WCA2020
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Palestine Anaesthesia Teaching Mission

Palestine 1With less than two doctors per 1000 people, access to safe anaesthesia and surgery services in Palestine is extremely limited. This access is made all the more difficult by the severe restrictions on travel that reduce the mobility of medical providers and patients alike.

One solution this to crisis of health care provision is through localised, in-country training programmes that build the skills and numbers of anaesthesia providers. In response to these unique challenges, the Palestine Anaesthesia Teaching Mission (PATM) was established in 2009 by the Canadian Anaesthesiologists’ Society International Education Fund and WFSA, to provide in-country educational training to facilitate the professional development of anaesthesia providers in Palestine.

Through this programme, expert volunteers are recruited from anaesthesia departments in higher-income countries to spend up to one month at a time teaching trainees in the classroom and the operating room.

Teaching programmes have been implemented in four hospitals across the West Bank to provide in-country anaesthesia training. To date, a total of 12 anaesthesiologists from six different countries have volunteered in East Jerusalem and the West Bank.

Dr Moiz Alibhai, who volunteered for the programme in 2017 said, “I found my month as part of the PATM to be rewarding…our colleagues [in Palestine] have a more intense workload than we have in the UK, with a much higher emergency and trauma caseload.”

“They have very few opportunities to attend regional meetings and courses, thus I promoted WFSA’s website and it’s free to access learning resources and virtual library to all our Palestinian colleagues.”

Since 2014, the programme has partnered with the International Medical Education Trust, to provide funding and logistical support for our volunteers in the West Bank. In the future, WFSA hopes to establish a formal anaesthesia training programme in Palestine run by Palestinian anaesthesiologists in addition to running short Safer Anaesthesia From Education (SAFE) and Essential Pain Management (EPM) courses.

With over 5 billion people around the world without access to safe anaesthesia care, WFSA hopes to continue developing the capacity of anaesthesia providers everywhere to provide access to safer anaesthesia for all.

Further Resources

Palestine Anaesthesia Teaching Mission 

WFSA Fellowship Programme 

Distinguished Service Awards 2020


Service Awards Logo SmallWFSA is pleased to announce that nominations for the Distinguished Service Awards 2020 are now open. 

Criteria for nominations

Candidates for the Distinguished Service Awards should be nominated based on the following criteria:  

  1. Individuals who have made a special contribution to the Art or Science of Anaesthesiology or;
  2. Individuals who have helped promote or establish Anaesthesia initiatives anywhere in the world, or;
  3. Individuals who have provided distinguished service to the WFSA based on the following:
    • an individual who has served at least 8 years as a WFSA Officer
    • a Council or Committee member who has provided exceptional service in this or another capacity to the WFSA and the international anaesthesia community.   

Service in any of the stated capacities, such as serving as a President of the WFSA does not automatically constitute the requirement of qualifying for this award

Nomination and selection process 

All nominations must be made online through the WFSA Distinguished Service Award portal by the 26th of January 2020. The nomination application should be accompanied by the following supporting documents:

  • The completed application form
  • Letters of Support (at least 3 of which 1 must be from the nominee’s Member Society)
  • CV of the nominee

Nominations will be accepted from:  

  • Presidents of WFSA Regional Sections 
  • WFSA Council members 
  • WFSA Member Societies

Self-nominations will not be considered

Selection

An ad hoc, WFSA Awards Committee, will be convened constituting minimum 4 members of the WFSA council from minimum 4 different regions and chaired by the Secretary of WFSA. All complete nominations submitted by the proposed due date will be reviewed; any information submitted after the due date will not be reviewed.

The WFSA Awards Committee will review all nominations and present the selected WFSA Distinguished Service Award Recipients for ratification by the Council. A maximum of 4 awards will be made.

Timeline

  • 28th November 2019 - Announcement of Awards
  • 26th January 2020 – Deadline for nominations
  • 16th February 2020 – Selection Committee decision deadline
  • 29th February 2020 – Council ratification deadline
  • 2nd March 2020 – Latest that Awardees are informed

Award of WFSA Distinguished Service Award

The chosen recipients will be notified by the President and the Award conferred at the next WFSA World Congress (Prague - 5th September 2020). Conferral will usually be at the Opening Ceremony of the World Congress.

