From the Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts.
Policlínica Las Mercedes, Caracas, Venezuela.
Anesth Analg. 2018 Apr;126(4):1305-1311. doi: 10.1213/ANE.0000000000002664.
There is an urgent need to train more anesthesia providers in low- and middle-income countries (LMICs). There is also a need to provide more educational opportunities in subspecialty areas of anesthetic practice such as trauma management, pain management, obstetric anesthesia, and pediatric anesthesia. Together, these subspecialty areas make up a large proportion of the clinical workload in LMICs. In these countries, the quality of education may be variable, there may be few teachers, and opportunities for continued learning and mentorship are rare. Short subspecialty courses such as Primary Trauma Care, Essential Pain Management, Safer Anaesthesia From Education-Obstetric Anaesthesia, and Safer Anaesthesia From Education-Paediatric Anaesthesia have been developed to help fill this need. They have the potential for immediate impact by providing an opportunity for continuing professional development and relevant subspecialty training. These courses are all short (1-3 days), are presented as an off-the-shelf package, and include a teach-the-teacher component. They use a variety of interactive teaching techniques and are designed to be adaptable and responsive to local needs. There is an emphasis on local ownership of the educational process that helps to promote sustainability. After an initial financial outlay to purchase equipment, the costs are relatively low. Short subspecialty courses appear to be part of the educational answer in LMICs, but there is a need for research to validate their role.
在中低收入国家（LMICs），急需培训更多的麻醉师。此外，还需要在麻醉实践的专科领域提供更多的教育机会，如创伤管理、疼痛管理、产科麻醉和儿科麻醉。这些专科领域共同构成了 LMICs 临床工作量的很大一部分。在这些国家，教育质量可能参差不齐，教师可能较少，持续学习和指导的机会也很少。为了满足这一需求，已经开发了一些短期专科课程，如初级创伤护理、基本疼痛管理、从教育-产科麻醉实现更安全的麻醉和从教育-儿科麻醉实现更安全的麻醉。这些课程有可能产生直接的影响，为继续专业发展和相关专科培训提供机会。这些课程都很短（1-3 天），以现成的一整套形式呈现，并包括教师培训部分。它们采用了多种互动教学技巧，旨在适应和响应当地的需求。课程强调教育过程的本土化，这有助于促进可持续性。在最初购买设备的资金投入之后，成本相对较低。短期专科课程似乎是 LMICs 教育答案的一部分，但需要研究来验证其作用。
