Global Health Fellowship Rotation

The ASRA Global Health Fellowship Rotation was founded by the ASRA Global Health Special Interest Group (SIG) in 2019 to strengthen care in limited-resource settings and promote the growth of ASRA fellows as physicians and leaders in the global health community. The rotation is sponsored by ASRA and is funded up to $5,000 USD for one Regional Anesthesiology and Acute Pain Medicine or Pain Medicine Fellow per academic year. Participants may choose from any two- to four-week rotation pre-approved by the SIG and compatible with away rotation rules at their home institution and The Accreditation Council for Continuing Medical Education (ACGME) / The American Board of Anesthesiology (ABA). To date, regional anesthesia rotations are available at the Komfo Anokye Teaching Hospital in Kumasi, Ghana and Osmania General Hospital in Hyderabad, India. Alternative rotations that meet SIG specifications can also be vetted and approved via the New Program Application

Fellow requirements:

  1. Fellows must already be accepted into a Regional Anesthesiology and Acute Pain Medicine or Pain Medicine Fellowship at the time of application (fellows in both ACGME-accredited and non-ACGME programs may apply). The fellowship is not currently open to residents.
  2. Fellows must be ASRA members.
  3. For fellows in ACGME-accredited programs, approval must be obtained from the American Board of Anesthesiology Credentials Committee at least four months in advance of the rotation, and participation must not prevent them from undertaking a minimum of ten months of training at their home institutions.
  4. Fellows must complete a general application form and upload a curriculum vitae, a one-page letter describing their interest in the fellowship rotation, and a letter of permission to participate from their department chair and fellowship program director.
  5. Fellows must participate in a video conference interview if selected.
  6. Fellows must take part in preparatory readings about global outreach issues and complete a post-trip writeup of their experience.

 


Komfo Anokye Teaching Hospital (KATH)

Rotation details:

  • Available to: Regional Anesthesiology and Acute Pain Medicine Fellows
  • Location: Kumasi, Ghana in West Africa. KATH is a 1,200-bed tertiary hospital performing a large volume of extremity surgery. A majority of these patients have been injured, often in road traffic crashes. Administration of general anesthesia and opioids can be risky at KATH due to a lack of trained personnel, limited vital signs monitors, and oxygen supply failures. In this limited-resource setting, regional anesthesia can be an alternative means to keep patients safe and comfortable during the perioperative period. KATH has two ultrasound machines, a few nerve stimulators, local anesthetic medication, and various needles available to perform blocks.
  • ASRA-affiliated institution: Hospital for Special Surgery in New York, New York
  • Mission and objectives:
    • To teach and measure the impact of regional anesthesia training as part of the KATH-Hospital for Special Surgery Global Regional Anesthesia Curricular Engagement (GRACE) Program.
    • GRACE is an ongoing educational initiative tailored to local specifications designed to teach peripheral nerve blocks to resident and attending anesthesiologists.
    • Visiting fellows will have the opportunity to teach providers via didactic lectures, simulation instruction using gel block mannequins/ultrasound volunteers, and hands-on training during patient care.
    • Opportunities to participate in collaborative research are also available.
    • Of note, visiting fellows and attendings do not assume direct responsibility for patient care.
  • Schedule: Usually one two- to three-week trip per academic year. Trips are usually during the winter and summer seasons.
  • ASRA-affiliated institution point person: Mark Brouillette, MD
  • KATH point person: Alfred Aidoo, MBChB
  • Travel requirements: Passport valid for at least six months of rotation end date, Ghanaian visa obtained in advance of travel and yellow fever vaccination card

 


Osmania General Hospital

Rotation details:

  • Available to: Regional Anesthesiology and Acute Pain Medicine Fellows
  • Location: Hyderabad, India. New rotation – more details to come.
  • ASRA-affiliated institution: Hospital for Special Surgery in New York, New York
  • Mission and objectives:
    • To teach and measure the impact of regional anesthesia training as part of the Osmania General Hospital-Hospital for Special Surgery Global Regional Anesthesia Curricular Engagement (GRACE) Program.
    • GRACE is an ongoing educational initiative tailored to local specifications designed to teach peripheral nerve blocks to resident and attending anesthesiologists.
    • Visiting fellows will have the opportunity to teach providers via didactic lectures, simulation instruction using gel block mannequins/ultrasound volunteers and hands-on training during patient care.
    • Opportunities to participate in collaborative research are also available.
    • Of note, visiting fellows and attendings do not assume direct responsibility for patient care.
  • Schedule: More details to come
  • ASRA-affiliated institution point person: Swetha Pakala, MD
  • Osmania General Hospital point person: Kausalya Chakravarty
  • Travel requirements: More details to come

 


New Program Application

 New sites for the ASRA Global Health Fellowship Rotation can be vetted and approved by contacting GlobalHealthandRASIG@asra.com

New program requirements:

  1. The host institution* must provide a written request for assistance from the ASRA Global Health Fellowship Rotation program.
  2. The host institution must have a preexisting relationship with an ASRA-affiliated institution.†
  3. A Memorandum of Understanding (MOU) promoting an ongoing partnership focused on global health equity and sustainability of efforts should be signed by authorized persons from host and ASRA-affiliated institutions.
  4. At least one host and one ASRA-affiliated institution point person must be identified to build and sustain the rotation.
  5. An ABA certified anesthesiologist from the ASRA-affiliated institution must be on site to supervise ASRA fellows for the duration of the rotation.
  6. The rotation mission and objectives for an educational and/or academic program focusing on regional anesthesia and acute pain medicine and/or pain medicine should be clearly delineated.
  7. There should be sufficient clinical volume at the host institution to support the rotation mission and objectives.
  8. There should be sufficient resources (personnel, infrastructure, equipment, medication, etc.) at the host institution to support the rotation mission and objectives.
  9. The host institution should be in a safe location (Centers for Disease Control and Prevention, https://wwwnc.cdc.gov/travel/, and U.S. Department of State, https://www.state.gov/p/, to be used as references).
  10. The host institution should be in an accessible location.
  11. English-speaking or translation services should be readily available at the host institution.
  12. For rotations incorporating direct clinical care, required local medical licensing should be obtained.
  13. Appropriate travel health and evacuation insurance should be obtained for all travelers.
  14. The rotation must be approved by the ASRA Global Health SIG leadership.
  15. A proposal must be made to and approved by the ARSA Board of Directors at least three months in advance of the rotation and include details on the program’s geographical location, expression of need or request from the host institution, target audience, planned dates, program activities, faculty involvement, and expression of interest or decline to co-sponsor from the host continental society of regional anesthesia and pain medicine.

*Institution in limited-resource setting where the fellowship rotation will take place

†Institution of ASRA member(s) overseeing the fellowship rotation