Awardees will also receive free economy travel, accommodation and registration at the WCA.

Award recipients' photos and bios will be posted on the WFSA website. 

 

WFSA Paediatric Fellow - Dr. Joaquin Matos

74643663 2857731184237190 5328878117282906112 oFrom June 2019 to September 2019, Dr Matos from the Dominican Republic undertook the WFSA Paediatric Fellowship at Federico Gomez Children’s Hospital in Mexico. After completing his fellowship, we caught up with Dr Matos regarding his time during his fellowship.

What did you enjoy most about your fellowship?

During my fellowship, I was able to perform a range of paediatric and sub-speciality cases from ophthalmology and otolaryngology to bone marrow aspirates and biopsies. Throughout the duration of my fellowship, I had the opportunity to perform 213 cases, from which I learnt skills such as paediatric fluid management and invasive monitoring for complex cases.

I also garnered a lot of knowledge through the sessions and classes taught at the hospital. I had the opportunity to present twice and partake in discussions of regarding complex cases in paediatrics and their associated anaesthesia management.

How will you implement the skills you learned in your home institution?

I will use my fellowship experience to teach my other fellow anaesthesiologists how to handle a paediatric patient, from paediatric airway management to fluid management and ventilator management that is quite different from that of an adult. I will individualise cases better and apply the knowledge I have learnt to my paediatric patients, emphasising that they are not small adults.

Case Study

Case Details

Female patient 5 days old, with the diagnosis of Esophageal Atresia type III to perform Esophageal Plasty.
Perinatal Background: G1 abdominal product due to premature rupture of the membrane and polyhydramnios at 36 SDG, cried and breathed at birth, required advanced resuscitation manoeuvres due to respiratory distress. Endotracheal intubation for 3 days. Mother with a history of marijuana use during pregnancy.
Surgical and Allergic Background: Denied

Participation Opportunities

I had the opportunity to perform the anaesthetic management that consisted of a Combined General Anaesthesia: Orotracheal Intubation plus a Flow Block.

What did you learn from the case?

The management of the neonate patient is complex. Several parameters must be taken within normality to avoid complications. These are: 1) Permeable airway, with good pre-oxygenation and successful orotracheal intubation. 2) Maintenance of body temperature between 35.5 to 37 degrees through the use of thermal blankets, use of capelin and if necessary cotton to cover extremities as well as warm physiological solution. 3) Basal glycemia above 45mg/dl with an hourly intake of this. 4) Liquid and electrolyte management and good analgesia. In this case, we use the Caudal block with 2% Ropivacaine at a dose of 1.6ml/kg of weight, thus reducing the use of intravenous opioids such as Fentanyl. Use the Massachusetts formula of liquid calculations, procedures performed successfully.

 

You can Fund a Fellow by making a regular or one-off donation of your chosen amount or leave a gift in memory of a colleague or loved one. There are also opportunities to sponsor the entire duration of a Fellowship. If this is something you are interested in please contact partnerships@wfsahq.org.uk.

Further resources

Click here for fellowships currently open for application.

Applications open: WFSA 2020 Paediatric Anaesthesia Fellowship in Belgrade, Serbia

Fellowship Details

cambodia article 2Applications are invited for two Paediatric Anaesthesia Fellowship positions in 2020 at University Children’s Hospital, Belgrade and the Institute for Health Protection of Mother and Child of Serbia. The intended start dates are the 1st April 2020 and the 1st July 2020 (dependent on accreditation with the Serbian Medical Council) and the duration of the fellowship is 3 months.

University Children’s Hospital, Belgrade and the Institute for Health Protection of Mother and Child of Serbia are the largest hospitals specialising in healthcare for women and children in Serbia. The Departments of Paediatric Anaesthesia in each hospital have about 18 consultant anaesthesiologists and they provide complete anaesthetic cover for all elective and emergency operations for children ranging in age from new-borns to 18 years. Around 6,000 paediatric operations are performed per year in each of the two hospitals.

