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Don’t miss the opportunity to attend Euroanaesthesia 2020 in Barcelona!

EA20 MYESAMeet with a community of international colleagues, experts in the field of anaesthesiology, and friends from around the world this 30 May – 1 June in Barcelona, Spain.

Euroanaesthesia is one of the world’s largest and most influential scientific congresses for anaesthesia professionals, with a focus on education, knowledge exchange, and innovation in Anaesthesia, Critical Care, Pain and Perioperative Medicine, as well as a platform for global visibility for scientific research.

This international event gathers more than 8.000 participants, including a faculty of more than 400 key opinion leaders from all over the world. The world’s leading experts share their insights, up-to-date knowledge and experience during state-of-the art lectures, interactive sessions, debates, and courses.

By bringing together practicing physicians, academics, scientists, and clinical researchers, Euroanaesthesia offers a unique global forum for a free exchange of science and medical strategy.

Euroanaesthesia is truly an outstanding international platform to enhance knowledge, review innovative techniques, learn on ESA guidelines, and communicate, collaborate and network with representatives of a large international audience.

If you have not registered yet, make sure to sign up before 17 March to get the Early Bird discount and save money on registration. Members of the ESA receive up to a €295 discount on the early bird price! Be sure to start or renew your 2020 ESA membership before you register.

Take your practice to the next level and work towards advancing the field of anaesthesiology, together! Don’t miss the opportunity to share knowledge and best practices, hear about the latest innovations in basic and clinical science, education and quality, and patient safety improvement.

We look forward to seeing you in Barcelona this 30 May – 1 June, 2020.

For more information, please visit our Euroanaesthesia website at euroanaesthesia2020.org/ or our ESA website at www.esahq.org

If you have any questions, please contact our Communication Manager, Jennifer Rose, at jennifer@esahq.org

Strengthening Anaesthesia Care in The Gambia

PHOTO 2020 01 22 11 57 57Access to safe, affordable anaesthesia and surgery should be a universal right, but in countries like The Gambia, there is a significant shortage of health personnel, which leads to a major obstacle in the provision of surgical and anaesthesia services. With less than one physician per 20,000 inhabitants, The Gambia falls well below the WHO African Region average of nearly five physicians per 20,000 inhabitants. Most notably, 80% of practicing physicians within the country are not Gambian nationals.

Anaesthesia in The Gambia, is primarily delivered by nurses and clinical officers, it is therefore important to ensure appropriate training is delivered in country. Recognising the need to build the capacity of health care providers within the country, WFSA in partnership with THET, visited The Gambia to support activities in November 2019.

Over the two day visit a taster Essential Pain Management (EPM) course was delivered to 39 nurse providers and 4 residents. EPM is a cost-effective, multi-disciplinary programme brings together local health workers to improve pain knowledge. Participants learn how to implement a simple framework for managing pain and address pain management barriers. The course has been designed for any health worker who comes into contact with patients who are experiencing pain.

Dr Omar Cham, Secretary General of Anesthetists’ Society of The Gambia (ASOGAM) said, “The training really lived up to its name, ESSENTIAL, because it covers an area that is somewhat a blind spot for anaesthetists in The Gambia. The blind-spot is created partly due to socio-cultural influences.”

Touching upon the cultural context surrounding pain Omar further added, “In certain cultures in The Gambia, people are expected to bear their pain, sometimes health workers also expect patients to live through some degree of pain. With this course, we are armed with the slogan pain is what the patient says, so we should try to control their pain and alleviate their suffering as much as possible.”

In conjunction with the EPM course, the WFSA also supported ASOGAM to hold their first inaugural congress. The aim of the congress was to provide ASOGAM members with up to date information on relevant scientific issues including anaesthetic management of eclampsia/pre-eclampsia and general anaesthesia for neurosurgery, as well as to discuss ways to increase and upskill the current anaesthesia workforce in The Gambia.

Dr. George Njie, President of ASOGAM said, “The timing couldn’t have been more perfect, due to our patients rising concern about pain management in hospitals. This training gives our members the knowledge to tackle these concerns head on and to at least ease the pain of our patients.”

In low-and middle income countries the rate of death and disability occurring from treatable surgical conditions remains unreasonably high with the delivery of timely and effective medical care hindered by the lack of infrastructure and a shortage of human and physical resources. We hope for the opportunity to conduct further training sessions in The Gambia and work alongside ASOGAM to improve anaesthesia care to patients.

