Anaesthesia in Developing Countries
Five day International Course, Uganda. 2019 course was held on18 to 22 November. 2020 course dates to be confirmed. Please email firstname.lastname@example.org if you would like to be notified when we open for booking.
Anaesthesia in Developing Countries (ADC) is an unusual and successful course which started in 1981 in Oxford, led by Dr Mike Dobson, in an effort to meet the specific needs of anaesthetists from the UK and other high-income countries wishing to travel to low and middle-income settings to work.
The provision of safe anaesthesia in the majority world is challenging, but essential to reduce avoidable illness and death in some of the poorest places on earth. Much of this illness and death occurs in young people, often associated with childbirth, and a significant amount is preventable by safer and better resourced anaesthetic practice.
For this reason many high-income-trained anaesthetists are moved to work in such environments alongside local doctors and health care providers in an effort to reduce the health burden in a particular place. When they do so, they encounter enormous differences between the environment in which they trained (with reliable power, sources of compressed oxygen and other gases, software-driven machines and a wide range of drugs) and that in which they seek to work. In addition they treat people with different diseases, often far more advanced than those they have seen before, and work within a differently resourced environment. Many find themselves taking on unexpected training and teaching roles, or administrative roles within a particular hospital.
The ADC course supports such anaesthetists (and therefore, indirectly, those whom they will treat) by offering training in the areas above which may not have been available within their own country’s anaesthetic system. In particular delegates have the opportunity to learn how to use draw-over anaesthetic systems, to maintain and repair their own equipment and to visit hospitals to see much of this equipment in action. A variety of teaching methods are used including lectures, seminars, workshops, and open discussion. Delegates are able to network with one another and with local anaesthetists to the benefit of all. We also benefit from the technical expertise of an experienced engineer from Diamedica who regularly teaches on the course.
Over the last decades the course has remained popular and useful with attendees who largely come from the UK, Australia, Canada and Europe. The course location in Uganda provides the opportunity for delegates to understand more about one LMIC setting in particular, while faculty from elsewhere in Africa provide additional perspectives. The course is organised from Oxford and directed by Dr Hilary Edgcombe, supported by co-director Dr Adam Hewitt Smith and an experienced, dedicated and enthusiastic faculty.
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