About the fellowship

The overall aim of the fellowship is to improve the quality and safety of paediatric and neonatal anaesthesia in parts of Eastern Europe, the former Soviet republics and other low resource settings. The first two months of the fellowship will cover the fundamentals of paediatric and neonatal anaesthesia. During the third month, the fellow can gain additional experience in one of three modules:

• Cardiac anaesthesia
• Paediatric intensive care
• Regional anaesthesia and pain therapy

The fellowship is intended for a young fully qualified anaesthesiologist working in a low resource setting who wishes to improve knowledge and skills in the field of paediatric anaesthesia. Priority will be given to applicants from Eastern Europe and the former Soviet republics, but applications from further afield may be considered.

For more information, please contact the programme head, Dr Dusica Simic (drdusica@yahoo.com).

Application Process 

You will need to apply through the WFSA online applications platform

The closing date for applications is 2nd January 2019. The successful applicants will be notified before the end of January.

Applicants must apply online here and provide all the documents listed:

• Curriculum vitae with one recent photo and the names of two referees
• Letter of recommendation from the applicant’s national anaesthetic society
• Letter of recommendation from the applicant’s head of department or hospital management
• Copy of medical degree
• Copy of specialist anaesthetic qualification
• Copy of passport

Applications Open: Paediatric Anaesthesia Fellowships at Hospital Infantil de Mexico Federico Gomez Mexico City, Mexico

Fellowships en Anestesia Pediátrica en el Hospital Infantil de México Federico Gómez, Ciudad de México, México

MexicoSe invita a enviar aplicaciones para dos becas de entrenamiento en 2020 en Ciudad de México, México.

La duración de cada entrenamiento es de 3 meses. El primero iniciará el 1º de Junio de 2020 y el otro comenzará el 1º de Septiembre de 2020.

Estos entrenamientos están dirigidos a Anestesiólogos Latinoamericanos ya graduados, quienes estén trabajando, idealmente, en hospitales públicos e involucrados en educación en anestesia pediátrica.

Los aspirantes provenientes de países con las tasas de mortalidad pediátrica más alta tendrán prioridad y también se dará preferencia a los anestesiólogos más jóvenes.

Los aspirantes deberían cumplir los siguientes criterios:

• Su aplicación debe ser apoyada por su propia SOCIEDAD NACIONAL de Anestesiología
• Su aplicación debe ser apoyada por el Jefe / Director de su Departamento de Anestesiología
• Debe retornar a su país de origen a un cargo reconocido

Las becas ofrecen fondos para costos de matrícula, alojamiento y gastos de subsistencia.

Como aplicar

La fecha límite para enviar aplicaciones es el 6 de enero de 2020.

Los aspirantes deben completar la aplicación online para fellowships aquí y cargar todos los documentos requeridos en su idioma original en el siguiente orden:

• Currículo vitae con una foto reciente y los nombres de dos referencias personales
• Carta de recomendación de su SOCIEDAD NACIONAL de Anestesiología
• Carta de recomendación del Jefe de Departamento o Director del Hospital
• Copia del título de médico
• Copia del título de especialista en Anestesiología
• Copia del pasaporte en la página de la información personal y fotografía

Las aplicaciones serán analizadas por un panel de Anestesiólogos seleccionados por la WFSA y los aspirantes seleccionados serán informados antes del final de mes de Enero de 2020.

Los aspirantes seleccionados deben confirmar su intención de tomar la beca dentro de los dos días siguientes a la notificación por parte de la WFSA. El no hacerlo resultará en que la beca le será ofrecida al siguiente aspirante en la lista de seleccionados.

 

ENGLISH VERSION

Applications Open: Paediatric Anaesthesia Fellowships at Hospital Infantil de Mexico Federico Gomez Mexico City, Mexico

Fellowship Details 

Applications are invited for two fellowship training positions in 2020 in Mexico City, Mexico.

The duration of each fellowship is 3 months. One will start on 1st June 2020 and the other will start on 1st September 2020.