Further resources 

Coronavirus - guidance for anaesthesia and perioperative care providers

ERAab4uXsAgghjjThe current outbreak of novel coronavirus (COVID-19) was first reported as a cluster of pneumonia cases on Dec 31, 2019 from Wuhan, Hubei province, China. The WHO declared COVID-19 as a public health emergency of international concern (PHEIC) on Jan 30, 2020. As of February 16, 2020, it has spread to at least 25 countries, with 70,548 cases and 1,775 deaths reported.

This novel coronavirus route of transmission and clinical presentation is similar to SARS, with flu-like symptoms (typically involving fever, cough, shortness of breath) and acute respiratory failure (commonly bilateral pneumonia, acute respiratory distress). However, patients may present with atypical symptoms.

While COVID-19 has been suggested to have a lower case fatality rate (2.5%) than SARS (9.6%), MERS (34.4%), or H1N1 (17.4%), the extent of spread means that the death toll is significant. Frontline healthcare works are at most risk of becoming infected, and are also at risk of spreading infection. The Chinese National Health Commission acknowledged on Feb 14, 2020 that the infected medical workers in care of patients accounted for 3.8% of the total number of COVID-19 cases in mainland China. 

Anaesthesiologists and other perioperative care providers are particularly at risk when providing respiratory care and tracheal intubation of patients with COVID-19. WFSA would like to draw anesthesia team attention to the importance of appropriate precautions when providing respiratory care and intubation for these patients. 

The following is intended as interim guidance for anaesthesia and perioperative care providers, largely derived from recommendations released by the Department of Anaesthesiology and Pain Medicine at the University of Toronto, and supported by a useful review published by Wax et al.  

More extensive guidelines will follow shortly.

Routine Care for Patients with Suspected or Confirmed COVID-19

At a minimum, use droplet and contact precautions for suspected or confirmed cases of the 2019-nCoV.

Some jurisdictions are recommending routine use of airborne, droplet and contact precautions (including an isolation room appropriate for airborne infection isolation) for suspected or confirmed cases of the 2019-nCoV. However, triage for airborne precautions and isolation rooms will necessarily be based on level of suspicion, and types of procedures provided, and available facilities.

All healthcare providers should be trained in infection control and prevention strategies, and in procedures for donning and doffing personal protective equipment (PPE). 

Healthcare facilities should provide healthcare workers with adequate PPE isolation facilities to meet the requirements for airborne, droplet and contact precautions.

Practice appropriate hand hygiene before and after all procedures.

Patient rooms with suspected or confirmed COVID-19 should be labelled with a sign, so that all healthcare workers and support staff are aware of the risk before entering the area.

High Risk Procedures – Intubation and other Aerosol-generating medical procedures (AGMP)*

  1. Protecting healthcare providers is the first priority, as you are the primary line of defense for this patient, and upcoming patients.
  2. Ensure adequate time for reviewing the intubation plan, and for donning PPE. Preferably prepare a checklist to guide the procedure.
  3. Enhanced PPE is required for AGMPs. A fit-tested N95 respirator (or powered air purifying respirator (PAPR) device, if one is adequately trained to use), face shield, gown, and double gloves (preferably long gloves).
  4. Minimize the number of staff in the room to the number required to provide safe intubation.
  5. Preferably, the most experienced anaesthesiologist should perform the intubation.
  6. Before the procedure begins, ensure all equipment is ready: standard monitoring equipment, i.v. access, drugs. Ensure ventilator and suction equipment is functional.
  7. Avoid awake fiberoptic intubation (due to risk of coughing and aerosols). Consider videolaryngoscopy to minimize close exposure between anaesthesiologist and patient respiratory aerosols.
  8. Plan for rapid sequence induction (RSI). RSI may need to be modified to ultra-rapid, if patient has very high alveolar-arterial gradient and is unable to tolerate a short period of apnoea, or has a contraindication to neuromuscular blockade.
  9. If manual ventilation is required, apply small tidal volumes only.
  10. Five minutes of preoxygenation with oxygen 100% and RSI in order to avoid manual ventilation and potential aerosolization of infectious respiratory droplets.
  11. Ensure high efficiency hydrophobic filter placed between facemask and breathing circuit or between facemask and Laerdal bag.
  12. Intubate and confirm correct position of tracheal tube.
  13. Institute mechanical ventilation and stabilize patient.
  14. The use of high-flow nasal oxygenation and mask CPAP or BiPAP should be avoided due to greater risk of aerosol generation.
  15. All airway equipment must be decontaminated and disinfected according to appropriate hospital and manufacturer policies.
  16. Ensure all dirty equipment is placed in a bin that is appropriately labelled for the support staff who collect and process the equipment.
  17. Remove outer gloves before touching any spaces that may be touched by others.
  18. Doff equipment within an area designated for doffing dirty PPE.
  19. After removing protective equipment, avoid touching hair or face before washing hands.
  20. Practice hand hygiene before and after all procedures.

