Anesthesiology Training in LMICs: Defining the Problem, Challenges, and Solutions

Abstract

Features| October 2021 Anesthesiology Training in LMICs: Defining the Problem, Challenges, and Solutions Eugene Tuyishime, MBBS, MMed, MSc; Eugene Tuyishime, MBBS, MMed, MSc Search for other works by this author on: This Site PubMed Google Scholar William F. Powell, Jr., MD, MPH; William F. Powell, Jr., MD, MPH Search for other works by this author on: This Site PubMed Google Scholar Faye M. Evans, MD, FAAP Faye M. Evans, MD, FAAP Search for other works by this author on: This Site PubMed Google Scholar ASA Monitor October 2021, Vol. 85, 35–36. https://doi.org/10.1097/01.ASM.0000795116.04062.61 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Twitter LinkedIn Cite Icon Cite Get Permissions Search Site Citation Eugene Tuyishime, William F. Powell, Faye M. Evans; Anesthesiology Training in LMICs: Defining the Problem, Challenges, and Solutions. ASA Monitor 2021; 85:35–36 doi: https://doi.org/10.1097/01.ASM.0000795116.04062.61 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu nav search search input Search input auto suggest search filter All ContentAll PublicationsASA Monitor Search Advanced Search Topics: advocacy, anesthesia care, anesthesia department, hospital, care of intensive care unit patient, developing countries, health status, income, internship and residency, mentorships, outreach The Lancet Commission on Global Surgery highlights the disparities that currently exist in access to surgical and anesthesia care in low-and middle-income countries (LMICs). It is estimated that nine in 10 people in LMICs are unable to obtain safe surgical care when needed (Lancet 2015;386:569-624). One of the major deficiencies is the lack of anesthesia providers. The World Federation of Societies of Anaesthesiologists (WFSA) workforce map demonstrates how skewed this gap is worldwide. For example, the density of physician anesthesia providers (PAPs) in high-income countries is 17.96 per 100,000, which is in stark contrast to the density of PAPs in low-income countries, which is only 0.19 per 100,000 (Anesth Analg 2017;125:98-90). This disparity exists for both PAPs and non-physician anesthesia providers (NPAPs). In order to provide safe surgical care worldwide, a scale-up of both PAPs and NPAPs is desperately needed. The solution seems simple: more anesthesia... You do not currently have access to this content.