ROUND TABLE MEETING Prof Dr Resham B Rana

President
CSA 2016 SAN Nepal
OBJECTIVES
1) What are the most difficult issues for the
development of anesthesiology specialty in your
country? How do you handle with them?
2) What can we do to promote cooperation among
our societies?
NEPAL: INTRODUCTION
Land-locked country: between China & India
Population 31 million
Area 147,181 sq km (56,827 sq miles)
Life expectancy 
68 years (men),
70 years (women)
NEPAL: INTRODUCTION
Registered Doctors 16453
Anesthesiologists: 242
Anesthesiologist-Surgeon ratio 1:10
MOST DIFFICULT ISSUES
Inadequate number of Anesthesiologists
Inappropriate distribution of Anesthesiologists
Lack of anesthesia equipment
Lack of OT team
Surgeons, trained scrub staffs and anesthesiologists
Lack of follow-up system:
CME, CPD and FEP
ACTIVITIES FOR DIFFICULT
ISSUES
Productions of Anesthesiologists: 30/year
Distribution of Anesthesiologists: Advice for definite
plan for posting and transfer system.
Anesthesia equipment: advocating by society
OT team: report submitted waiting for execution
Surgeons, trained OT staffs and anesthesiologists
Lack of follow-up system:
CME, CPD and FEP (Distance learning system)
PG MD- ANESTHESIOLOGY
PROGRAM NEPAL
MD ANESTHESIOLOGY (AROUND
30/YR NEPAL)

Entry and exit by:

Four different Medical Universities of Nepal
Three year course after MBBS degree
Focuses on:
General anesthesia
Specialty: pediatrics, obstetrics & Gyne, Neuro-surgery,
CTVS & ICU exposure
ANESTHESIA ASSISTANT COURSE
TRAINING NEPAL
AAC TRAINING
One year structured course
Entry candidates:
For experienced Paramedics with 3 years medical course
Entrance and exit system by National Academy of
Medical Sciences
Training conduction:
Certified training sites (General Hospitals)
Trained experienced anesthetists
AAC TRAINING
Focuses on:
Pre-anesthesia check
Spinal anesthesia (C-section)
Total Intra-venous anesthesia (TIVA) with ketamine
Intubation skills
Resuscitation: CPR,
COOPERATION AMONG
SOCIETIES
Specialty Training support within our societies
Obstetric anesthesia
Pediatric anesthesia
Pain management
ICU training
Multi-national Research
Resuscitation training
Inter-institutional exchange program
THANKS!!
 ASSESSMENT PLAN SECTION-END
KNOWLEDGE
ASSESSMENT MID-COURSE
SKILLS PRACTICE
ASSESSMENT
SECTION-END
KNOWLEDGE
ASSESSMENT

SECTION 1 SECTION-END
Mini-Course KNOWLEDGE
2 weeks ASSESSMENT FINAL COURSE
SKILLS ASSESSMENT

SECTION 2
13 weeks FINAL COURSE
KNOWLEDGE
ASSESSMENT

SECTION 3
13 weeks

SECTION 4
13+ weeks

1 2 3 4 5 6 7 8 9 10 11 12
MONTH
INTRODUCTION TO AAC
AAC S1 L1 14
 Course Resources
Figure 1. Overview of the AAC LRP

REFERENCE COURSE TEACHING & LEARNING

ORIENTATION MATERIAL MATERIALS MATERIALS

AAC
TRAINER

User Guide Anatomic Games and

Course Handbooks, Sections 1–4 Presentations
for Trainers Models Activities
AAC TRAINER
& STUDENTS

+
Clinical
AAC Textbook Videos

STUDENTS

Pocket guide Course Handbooks, Sections 1–4

User Guide Log book
for Students
INTRODUCTION TO AAC
AAC S1 L1 15