*aerosol generating procedures include intubation, extubation, bronchoscopy, airway suction, high frequency oscillatory ventilation, tracheostomy, chest physiotherapy, nebulizer treatment. These procedures should be performed in the COVID-19 patient only when the benefits outweigh the risks, and when adequate PPE and staff preparation is available.

Additional guidance on Coronavirus and anaesthesia

Coronavirus - General Information 

Phillip Bridenbaugh Obituary

phillip BridenbaughThe WFSA is saddened to hear of the recent death of Phillip O Bridenbaugh on 21 December 2019 in Cincinnati, Ohio, USA. Phillip had been Professor and Chair in the Department of Anesthesiology of the University of Cincinnati Medical Center since 1977. Following training in Omaha, Nebraska, Seattle and Washington he had a long and distinguished academic career with a particular interest in Regional Anesthesia. He was President of the American Society of Anesthesiologists in 1977.

Phillip was a keen advocate for global anaesthesia  and was involved in the ASA’s Overseas Teaching Program during the 1990s and 2000s. He became a member of the WFSA Foundation Committee in 2000, becoming Chair in 2004 and serving for a further 8 years. This committee, initiated by Michael Rosen and Richard Walsh, was set up to obtain increased funding for WFSA activities. In this role he also served on the WFSA Executive Committee where his considerable political experience and knowledge were of great benefit to the working of the Federation. During this time he initiated a series of projects to encourage medical and non-medical people to support the work of the Federation. In 2011, Phillip was awarded the first ever Nicholas M Greene Outstanding Humanitarian Award by the ASA in recognition of his personal commitment to teaching and collaboration which was exemplified by his Chairing of the ASA Overseas Teaching Program Committee from 1999-2008. Phillip was always a calm and considered spokesperson for our profession and his disarming smile was a great breaker of any tension.

The WFSA mourn the loss of this considerable contributor and send our condolences to his wife and family. 


PRESS RELEASE: Smoking greatly increases risk of complications after surgery

Image to useTobacco smokers are at significantly higher risk than non-smokers for post-surgical complications including impaired heart and lung functions, infections and delayed or impaired wound healing.

But new evidence reveals that smokers who quit approximately 4 weeks or more before surgery have a lower risk of complications and better results 6 months afterwards. Patients who quit smoking tobacco are less likely to experience complications with anesthesia when compared to regular smokers.

A new joint study by the World Health Organsation (WHO), the World Federation of Societies of Anaesthesiologists (WFSA) and the University of Newcastle, Australia, shows that every tobacco-free week after 4 weeks improves health outcomes by 19%, due to improved blood flow throughout the body to essential organs.

"The report provides evidence that there are advantages to postponing minor or non-emergency surgery to give patients the opportunity to quit smoking, resulting in a better health outcome,” said Dr Vinayak Prasad, Head of Unit, No Tobacco, World Health Organization.

3 3The Nicotine and carbon monoxide, both present in cigarettes, can decrease oxygen levels and greatly increase risk of heart-related complications after surgery. Smoking tobacco also damages the lungs making it difficult for the proper amount of air to flow through, increasing the risk of post-surgical complications to the lungs. Smoking distorts a patient’s immune system and can delay healing, increasing the risk of infection at the wound site. Smoking just one cigarette decreases the body’s ability to deliver necessary nutrients for healing after surgery.

"Complications after surgery present a large burden for both the health care provider and the patient. Primary care physicians, surgeons, nurses and families are important in supporting a patient to quit smoking at every stage of care, especially before an operation.” Explained Dr Shams Syed, Coordinator, Quality of Care, WHO. WHO encourages countries to include cessation programmes and educational campaigns in their health systems to spread awareness and help people to quit smoking.

