MUSC Anesthesia Global Health Initiative: Project Madaktari
The Medical University of South Carolina’s Global Health Initiative Madaktari Africa Program and the Department of Anesthesia and Perioperative Medicine are developing a continuing anesthesia education program at Weill-Bugando Medical Center in Mwanza, Tanzania. Weill-Bugando Medical Center is a 900-bed tertiary referral center with a medical school, nursing school and a nurse anesthesia program. There is currently only one Anesthesiologist practicing in Mwanza. Nurse anesthetists complete twelve months of training and then enter into the workforce at local community hospitals throughout Tanzania. MUSC’s goal is centered on the train forward concept whereby faculty, residents, CRNAs and anesthesia technicians are sent to advance the level of education of both nurse anesthesia and physicians. It is expected that this improved education will result in better trained anesthesia providers who will be distributed across Tanzania and ultimately improve the safety of anesthesia. In addition to teaching the anesthetist students, we will also be training two of the senior anesthetists to provide safe perioperative neuroanesthesia management.
By partnering with other U.S. institutions, MUSC’s Department of Anesthesia and Perioperative Medicine desires to send anesthesiologists, anesthesia residents and CRNAs to Mwanza to work and teach the nurse anesthesia students throughout the year. Residents will be supervised by faculty for the majority of their rotation, but will be expected to teach and supervise both in the operating room and in the classroom thus developing increasing independence. With a continued presence and investment in improving perioperative patient care and education of the nurse anesthesia students and physicians the following goals will be achieved:
1. To work with the native anesthesia personnel to educate and improve the current perioperative anesthesia management and delivery.
2. To provide a higher quality of anesthesia at Weill-Bugando Medical Center to decrease perioperative anesthesia related morbidity and mortality
3. To improve the education of the nurse anesthesia students so that they may be better prepared for perioperative anesthesia management as they enter the work force, thus decreasing morbidity and mortality at community hospitals.
4. To increase medical student interest in anesthesiology, and begin to develop an anesthesia residency program at the medical center.
Eligible participants include:
Faculty: Clinical faculty of the Department of Anesthesiology and Perioperative Medicine are encouraged to participate. This rotation is considered an approved outlet for faculty’s two weeks of meeting time. The faculty will be expected to use vacation time if staying longer. Faculty will be traveling with a resident or CRNA from one of the participating programs. Faculty may use their professional expense account to offset some of the cost such as vaccinations, VISA, housing and food. Additional time and departmental financial support may be awarded in special situations at the discretion of the chairman.
Trainees: Resident physicians (CA3 only) and fellows in good standing are eligible to participate, and are expected to go for 4 weeks. Participants from MUSC will be participating under the global health rotation, and will not have to contribute vacation time during the clinical portion of their trip. The department of anesthesiology will fund the travel expenses, room and board.
CRNAs: CRNA staff of the MUSC Department of Anesthesiology and Perioperative Medicine are encouraged to participate as space and resources allow. Priority will be given to CRNAs who will travel using personal vacation time and pay for their travel expenses.
Staff: Clinical and non-clinical department staff are eligible to participate in medical missions in clinical and logistical support roles, as needed. Anesthesia technicians and biomedical engineers are encouraged to participate. Priority will be given to those who will travel using personal vacation time and pay for their travel expenses.