Department of Surgical Services, Haukeland University Hospital, Bergen, Norway.
Department of Anesthesiology, Addis Ababa University, College of Health Sciences, School of Medicine, Addis Ababa, Ethiopia.
Acta Anaesthesiol Scand. 2022 Sep;66(8):1016-1023. doi: 10.1111/aas.14106. Epub 2022 Jul 21.
Lack of qualified staff is a major hindrance for quality and safety improvements in anaesthesia and critical care in many low-income countries. Support in specialist training may enhance perioperative treatment and have a positive downstream impact on other hospital services, which may improve the overall standard of care.
Between 2011 and 2019, consultant anaesthetists from Haukeland University Hospital in Norway supported a postgraduate anaesthesia-training programme at Addis Ababa University/Tikur Anbessa Specialised Hospital in Ethiopia. The aim of the programme was to build a self-sustainable work force of anaesthetists across the country who could perform high quality anaesthesia within the confinement of limited local resources. Over the course of 10 years, an almost continuous rotation of experienced anaesthetists and intensivists assisted training of Ethiopian residents in anaesthesia and critical care. Local specialists organised the programme; however, external support was necessary during this period to establish a sustainable training programme.
Since the programme's commencement at Addis Ababa University in 2011, 159 residents have entered the programme and 71 have graduated. As the number of qualified anaesthetists increased, Ethiopian specialists gradually obtained responsibility for the programme. Candidates are recruited from various regions and from neighbouring countries. Five other Ethiopian training sites have been established. To date (May 2022), 112 residents have completed their training in Ethiopia, and 195 residents expect to graduate within 3 years.
Nearly 11 years after establishment of the programme, locally trained highly qualified anaesthetists work in Ethiopia's major hospitals throughout the country.
在许多低收入国家，合格人员的缺乏是麻醉学和重症监护质量和安全改进的主要障碍。在专科培训方面的支持可能会增强围手术期的治疗，并对其他医院服务产生积极的下游影响，从而提高整体护理水平。
2011 年至 2019 年期间，挪威豪克兰德大学医院的顾问麻醉师在埃塞俄比亚亚的斯亚贝巴大学/提克里安贝萨专科医院支持了一个研究生麻醉培训项目。该项目的目的是建立一支能够在当地有限资源的限制范围内提供高质量麻醉的全国性麻醉师后备队伍。在 10 年的时间里，经验丰富的麻醉师和重症监护医生几乎持续不断地轮转，协助培训埃塞俄比亚的住院医师进行麻醉和重症监护。当地专家组织了该项目；然而，在此期间需要外部支持来建立一个可持续的培训项目。
自 2011 年在亚的斯亚贝巴大学启动该项目以来，已有 159 名住院医师进入该项目，其中 71 人毕业。随着合格麻醉师人数的增加，埃塞俄比亚专家逐渐获得了项目的责任。候选人是从各个地区和邻国招募的。已经建立了另外五个埃塞俄比亚培训点。截至 2022 年 5 月，已有 112 名住院医师在埃塞俄比亚完成培训，预计未来 3 年内将有 195 名住院医师毕业。
在该项目成立近 11 年后，在当地接受培训的高素质麻醉师在埃塞俄比亚全国各地的主要医院工作。