Further resources

Inaugural Primary Trauma Care course in Hyderabad

training provided hands on opportunities to practice skills
The course provided participants with hands on opportunities to practice their skills

Despite the advances in imaging and medical equipment in India, the country still experiences a 30-day trauma mortality rate twice that of patients in high income countries, with high mortality rates related to self-harm, falls and road injuries.

Recognising the need for more comprehensive trauma care in India, WFSA in partnership with Masimo successfully established and delivered the first Primary Trauma Care (PTC) course in Telangana, Hyderabad in November 2019 as part of the Safe Anaesthesia ASAP partnership.

The four day PTC course aims to build the capacity of healthcare professionals systematically while considering the clinical needs of severely injured patients. The course was held at Continental Hospital in Hyderabad, renowned for having some of India’s most advanced emergency medicine and trauma facilities and high-quality training programmes.

The workshop was delivered in a 2-1-2 format which involves a course for senior clinicians, followed by an instructor’s course and then a final course for medical students taught by the newly trained instructors. Through training local staff members, sound anaesthesia knowledge can be disseminated widely in India. In total 20 physicians, 20 medical students and 10 PTC Instructors were trained as part of the PTC course.

Dr Varun Sangle, a UK based A&E and ICU physician, who taught on the course, said, "The course provided an interesting perspective on health (trauma) care in austere settings which gave me an alternative point of view. It was both challenging and rewarding teaching candidates for whom English was not necessarily the first language".

As well as strengthening the knowledge of the participants, the course has also had a profound impact on those teaching it, as Dr Sangle said,“The course was a great experience and very well received. I found it enabled me to develop my own knowledge and teaching skills while delivering effective practical training to meet a clear need.”

The WFSA/Masimo partnership is building the capacity of anaesthesia providers in India by delivering a comprehensive training programme which along with the PTC training includes Safer Anaesthesia From Education (SAFE), Essential Pain Management (EPM) and Vital Anaesthesia Simulation Training (VAST) courses. In the past three years training has been provided to 443 anaesthesiologists, 137 instructors/trainers and 209 nurses and medical students in topics such as paediatric anaesthesia, obstetric anaesthesia and non-technical skills.

The sustainable design of the PTC training courses means that the instructors who were trained through the inaugural course will be able to run additional PTC courses throughout 2020 and beyond. The aim is for this first wave of PCT graduates to continue to provide high-quality anaesthesia courses throughout the country, further strengthening anaesthesia capacity across the country.

Further resources

How useful is Anaesthesia Tutorial of the Week (ATOTW)?

ATOTW evaluationWith 17,628 subscribers and over 16,000 people accessing it online every week, the WFSA Anaesthesia Tutorial of the Week (ATOTW) has become a mainstay of continued medical education for anaesthesia providers the world over.

To ensure that ATOTW continues to provide quality educational resources WFSA conducted a user survey over 16 months to better understand how, why, where and when people accessed it.

ATOTW was established in 2005 as an open access educational resource to support anaesthesia training globally, especially in areas where access to journal and learning material is limited. To date the online resource has published over 400 articles across ten anaesthesia specialties.

Published on a bi-weekly basis, ATOTW tutorials are peer-reviewed, based on the most current literature and are translated into French, Spanish, Portuguese and Chinese. Since 2017, readers can also test their knowledge through CME quizzes.

The ATOTW survey report findings are based on 765 responses, drawn from 98 countries, to an online survey conducted between September 2017 and January 2019.

Topics covered by the report include:

  • When, where and how readers access ATOTW
  • The relevance of ATOTW to clinical practice 
  • How readers use ATOTW
  • How people access CME/CPD 
  • Recommendations on how to improve ATOTW

Utilisation of ATOTW 

ATOTW graphic 1

The findings show that ATOTW is highly valued by its readers who access it on a regular basis. It is viewed as a practical, relevant and quality education resource which has wide applications in both clinical and teaching settings.

ATOTW graphic 2

In addition, 30% of users stated they had found out about the resources through personal references suggesting those who access ATOTW value it as a beneficial learning resource they actively share with others.

ATOTW graphic 3 

What did users like about ATOTW and what could be improved?

When questioned about what they liked the most about ATOTW, the most common responses were the quality of the content, concise and easy to read articles and the ability to test knowledge and gain CME points.

The report outlines that gaining CME points through ATOTW is particularly important to anaesthesia providers in areas where it is difficult to access CME points or where there is no accreditation body.

