Department of Anesthesiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Paediatr Anaesth. 2024 Sep;34(9):866-874. doi: 10.1111/pan.14894. Epub 2024 Apr 17.
In Mongolia, pediatric anesthesia has advanced during the past 25 years through expanded, standardized education programs and international collaboration. Pediatric anesthesia is a recognized specialty, covering all surgical services, including cardiac and transplant, using physicians and nurses.
The pediatric anesthesia fellowship is 6 months after 2 years of residency; pediatric nurse anesthesia training is 6 months.
As a Low- and Middle-Income Country (LMIC) with low population density and extreme weather, the challenges include insufficient equipment, supplies, and clinician numbers, matching few clinicians to many varied patient locations, and covering surgical emergencies over distance and weather. In Thailand, education and training in pediatric anesthesia remain a focus: Pediatric anesthesia is an official subspecialty, the fellowship is accredited, using a competency-based curriculum with milestones of Direct Observation of Procedural Skills and Entrusted Professional Activities. The Bangkok Anesthesia Regional Training Center (BARTC)-Pediatrics, jointly sponsored by the World Federation of Societies of Anesthesiologists (WFSA) and the Society for Pediatric Anesthesia (SPA), have expanded training to anesthesiologists worldwide. Challenges include difficulty balancing service workload and education, as well as attracting pediatric anesthesia fellows due to the strong private sector job market.
在过去的 25 年中，蒙古通过扩大和标准化的教育项目以及国际合作，在儿科麻醉方面取得了进步。儿科麻醉是一个公认的专业领域，涵盖了所有外科服务，包括心脏和移植手术，由医生和护士共同提供服务。
儿科麻醉住院医师培训后，还需要进行 6 个月的专科培训；儿科护士麻醉培训则需要 6 个月。
蒙古作为一个人口密度低、天气极端的中低收入国家，面临着诸多挑战，包括设备、用品和临床医生数量不足，少数临床医生要服务于众多分布广泛的患者，以及需要在恶劣天气和远距离条件下应对外科急症。在泰国，儿科麻醉的教育和培训仍然是一个重点：儿科麻醉是一个官方的亚专科，专科培训得到认可，采用基于能力的课程，包括直接观察手术技能和委托专业活动的里程碑。由世界麻醉医师联合会（WFSA）和小儿麻醉学会（SPA）联合赞助的曼谷麻醉区域培训中心（BARTC）-儿科，已经将培训范围扩大到全球的麻醉师。面临的挑战包括平衡服务工作量和教育的困难，以及由于私营部门就业市场强劲，吸引儿科麻醉住院医师的困难。
