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Anaesthesia training in nepal


The background, organization, problems, and successful implementation of an anaesthesia training program in Nepal are described. Nepali physicians had previously taken their postgraduate anaesthesia training in western countries, especially in Britain. The low pay of anaesthetists, poor maintenance of equipment, and irregular supplies of anaesthetic drugs in their own country has led many of them to stay abroad. In 1985 there were only seven Nepali anaesthetists in Nepal for a population of 16 million.

An alternative approach to training is presented in which a series of Canadian anaesthetists, over a three-year period, are supporting the establishment of a one-year Diploma in Anaesthesiology program in Nepal. They are working with Nepali anaesthetists and the Institute of Medicine in Kathmandu, Nepal. The local anaesthetists supervise most of the clinical training while the Canadians give academic leadership and guidance.


Les données de base, ľorganisation, les problèmes, la mise en place el la réalisation fructueuse ďun programme ď entrainement en anesthésie au Népal sont décrits. Les médecins du Népal ont au préalable accompli lew entrainement postgradué en anesthésie dans les pays de ľouest notamment ľAngleterre. Le faible revenu des anesthésistes, le mauvais entretien de ľéquipement et ľapport irrégulier des fournitures el drogues anesthésiques dans leur pays ont conduit plusieurs de ces médecins à demeurer à ľ étrnager. En 1985 il y avaient sept anesthésistes Népalés au Népal pour une population de 16 millions.

Une autre alternative à ľentraînement est présentée dans laquelle un groupe ďanesthésistes Canadiens, pour une période de trois ans, soutiennent ľétablissement ďun diplôme ďun an ďentrainement en anesthésie au Népal. lls travaillent avec des anesthésistes Népalés et ľInstitut de Médecine de Kathmandu au Népal. Les anesthésistes locaux surveillent la majorité de ľentrainement clinique alors que les Canadiens fournissent ľentrainement académique de pointe et ľorientation.


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Correspondence to J. R. Maltby or N. B. Rana or R. Amatya or B. M. Shrestha.

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Maltby, J.R., Rana, N.B., Amatya, R. et al. Anaesthesia training in nepal. Can J Anaesth 34, 51 (1987). https://doi.org/10.1007/BF03007682

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