The fellowships are intended for graduated - Latin American Anaesthesiologists who are, ideally, working in a Public Hospital and involved in Paediatric anaesthesia education.

Applicants from countries with higher paediatric mortality rates will have priority and preference will also be given to younger anaesthesiologists.

Applicants should fit the following criteria:

• Must be supported in their application by their own national Anaesthesiology society
• Must be supported in their application by the chief/head of their home department
• Must be returning to their home country to a recognized post

The fellowship offers funding for tuition costs, accommodation and subsistence living expenses.

Application Process 

The closing date for applications is the 6th January 2020.

Applicants must complete the online fellowship application and upload all the essential documents in the native language listed:

• Curriculum vitae with one recent photo and the names of two referees
• 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 specialist anaesthetic qualification
• Copy of photograph page of passport

Applications will be considered by a panel of Anaesthesiologists selected by WFSA, and successful applicants will be informed before the end of January 2020.

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 applicant.

WFSA Committee nominations 2020-2024

The WFSA is inviting applications for the following Committees:10417623 920880921255569 7565384309279220124 n

  • Constitution
  • Education
  • Obstetric Anaesthesia
  • Paediatric Anaesthesia
  • Pain Management
  • Professional Wellbeing
  • Publications
  • Safety and Quality of Practice
  • Scientific Affairs

Prerequisites for Committee nomination:

  1. Demonstrable expertise in the Committee’s area of work
  2. Willingness and commitment to be active in furthering the aims of the Committee and the WFSA
  3. Ability to serve four years, with the possibility of a second four-year term
  4. Member in good standing with, and endorsed by, his/her National Member Society
  5. National Member Society in good standing with the WFSA
  6. Confirmed ability and willingness to attend Committee meetings at the World Congress of Anaesthesiologists 2020

Nomination and selection process:

  1. Nominations must be made online at the WFSA grants awards platform and must reach the WFSA office in London by 14 Feb 2020. No late nominations will be accepted.
  2. All individuals who wish to be considered for a Committee must complete an application, including those who wish to serve a second term. 
  3. The WFSA Board will select a proposed list of Committee Members by 31 March 2020. This will be in consultation with current Committee Chairs and WFSA Council, and will take into account geographical balance.
  4. The early selection of Committee Members is designed to allow current and prospective members to make plans to attend the face-to-face meetings at the World Congress of Anaesthesiologists, and for prospective members to start participating in committee work to allow better coordination and handover of activities.
  5. The proposed list of new Committee Members is subject to final approval by the General Assembly at the World Congress of Anaesthesiologists.

Documentation required:

  • A completed online application.
  • An abbreviated CV (no more than one A4 page).
  • A passport style photograph (electronic jpeg version).
  • A letter of endorsement from the applicant’s National Member Society stating why they consider the candidate qualified for this position.

Duties of Committee Members:

The overarching duties and responsibilities of Committee Members are outlined in the downloadable Constitution.

A more specific description of what is required of each Committee is shown here in downloadable Annex 1. 

SAFE Obstetrics training in Cambodia

Cambodia article 3

 Anaesthesia providers from across Cambodia convened in Phnom Penh's Calmette Hospital for the second SAFE Obstetrics course delivered from the 30th September to 3rd October 2019. 24 participants representing five Cambodian health facilities were supported by local and international clinician faculty members from Thailand and the United Kingdom. 

Course Director, Dr Pranee Rushatamukayanunt, worked closely with her colleague Dr Lisa Sangkum to organise the logistical and clinical arrangements for the course, ably supported by Kith Rathamony (Mony) from Assist International, WFSA Secretariat staff and faculty members, including Dr Pathy Ngeth, Head of Anaesthesiology at Calmette Hospital.

The intensive three-day SAFE Obstetrics course covered topics ranging from airway management to general anaesthesia and maternal trauma to pre-eclampsia and eclampsia. Local and international faculty members worked together to deliver the sessions, with the local clinicians assuming greater responsibility for the training as sessions progressed.  

