencies in a Globalized World. 1st ed. London, England: American Psychological Association, 2013.
  • Lustig, M. W., and J. Koester. Intercultural Competence: Interpersonal Communication across Cultures. 7th ed. Upper Saddle River, NJ: Pearson Prentice Hall, 2012. Ward, C.

Diplomacy:

  • The Henry J Kaiser Foundation. Raising the profile of diplomacy in the U.S. global health response: A backgrounder on global health diplomacy, Aug 2012. http://kff.org/global-health-policy/issue-brief/raisin  
  • Kerry VB, Auld S, Farmer P. An international service corps for health- An unconventional prescription for diplomacy

Personal Health and Safety:

  • Mohan S., Sarfaty S, Hamer D. Human Immunodeficiency Virus postexposure prophylaxis for medical trainees on international rotations. J of Travel Med 2010; 17:264-268.
  • Panosian C. Courting danger while doing good – Protecting global health workers from harm. N Engl J Med 2010; 363;26: 2484-2485.
  • Online courses on personal safety overseas from the United Nations Department of Safety and Security with certificate offered after completion. https://training.dss.un.org
  • The Emergency System for Advance Registration of Volunteer Health Professionals is a federal program created to support states and territories in establishing standardized volunteer registration programs for disasters and public health and medical emergencies.  https://www.phe.gov/preparedness/pages/default.aspx

Ethics:

  • http://ethicsandglobalhealth.org
  • What Makes Global Health Different? Anji Wall
  • Crump JA, Sugarman J, and the Working Group on Ethics Guidelines for Global Health Training (WEIGHT). Ethics and best practice guidelines for training experiences in global health. Am J Trop Med Hyg 2010; 83: 1178-1182.
  • Crump JA, Sugarman J. Ethical considerations for short-term experiences by trainees in global health. JAMA 2008; 300: 1456-1458.

Research:

Opportunities (General):

  • Society for Pediatric Anesthesia: volunteer medical service abroad database. http://www.pedsanesthesia.org/
  • American College of Surgeons – Operation Giving Back resources for the surgical team.  http://www.operationgivingback.facs.org/
  • World Federation of Societies of Anaesthesiologists (WFSA) is a global alliance of anaesthesia societies working to promote the highest standards of patient care. As members of the ASA we are also members of the WFSA. The WFSA runs several global courses for which you can volunteer, including the WFSA Teacher Training Courses, Lifebox training (pulse oximetry), and others. http://www.wfsahq.org/
  • Human Resources for Health Program, Republic of Rwanda. The HRH Program is a partnership between the governments of Rwanda and the United States designed to build the healthcare education infrastructure and workforce necessary to create a high quality, sustainable healthcare system in Rwanda. http://hrhconsortium.moh.gov.rw
  • Health Volunteers Overseas (HVO) is a network of health care professionals, organizations, corporations and donors united in a common commitment to improving global health through education.  http://www.hvousa.org
  • (Residents or Fellows):
    SEA-HVO Traveling Fellowship is a nationally competitive scholarship for senior anesthesia residents (not fellows) to spend a month teaching in a developing country. It is a program offered jointly by the Society for Education in Anesthesia (SEA) and Health Volunteers Overseas (HVO). Applications and instructions can be found at www.hvousa.org or www.seahq.org by December 1st each year. Residents must apply in their 2nd year for a rotation in their 3rd year.

Courses:

  • TravelSafe Program: Introduction to International Personal Health, Safety and Security offered twice monthly at MGH and BWH by Partners International Risk Management. See www.partners.org/travelsafe for latest schedule and Ryan Wildes to RSVP at [email protected].
  • The Anesthesia for Global Outreach course is an annual training program that prepares anesthesiologists from Canada and the U.S. for global missions. It is a four-day course that focuses on novel techniques and equipment for delivering anesthesia care in under serviced environments and is usually held in late spring. The course is organized by the Dalhousie Department of Anesthesia, Pain Management and Perioperative Medicine in Canada.
  • The “Building a Better Response: Strengthening Non-Governmental Organization (NGO) Capacity and Engagement in the International Humanitarian Architecture”course (in progress) aims to build the capacity of national and international NGO workers to engage with the humanitarian system in a manner that improves overall coordination and response to the needs of crisis-affected populations. It is being developed by the International Medical Corps, in collaboration with Concern Worldwide and the Harvard Humanitarian Initiative The program offers workshops, consultations and e-learning. The e-learning component will be accessible online at http://buildingabetterresponse.org and is free of charge. Users who complete the course will be granted a certificate of completion from the Humanitarian Academy at Harvard and the BBR project. For more information about the BBR project see www.internationalmedicalcorps.org/bbr
  •  The Lavine Family Humanitarian Studies Initiative is a Harvard Academy continuing education program that offers workshops and training for humanitarian professionals including residents and mid-career professionals. It offers a simulation-based courses, continuing education workshops and curriculum development.

Other Resources:

  • Briggs SM, Cronin M, The ABCs of Disaster Medical Response- manual for providers. International Trauma and Disaster Institute 2006.
  • The Global Health Delivery Online Platform is a virtual professional community discussion forum for members to share practical information and discuss issues related to global health. Subsets of private communities which might be of special interest to anesthesiologists include Global Surgery and Anesthesia,  Endemic Non-Communicable Diseases, and Health IT.  http://www.ghdonline.org
  • The Global Partners in Anesthesia and Surgery resource page. http://www.globalpas.org/resources/