Users were also asked to evaluate ATOTW and recommend areas for improvement. Further to receiving their feedback, the ATOTW platform is currently in the process of being re-designed to improve issues with accessibility and difficulties using the ATOTW database. A low bandwidth mobile-friendly design will enable users to access the tutorials easily and an improved search function will enable readers to find the subject areas that interest them. Effort is also being made to commission more authors from low resources settings and increase the number of translations.

The results of this survey highlight that our readers value ATOTW as a high-quality, relevant and practical education resource that is accessed by them on regular basis in both clinical and teaching settings. We thank everyone who has contributed to making ATOTW such a valuable resource.

If you have a colleague who doesn’t yet subscribe to ATOTW please invite them – (we now know over a 1/3 of our users found ATOTW through a friend).

Further information

Applications re-opened: The 2020 WFSA/ IARS Clinical Research Fellowship in ‘Global Surgery and Anaesthesia in Africa’

The WFSA Education Committee, WFSA Scientific Affairs Committee, the International Anesthesia Research Society and the Department of Anaesthesia and Perioperative Medicine of the University of Cape Town are partnering to provide one Clinical Research Fellowship of a seven month duration in South Africa with support from the University of Western Ontario. 

This opportunity is open to anaesthesiologists from African countries and the position available will be hosted at The Department of Anaesthesia and Perioperative Medicine, Groote Schuur Hospital and the University of Cape Town. 

The Department of Anaesthesia and Perioperative Medicine, Groote Schuur Hospital and the University of Cape Town are tertiary institutions providing anaesthesia and critical care specialist training, and tertiary and quaternary healthcare provision. These Departments have strong clinical research programmes. 

The aim of the fellowship programme is to develop the skills necessary to lead collaborative clinical research in Africa. The objective is that once the fellowship is complete, the fellow will return home with the necessary skills to establish and maintain collaborative research projects in their home country. The anticipated start date of the fellowship is July 6, 2020.  

Fellowship Details

The fellowship will include the following:

Clinical Research Training

1. Clinical research education:

WFSA teaching modules and selected IARS education modules
Remote training from the University of Western Ontario 
Small group research teaching at the University of Cape Town

2. Good clinical practice (GCP)

3. Project officer: The fellow will be a project officer for either one of the African or South African collaborative research projects. This would entail writing standard operating procedures (SOPs), site education and initiation, regulatory procedures (ethics applications etc.), data management and site visits.

4. Clinical investigator: The fellow will be a clinical investigator in some of the collaborative research projects running in the host department.

5. Diploma in Global Surgery: The fellow will complete the Diploma in Global Surgery at the University of Cape Town. 

6. Clinical research publication: There will be opportunities for development and mentorship of the applicant’s own research project. The goal is for the fellow to present his/her work in a major anaesthesiology meeting and to publish at least one original paper in an indexed journal.

7. Potential to contribute to a research or policy initiative with the WHO EESC and one or more of its Collaborating Centres.

Clinical Anaesthesia training

1. The fellow will be able to participate in the clinical anaesthesia educational activities of the Department.

2. The fellow may provide adult anaesthesia at Groote Schuur Hospital and its satellite hospitals (UCT), and Inkosi Albert Luthuli Central Hospital and its satellite hospitals (UKZN), provided the fellow has obtained the necessary regulatory approval from the Health Professions Council of South Africa (HPCSA).

3. The fellow will provide clinical care and research investigator activities in the preoperative anaesthesia clinic, which has a focus on perioperative medicine for low and middle-income countries.

Criteria for applicants

To apply, applicants must fulfil ALL following criteria: 

Must be a national of an African country and currently working as a physician anaesthesiologist in that country
Must be recognised as a physician anaesthesiologist in their home country
Must be returning to their home country to a recognized post after the Fellowship

The applicant should preferably be:

Working in a teaching hospital
Less than 40 years old

A successful applicant would also then need:

UCT/ UKZN visiting international student registration
Health Professions Council of South Africa (HPCSA) registration in order to undertake clinical duties
Malpractice insurance 
Travel and medical insurance

How to apply

Please complete the online application form here and provide all required supporting documents. The deadline for applications is the 9th February 2020. 

