Developing a curriculum for anaesthesia training in low- and middle-income countries
Gerald Dubowitz1, Faye M Evans
1Department of Anesthesia and Perioperative Care, University of California, San Francisco, USA.
Summary
Developing sustainable anaesthesia training programs in low- and middle-income countries (LMICs) is crucial for safe patient care. Holistic, region-specific curricula are essential for long-term success and reduced reliance on external support.
Area of Science:
- Medical Education
- Global Health
- Anaesthesiology
Background:
- Significant shortage of anaesthesia providers in low- and middle-income countries (LMICs), particularly in Sub-Saharan Africa.
- Existing training programs often lack a holistic approach, focusing on visiting teachers' expertise rather than recipient country needs.
Purpose of the Study:
- To outline the multifaceted requirements for developing and supporting effective anaesthesia training programs in LMICs.
- To emphasize the need for sustainable, region-specific curricula that foster local leadership and reduce external dependency.
Main Methods:
- Analysis of existing approaches to anaesthesia education in LMICs.
- Emphasis on curriculum development principles including sustainability, local leadership integration, and problem-based learning.
- Focus on quality, safety, and professionalism in anaesthesia provider training.
Main Results:
- Few existing programs adopt a holistic curriculum approach tailored to specific country needs.
- Successful programs require graduates to become leaders, emphasizing lessons learned and professional conduct.
- Region-specific, problem-based learning methods are more effective than didactic approaches.
Conclusions:
- Developing sustainable anaesthesia training programs in LMICs necessitates a comprehensive, needs-based approach.
- Coordination and collaboration are key to improving program efficacy and defining clear pathways for future development.
- Prioritizing quality, safety, and professionalism ensures better anaesthesia care outcomes in resource-limited settings.
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