Over the course of the training, faculty identified 7 participants to take part in an additional Training of Trainers (ToT) course. These newly qualified trainers will conduct SAFE Obstetrics training programmes in other regions across Cambodia, further building the capacity and expertise of the country's anaesthesia providers. 

Reflecting on the course, both Dr Rebecca Parker and Dr Søren Kudsk-Iversen noted the efficiency of the local faculty in assuming responsibility for the training of their colleagues as the course progressed. The SAFE model is effective in providing training opportunities for local clinicians who are then able to deliver future training courses to the required standards. 

Dr Pathy Ngeth, Head of Anaesthesiology at Calmette Hospital remarked, 'Since the first SAFE Obstetrics course in May 2019, I've seen improvements in clinical practice, including adoption and use of the Safe Surgery Checklist and the correct administration of antibiotics to mother and child.' He expects to see further significant changes in the provision of safer anaesthesia, as a result of the second course. 

Participants, faculty and the hospital leadership were all effusive about calling for additional continuing professional development (CPD) opportunities in the future, including SAFE courses to continue building anaesthesia capacity and leadership within Cambodia.  

Further reading

Is anaesthesia a human right?

 
 
featured image indexThe task is simple, in 500 words or less tell us why you think anaesthesia is a human right. The winner will have their article featured on our website and across our social media pages on Human Rights Day on the 10th of December.
 
Human Rights Day, marks the day the Universal Declaration of Human Rights was adopted by the United Nations General Assembly in 1948. This document proclaimed the inalienable rights which everyone is entitled to as a human being and is available in 500 languages.

 

The deadline for the article is 6th December.

We look forward to reading all your entries!

Send your submissions and any questions you may have to comms@wfsahq.org

Improving clinical practice through multidisciplinary simulation training

In 2016, the WFSA partnered with Masimo to implement the Safe Anaesthesia ASAP project in the state of Telangana in Southern India. The first two years of the project focused on understanding the needs of anaesthesia providers and assessing capacity using the WFSA’s Anaesthesia Facility Assessment Tool (AFAT)

VAST India 2
To-date 333 anesthesiologists and 189 nurses have been trained through SAFE and EPM courses

To meet the demand for increased Continuous Medical Education (CME) opportunities, the WFSA worked with local partners and the Indian Society of Anaesthesiologists to provide a varied combination of training courses including the Safer Anaesthesia From Education (SAFE) Obstetrics and SAFE Paediatrics Courses and Essential Pain Management (EPM). Collectively, these courses have trained 333 anaesthesiologists, 189 nurses and developed a faculty of over 100 local trainers to continue the delivery of these courses.

In 2019, our partnership in Telangana has expanded to include more complex training courses including the Vital Anaesthesia Simulation Training (VAST) course. While VAST reinforces clinical knowledge and skills it differs from SAFE and EPM by focusing on developing vital non-technical skills of clinicians via effective low-fidelity simulation. The course covers the core and extended roles and interplay between anaesthesiologists, surgeons, midwives and other operating theatre clinicians while dealing with challenging emergencies.

With support from Masimo, the WFSA has now delivered two VAST courses in Telangana training 30 clinicians and developing 6 VAST facilitators. The tireless efforts of local facilitators were instrumental in delivering both courses in Hyderabad and will continue to play a key role in VAST delivery in Telangana and Bihar which will take place in 2020.

The scenarios covered in VAST are drawn from the curriculum of SAFE Obstetrics, SAFE Paediatrics, EPM and Primary Trauma Care courses. Consequently, the course forms a natural next step to our efforts to improve anaesthesia and perioperative care in Telangana and in India.

Further reading

Anaesthesiologists worldwide celebrate World Anaesthesia Day 2019

                                                                               

website picture

India website picure

 

On the 16th October anaesthesia providers the world over took to social media to celebrate their profession and have a bit of fun whilst doing it.

World Anaesthesia Day commemorates the birth of anaesthesia on 16th October 1846. When doctors at Massachusetts General Hospital demonstrated the use of ether for the first time on a patient.  In doing so they changed surgery forever, proving it was possible for patients to undergo surgery without the torture of pain previously associated with it. 