• Curriculum vitae with one recent photo and the names of two referees
• Letter of recommendation from your national anaesthesiology society
• Letter of recommendation from the Head of Department at your current workplace (hospital/institution)
• Scanned copy of your medical degree
• Scanned copy of your specialist qualification
• Scanned copy of passport

A selection panel comprising of members of the WFSA Education Committee, WFSA Scientific Affairs Committee and the Department of Anaesthesia and Perioperative Medicine, University of Cape Town will assess all applications. Shortlisted applicants may be required to participate in a video interview. The deadline for applications is the 9th February 2020 and successful applicants will be notified before the end of February 2020.

The SAM - Winner of the 2019 WFSA-Fresenius-Kabi Anaesthesia Innovation Award

SAM pictureThe Screenless Anaesthesia Monitor (SAM) developed by Dr Paul Barton has been awarded the 2019 WFSA-Fresenius Kabi Anaesthesia Innovation Award. This award identifies and supports the development of innovations that have the potential to transform the field of anaesthesia and improve patient safety worldwide.

The SAM is a light-weight battery powered hospital-grade device and app that enables anaesthesia providers to monitor patient vital signs through their smart phones or devices.

Necessity is the mother of invention

The drive to develop the SAM was provided by Dr Barton's experience working as an anaesthesiologist in Ecuador, 'Commonly, patient monitoring equipment was either inconsistent, outdated or unusable, often unsuited to the inhospitable climates that they were used in. My non-clinical time was monopolized by a maddening process of trying to find replacements or repair lack-luster monitors throughout the hospital.'

Together with development partner Inform, Dr Barton set about developing a patient monitoring system that aimed to be affordable, portable, robust, and “ownable” for practitioners working in low-income settings.

The SAM gathers patient data including, non-invasive blood pressure, 3 & 5 lead EKG, pulse oximetry, pulse rate, expired CO2 and respiratory rate. This data is transmitted to the smart device via wireless or wired connectivity and displayed through the SAM app, enabling anaesthesiologists to see graphical and numerical representations of patient vital signs during surgical procedures. Cellular connectivity allows cloud computing, facilitating "big-data" capture, telemedicine functionality and remote sensor calibration.

Saving lives in operating theatres worldwide

Once launched, Paul hopes SAM will be useful for all healthcare providers specifically those working in challenging clinical environments such as first responders and disaster response providers, combat and refugee medical response, and field hospitals and clinics.

'Our primary vision is to save lives in operating theatres worldwide. To this end, we are building a sustainable business around SAM to continue to develop and refine the product, then market, produce, distribute and sell SAM at the lowest reasonable cost to end users. '

He continued, 'This award will provide us much needed funds for critical product development, specifically in the areas of optimizing sensor accuracy, refinement of the app and its user interface, and shrinking the device footprint.'

As award winners, Paul and his team will receive a grant of $25,000 to develop, test and refine the SAM prototype.  Additionally, they will be offered the opportunity to make a short promotional film and present their work at the 2020 World Congress of Anaesthesiologists in Prague.

Further Resources

The Screenless Anaesthesia Monitor
The WFSA Fresenius Kabi Anaesthesia Innovation Awards
2018: RevoCap: A revolution in Global Capnography by Maziar Mohsen Nourian and Michael Lipnick

Bursaries for online CME study platform

Crammer logo
Apply to use the Bristol Crammer

Granting access to quality assessed videos and lectures online is an important part of developing the capacity of anaesthesia providers around the world. To meet this need WFSA have teamed up with the online platform Bristol Final FRCA Crammer, to provide bursaries to anaesthesia providers from low and middle-income countries so that they can access a wealth of online educational tools and resources. The material is based on the Royal College of Anaesthetists FRCA curriculum and features over 30 hours of quality assessed video and lectures.

Dr. Alistair Johnstone, Consultant Anaesthetist at University Hospitals Bristol and course Director of the Bristol Crammer, outlined how he hopes it will help disseminate sound knowledge about anaesthesia. “Bristol Crammer was established to help pre-prep trainees for the written part of the FRCA exam. The information may seem specific to high income countries however a lot of the information is centered on patient care and safety which is applicable across the board regardless of context.

The aspiration to provide safe anaesthesia care is a shared belief across the world and I hope through accessing this resource anaesthesia providers in low and middle-income countries (LMIC) will have access to high quality, free anaesthesia education that could be used to help develop anaesthesia practice in their countries. We were interested in partnering with WFSA because we wanted to provide access to LMICs and ensure anaesthesia providers everywhere have the same access to quality materials that our trainers here in the UK do.”

