Abstract
Purpose
To describe the self-sustaining anesthesia training and development program in Nepal from 1985 through 2005, and the Canadian contributions.
Methods
We examined the training program and outcome of the diploma in anesthesia (DA) and MD anesthesiology programs in Nepal over a 20-year period. Issues related to recruitment, funding, specialist training opportunities and professional development were examined and summarized.
Results
In 1985 there were seven Nepalese physician anesthesiologists in Nepal. With Canadian support of faculty members and the Canadian Anesthesiologists’ Society International Education Fund, a one-year DA training program began in 1985, and a three-year MD anesthesia program began in 1996. As of 2005, 43 anesthesiologists were trained in the DA program, and 19 Nepalese completed MD anesthesia training. Thirteen (30%) of DA graduates have since left the country, compared to only two (10.5%) physicians from the MD anesthesia training program. Annual anesthesia symposia began in 1986, and the Society of Anesthesiologists of Nepal was formed in 1987. Nepalese anesthesiologists have been attending and presenting papers at international scientific meetings since 1991.
Conclusion
The devotion of Nepalese anesthesiologists in teaching and training, strong guidance from Canadian medical faculties, and local government support have contributed to the successful development of Nepalese anesthesia training programs. Establishment of the training programs has assisted recruitment of trained anesthesiologists to different regional hospitals. Finally, the formation of a national society, with an organized annual symposium has improved professional selfesteem, and raised the profile of anesthesiology in Nepal.
Résumé
Objectif
Décrire le programme indépendant de formation et de perfectionnement en anesthésie au Népal de 1985 à 2005 et la contribution canadienne.
Méthode
Nous avons examiné le programme de formation et ľévolution du diplôme en anesthésie (DA) et des programmes de médecins (MD) anesthésiologistes au Népal sur une période de 20 ans. Le recrutement, le financement, les possibilités de formation par des spécialistes et de perfectionnement professionnel ont éété examinés et résumés.
Résultats
En 1985, il y avait sept médecins anesthésiologistes népalais au Népal. Avec le soutien canadien des membres des départements universitaires et du Fond ďéducation internationale de la Société canadienne des anesthésiologistes, un programme de formation ďun an, pour un DA, a commencé en 1985 et un programme de trois ans de MD en anesthésie en 1996. En 2005, 43 étudiants ont été formés pour le DA et 19 Népalais comme MD en anesthésie. Treize (30 %) des diplômés en anesthésie ont quitté le pays depuis, comparativement à deux médecins seulement (10,5 %) du programme de MD en anesthésie. Des colloques annuels en anesthésie ont débuté en 1986 et la Société des anesthésiologistes du Népal a été formée en 1987. Les anesthésiologistes népalais ont participé aux congrès scientifiques internationaux et y ont présenté des articles depuis l991.
Conclusion
Le dévouement des anesthésiologistes népalais dans ľenseignement et la formation, le grand appui des facultés médicales canadiennes et le soutien du gouvernement local ont contribué au succès des programmes népalais de formation. Ces programmes ont permis aux hôpitaux régionaux de recruter des anesthésiologistes qualifiés. Enfin, la formation ďune société nationale et ľorganisation ďun colloque annuel ont amélioré ľestime de soi professionnelle et ľimage de ľanesthésiologie au Népal.
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References
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Shrestha, B.M., Rana, N.B. Training and development of anesthesia in Nepal — 1985 to 2005. Can J Anesth 53, 339–343 (2006). https://doi.org/10.1007/BF03022496
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DOI: https://doi.org/10.1007/BF03022496