 

Despite nearly 170 years having passed since that first anaesthetic procedure and the countless breakthroughs that have succeeded it, nearly 5 billion people continue to lack access to safe anaesthesia practices.


In the light of this on-going neglect, global awareness days like World Anaesthesia Day can be a powerful advocacy tool to educate the general public, mobilise political will and celebrate and reinforce achievements of the global anaesthesia community.
 
 
World Anaesthesia Day celebrations were partnered with the World Restart a Heart Day movement led by the International Liasion Committee on Resuscitation (ILCOR) and the European Resuscitation Council. Under a general theme of 'Resuscitation' colleagues around the world were encouraged to use the day to highlight the indispensable role of anaesthesiologists in providing safe and effective resuscitation.  

 

 

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Resuscitation is one cornerstone of safe anaesthesia provision. The WHO-WFSA International Standards for a Safe Practice of Anaesthesia highly recommends that emergency resuscitation medication and other resuscitation equipment must be immediately available. 
 
 
It is great to see so many anaesthesia providers coming together to draw attention to the vital role they play in patient care.  For too many people across the globe, life-saving surgery with safe anaesthesia remains unobtainable. As outlined in the World Health Assembly Resolution 68.15, if we are to achieve our Universal Health Coverage goals anaesthesia must be viewed as a human right, not a privilege. WFSA and its members will continue to bring attention to anaesthesia and its pivotal role in providing health care for all.

Somalia

 

 

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Applications now open: WFSA-The Ohio State University Research Fellowships 2020

The WFSA Scientific Affairs Committee & The Ohio State University Wexner Medical Center are partnering to provide two research fellowships.

Fellowship Details 

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These unique positions are based at the The Ohio State University Wexner Medical Center, Department of Anesthesiology, and open to anesthesiologists from low and middle-income countries (according to World Bank criteria).

The Fellow must be in a position to return to his/her country to continue his/her career and contribute to the development of clinical research after completing his/her fellowship. The selected fellows will spend 12 months in the OSU research program working on research projects under the supervision and guidance offered by the faculty and research staff members of the Department of Anesthesiology and the WFSA Scientific Affairs Committee. The anticipated start date of the fellowship is August 3, 2020.

About the Research Programme

The Ohio State University Wexner Medical Center, Department of Anesthesiology’s Research Program is one of the largest clinical anaesthesia research programmes in the world, dedicated to enhancing research skills and training anaesthesiologists in the conduct of research. Research fellows are mentored by the Clinical Research Group, founded by The Ohio State University Wexner Medical Center, Department of Anesthesiology since 2007. The group provides research support for multiple surgical and non-surgical departments covering orthopedic, trauma, ICU, general surgery, transplant, internal medicine and basic science studies. Click here for a list of current ongoing studies conducted by this Clinical research Group

Please note that, in most cases, the selected fellows will be attached to existing OSU studies during the fellowship, but there will be opportunities for the applicant’s to develop his/her own research protocol with the mentorship of our faculty and research staff.

Criteria for applicants:

• Working in low and middle-income countries (World Bank classification).
IELTS score of 7 and above in all categories.
• Preference will be given to applicants less than 40 years old.

Application Process

Application Deadline  - 6th January 2020

Click here for online application forms here 

Supporting documents required for the application include:

• An outline of the aims and methods of your proposed research project (1-2 pages, less than 500 words)
• Curriculum vitae with one recent photo and the names of two referees
• Letter of recommendation from your national anesthesiology society
• Letter of recommendation from your current workplace (hospital/institution)
• Scanned copy of your medical degree
• Scanned copy of your specialist qualification
• Scanned copy of passport

In the online application, you will need to list 3 current OSU Anesthesiology research studies that most interest you.

A selection panel comprising members of the WFSA Scientific Affairs Committee and The Ohio State University Wexner Medical Center, Department of Anesthesiology will assess all applications. Shortlisted applicants may be required to participate in a video interview.

The successful applicants will be notified before mid February 2020.

Fund A Fellow

Ninadini Shrestha Photo 1 small

Help us to transform anaesthesia care in lower income countries

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