A Philosophical Primer for Your First Global Anesthesia Experience
Purpose of Review
There are few publications regarding practical important philosophical considerations to international anesthesia work. Most of the literature in this realm is aimed at trainees or are logistical recommendations.
Clarity of mission can provide guidance and benchmarks for managing challenging situations that may unduly influence the overall experience of a global health trip. Much of that clarity can come from authentic exchanges with your colleagues from the under-resourced region in question.
We intend to provide a framework and some core principles for organizing thoughts and interactions before, during, and after your first global anesthesia experience.
KeywordsMedical mission Humanitarian mission Surgical mission Surgical trip Global surgery Global anesthesia Global health Ethics
Compliance with Ethical Standards
Conflict of Interest
Mark J. Harris declares that he has no conflict of interest.
Scott R. Junkins has received compensation from the CMR Institute for assisting in curriculum development.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 1.Gosselin-Tardif A, Butler-Laporte G, Vassiliou M, Khwaja K, Ntakiyiruta G, Kyamanywa P, Razek T, Deckelbaum DL: Enhancing medical students’ education and careers in global surgery. 2014; 57:224–5.Google Scholar
- 2.• Melby MK, Loh LC, Evert J, Prater C, Lin H, Khan OA. Beyond medical “missions” to impact-driven short-term experiences in global health (STEGHs): ethical principles to optimize community benefit and learner experience. Acad Med. 2016;91:633–8 Discussion on the shift in culture surrounding short-term medical missions with some proposed core principles to guide developing ethical collaborations.CrossRefGoogle Scholar
- 4.• Bauer I. More harm than good? The questionable ethics of medical volunteering and international student placements. Trop Dis Travel Med Vaccines. 2017;3(5) Presents ongoing criticism of medical volunteering along with possible methods of mitigation.Google Scholar
- 6.Mishori R, Eastman A, Evert J: Improving the safety and security of those engaged in global health traveling abroad. 2016; 4:522–8.Google Scholar
- 8.•• Bennett C, Collins J, Heckscher Z, Papi-Thornton D. Learning Service. 1st ed. Dorset, England: Red Press; 2018. A book intended for humanitarian volunteers that includes practical advice for would-be volunteers, but also philosophical perspectives on how and why such steps are vital for organizations and individual volunteers Google Scholar
- 11.• Morriss WW, Johnson W, International Standards for a Safe Practice of Anesthesia Workgroup, Gelb AW, Merry AF. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. Can J Anesth/J Can Anesth. 2018;65:698–708 Minimum standards from the WFSA providing guidance and assistance to anesthesia providers, their professional organizations, hospital and facility administrators, and governments for maintaining and improving the quality and safety of anesthesia care.CrossRefGoogle Scholar
- 13.Edmondson AC. Strategies for learning from failure. Harv Bus Rev. 2011;89:48–55.Google Scholar
- 15.Harris MJ. We need more reports of global health anesthesia articles. Anesthesiology. 2015;124:1–269.Google Scholar
- 16.Saluja S, Nwomeh B, Finlayson SRG, Holterman AL, Jawa RS, Jayaraman S, et al. Society of University Surgeons Global Academic Surgery Committee: guide to research in academic global surgery: a statement of the Society of University Surgeons Global Academic Surgery Committee. Surgery. 2018;163:463–6.CrossRefGoogle Scholar
- 19.World Health Organization (WHO). Medical device donations: considerations for solicitation and provision. 2011. http://apps.who.int/iris/bitstream/handle/10665/44568/9789241501408_eng.pdf. Accessed 15 Jan 2019.
- 23.World Health Organization (WHO). Guidelines for medicine donations. 3rd ed. 2011. http://whqlibdoc.who.int/publications/2011/9789241501989_eng.pdf. Accessed 15 Jan 2019.
- 24.McGrath RG. Failing by design. Harv Bus Rev. 2011;89:76–83.Google Scholar