Zimbabwe Global Health Rotation

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Contents

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A. Name and Location:


• Global Health Elective – Academic Partnership with the University of Zimbabwe
• Parirenyatwa Hospital Complex
• Harare Group of Hospitals
• University of Zimbabwe - College of Health Sciences
• Department of Anesthesiology
• Harare, Zimbabwe


B. Education Rationale:

In 2006, the surgical component of the global burden of disease was estimated as high as 11%. Anesthesiologists, including intensivists, are peri-operative physicians responsible for the care of patients prior to, during, and after surgery. This includes the pre-operative evaluation, intraoperative management, recovery period, and intensive care units. Anesthesiologists are therefore essential components of safe and effective surgery.

Through the formation of international academic partnerships, global health programs establish environments from which to launch global health research and educational programs contributing to strengthening healthcare systems in low-income countries and potentially improving patient outcomes. With increased globalization, the establishment of an academic partnership between Stanford University Department of Anesthesiology and the Department of Anesthesiology at the University of Zimbabwe – College of Health Sciences is a mutually beneficial endeavor that serves two purposes:


o Benefits for University of Zimbabwe Department of Anesthesiology:


- Academic support in the form of medical education through lectures (live, video conferenced, and on-line)
- Academic support in the form of research mentorship and collaboration
- Collaborative exchange of information and exposure to resources that are otherwise unavailable in the local practice setting
- Opportunity to have a professional and collaborative exchange with foreign anesthesia colleagues
- Opportunity to develop global patient advocacy
- Develop and evaluate the effectiveness of an academic partnership in Anesthesiology


o Benefits for Stanford University Anesthesiology Residents:


- Residents gain a broad knowledge of the existing healthcare disparities specific to peri-operative patients
- Residents have the opportunity to develop and analyze educational interventions in collaboration with local healthcare providers
- Opportunity to develop lectures on anesthesia topics
- Opportunity to present lectures on anesthesia topics
- Opportunity to develop relevant on-line video lectures

- Residents have the opportunity to develop and evaluate the effectiveness of an academic partnership
- Opportunity to have a professional and collaborative exchange with foreign anesthesia colleagues

- Opportunity to develop as a global patient advocate
- Opportunity to collaborate on anesthesia-related research in a lower-resourced setting and population
- Exposure to disease states not seen, or rarely seen in the United States with consideration of the optimal peri-operative anesthesia management for these patients.
- Exposure to advanced disease states of common diseases not seen, or rarely seen in the United States with consideration of the optimal peri-operative anesthesia management plan for these patients.
- Residents will gain familiarity with anesthetic medications not used or used rarely in the United States
- Residents will gain familiarity with anesthetic equipment and machines not used or used rarely in the United States


C. Length of Rotation:


• 4 weeks


D. Maximum number of residents on rotation:


• 2 residents


E. Description:

In the spirit of academic partnership and collaboration, the educational and research activities in which the rotating Stanford resident will participate will be developed jointly by involved faculty at both the University of Zimbabwe College of Health Sciences (UZCHS) and Stanford University departments of anesthesiology. Activities will be based on needs assessments performed by both departments and prioritization established by the teaching faculty at the UZCHS.

The Stanford University resident in Anesthesiology will function primarily in a collaborative capacity focused on teaching and research participation. Although involvement in clinical care will be allowed in a team setting, as is common practice at the University of Zimbabwe, the Stanford University anesthesiology resident will at no time be directly or solely responsible for patient care while on rotation at the University of Zimbabwe group of hospitals. Residents may on occasion participate directly in patient care if the Stanford University rotation director or other core faculty, associated with Stanford University, are on site to provide direct supervision.

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