From the Unité d'Enseignement et de Recherche en Anesthésie et Réanimation de la Faculté des Sciences de la Santé de l'Université d'Abomey-Calavi, Bénin BP 188, Cotonou, Bénin.
Service d'Anesthésiologie des Cliniques Universitaires Saint-Luc, Université Catholique de Louvain (UCL), Avenue Hippocrate, 1200 Bruxelles, Belgium.
Anesth Analg. 2018 Apr;126(4):1321-1328. doi: 10.1213/ANE.0000000000002772.
Belgium has been collaborating for 20 years with Abomey-Calavi University in Cotonou, Republic of Benin, to train anesthesiologists for Sub-Saharan, French-speaking African countries. With 123 graduates from 15 countries and 46 residents still in training, this program has succeeded in reversing the trend of a decreasing anesthesiology workforce in those countries, thus improving the quality of anesthesia and patient safety. Belgian government sources, as well as hospitals and anesthesia teams, provided most of the financial resources. Reasons for success, positive outcomes, and shortcomings are discussed, as well as future perspectives and threats. Failure to enroll enough female residents (15%) and brain drain (18% of alumni) are of concern. Alumni are capable of importing and adapting modern technology and practice. Graduates increase the impact of the Cotonou program by getting involved in teaching nonphysician anesthesia providers and by supporting new anesthesiology training programs being launched in several countries. Other African countries with training programs, by following this example, could accelerate anesthesiology progress by accepting foreign residents from the region. The role of anesthesiologists as anesthesia team leaders must be better defined, and residency training programs adapted accordingly. Continuing international support remains of critical importance, especially in the form of resident rotations to high-income countries. The development of structured anesthesiology programs should be encouraged by African governments as developing anesthesia is a prerequisite for surgical development in every discipline.
比利时与贝宁共和国科托努的阿波美-卡拉维大学合作了 20 年，为撒哈拉以南的法语非洲国家培训麻醉师。该项目已经培训了来自 15 个国家的 123 名毕业生和 46 名仍在培训中的住院医师，成功扭转了这些国家麻醉师人数减少的趋势，从而提高了麻醉质量和患者安全。比利时政府、医院和麻醉团队提供了大部分资金。讨论了成功的原因、积极的结果和不足之处，以及未来的展望和威胁。未能招收足够的女性住院医师（15%）和人才流失（18%的校友）令人担忧。校友们有能力进口和适应现代技术和实践。毕业生通过参与培训非医师麻醉师和支持几个国家新的麻醉培训计划，增加了科托努项目的影响力。其他有培训计划的非洲国家可以效仿这一模式，通过接收该地区的外国住院医师，加速麻醉学的发展。麻醉师作为麻醉团队领导者的角色必须得到更好的定义，并相应地调整住院医师培训计划。持续的国际支持仍然至关重要，特别是以向高收入国家派遣住院医师轮转的形式。非洲政府应鼓励制定结构化的麻醉学计划，因为发展麻醉学是每个学科外科发展的前提。