The Bristol Crammer can be used for teaching, training, self-learning and revision. Each video lasts around 60 minutes and covers key areas of UK anaesthesia practice delivered by both regional and national experts. A PDF of the video and the slides used during the talk are also available to be downloaded.

By partnering with Bristol Crammer WFSA aim to help build the capacity of anaesthesia providers in low and middle income countries by providing them with access to a platform that will develop their skills. Anaesthesia providers from a low or middle-income country (as defined by the World Bank) can apply for access through the WFSA Bristol Crammer page.

Further resources

WFSA Virtual Library 

Anaesthesia Tutorial of the Week 

Applications open: 2020 WFSA Scholarships to the World Congress of Anaesthesiologists (WCA) in Prague, Czech Republic

WCA baner 300x250

The WFSA is excited to announce the opportunity for young anaesthesiologists from low and middle income countries to attend the World Congress of Anaesthesiologists from the 5th-9th September in Prague, Czech Republic.

The WFSA Scholarship programme has been developed to identify and develop future leaders in Anaesthesiology. Scholars will acquire new knowledge and gain many contacts and friends during the WCA.

The World Congress of Anaesthesiologists takes place every four years and is keenly anticipated as it travels the globe as a wonderful occasion to bring together international practitioners of the specialty. WCA 2020 will have 24 different scientific tracks organised by leaders in each field which can be viewed in more detail on the WCA website. Please click here to access the full programme. The aim of the congress is to provide world-class, global, scientific content that is clinically relevant with a strong practical emphasis.

logos crop ARS AARS

This is a global call for applications from all regions. The WFSA thanks the Asian Australasian Regional Section (AARS) for their donation that will support 10 WFSA-AARS scholarships from the Asian Australasian region and the Africa Regional Section (ARS) for their support for at least 3 WFSA-ARS scholarships. Additional scholarships will be added by the WFSA and other sponsors in the coming months.

Applicant criteria

Applicants must be fully qualified anaesthesiologists and a member of their national anaesthesiology society

Preference will be given to applications which meet the following criteria:

• Under 40 years old and completed specialist anaesthesiology training within the last 10 years
• From a low or middle income country
• Presenting a paper or poster during the conference
• Working in a teaching hospital

 Scholarship Details

The scholarship will cover:

• Return airfares
• Visa costs
• Transit accommodation (if required)
• Accommodation in Prague for the duration of the congress
• Congress registration
• Per diem to contribute towards local costs (e.g. subsistence)

Please note:

All airfares and transit accommodation (if required) will be booked by WFSA. Overland travel costs will be considered if cheaper or more convenient than airfares.

The scholar is responsible for organising their own visa which can be reimbursed by the WFSA upon completion of an expense claim form with a valid receipt

The successful applicant is responsible for organising and paying for:

• Travel to and from airports
• Appropriate travel and health insurance
• All other costs, including income taxes or other fees

The scholar is required to submit a report, no later than one month after the conference. The WFSA will send scholars a reporting template to complete this task

Application process

All applications must be submitted via the WFSA online application system by the 23rd February 2020.

Click here to create an account on the online system and submit your application.

Applicants must provide the following documents with their application:

• Curriculum vitae with one recent photo
• Letter of recommendation from the applicant's national anaesthesiology society
• Letter of recommendation from the applicant's head of department or hospital management
• Copy of medical degree
• Copy of photograph page of passport
• Copy of specialist anaesthetic qualification
• Copy of current medical registration

Applications will be considered by a panel of anaesthesiologists selected by the WFSA, AARS and ARS. Successful applicants will be informed by late-March.

Successful applicants must confirm their intention to take up the scholarship within 2 days of notification. Failure to do so will result in the scholarship being offered to the next candidate.


If you are interested in sponsoring the scholarship programme for the WCA, please contact WFSA Partnerships Manager, Matthew Rothero at partnerships@wfsahq.org who will be happy to provide further information. 

Additional scholars to the WCA

The WFSA would also like to thank our partners, Christchurch Private Practice Group, Australian and New Zealand College of Anaesthetists (ANZCA), New Zealand Society of Anaesthetists (NZSA), Australian Society of Anaesthetists (ASA) and the John James Foundation, for their generosity and support in bringing additional scholars to the WCA.


AUS NZ Logos 

Fund A Fellow

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Help us to transform anaesthesia care in lower income countries

All donations made to Fund a Fellow will go directly towards enabling young leaders in anaesthesia to access these amazing training opportunities and improve outcomes for thousands of patients around the world.