Current situation of pediatric anesthesiology training in Colombia
Abstract
Surgery is a key pillar in medical care, and both the surgical as well as the anesthetic components are essential within the health systems in countries of all levels of development. Every year, close to 230 million surgical procedures are performed worldwide, with pediatric surgery being representative, as around 85% of children require a surgical procedure. However, the issue of education and training of the people involved in pediatric surgery who can provide safe surgical and anesthetic care in medium and low income countries has been absent from the global health debate.
The development of anesthesia in pediatrics faces many challenges: it is a relatively new specialty, it has to deal with clinical challenges associated with anatomical, physiological, psychological and procedure-related differences, while it faces the reality of few training opportunities which results in a limited number of duly trained and qualified specialists in pediatric anesthesiology. In Latin America, the possibility of applying to a specialization in pediatric anesthesia is limited. In particular in Colombia it has not been possible to establish a pediatric anesthesia subspecialty, creating the need to promote formal and informal training in this discipline in order to ensure that safe, good quality anesthetic care is provided to children.
This article describes the development of pediatric anesthesia training in the world and in Colombia, highlighting the relationship between the incidence of anesthetic complications and the need for training in this discipline.
References
Sen I, Dave N, Bhardwaj N, Juwarkar C, Beegum S. Specialised training in paediatric anaesthesia: Need of the hour. Indian J Anaesthesia. 2021;65(1):17. doi: http://www.doi.org/10.4103/ija.IJA_1445_20
Jacob R. Pro: anesthesia for children in the developing world should be delivered by medical anesthetists. Pediatr Anesth. 2009;19(1):35-8. doi: http://www.doi.org/10.1111/j.1460-9592.2008.02842.x
Brown TC. Helping trainees to become good pediatric anesthetists. Paediatr Anaesth. 2013;23(8):751-3. doi: http://www.doi.org/10.1111/pan.12188
Desjardins G, Cahalan MK. Subspecialty accreditation: is being special good? Current Opin Anesthesiol. 2007;20(6):572-5. doi: http://www.doi.org/10.1097/ACO.0b013e3282f18bd8
Andropoulos DB, Walker SG, Kurth CD, Clark RM, Henry DB. Advanced second year fellowship training in pediatric anesthesiology in the United States. Anesth Analg. 2014;118(4):800-8. doi: http://www.doi.org/10.1213/ANE.0000000000000089
Habre W. Pediatric anesthesia after APRICOT (Anaesthesia PRactice in children observational trial): who should do it? Curr Opin Anesthesiol. 2018;31(3):292-6. doi: http://www.doi.org/10.1097/ACO.0000000000000580
Echeverry P. Reflexion about pediatrics, anesthesia and education in pediatric anesthesia in colombia and south america. Pediatr Neonatal Nurs Open J. 2015;2(1):37-42. doi: http://www.doi.org/10.17140/PNNOJ-2-107
Auroy Y, Ecoffey C, Messiah A, Rouvier B. Relationship between complications of pediatric anesthesia and volume of pediatric anesthetics. Anesth Analg. 1997;84(1):234-5. doi: http://www.doi.org/10.1097/00000539-199701000-00060
Weiss M, Vutskits L, Hansen TG, Engelhardt T. Safe Anesthesia For Every Tot â–“The SAFETOTS initiative. Curr Opin Anaesthesiol. 2015;28(3):302-7. doi: http://www.doi.org/10.1097/ACO.0000000000000186
Boyer TJ, Ye J, Ford MA, Mitchell SA. Modernizing education of the pediatric anesthesiologist. Anesthesiol Clin. 2020;38(3):545-58. doi: http://www.doi.org/10.1016/j.anclin.2020.06.005
Carlson A, McElrath A, Herrera G, Patzkowski M. Pediatric fellowship-trained anesthesiologists improve anesthesia-controlled time in a pediatric endoscopy suite. J Pediatr Gastroenterol Nutr. 2023;76(6):813-6. doi: http://www.doi.org/10.1097/MPG.0000000000003770
Hansen TG, Vutskits L, Disma N, Becke-Jakob K, Elfgren J, Frykholm P, et al. Harmonising paediatric anaesthesia training in Europe: Proposal of a roadmap. Eur J Anaesthesiol EJA. 2022;39(8):642-5. doi: http://www.doi.org/10.1097/EJA.0000000000001694
Viola L, Clay S, Samuels P. Education in pediatric anesthesiology: competency, innovation, and professionalism in the 21st century. International Anesthesiol Clin. 2012;50(4):1-2. doi: http://www.doi.org/10.1097/AIA.0b013e31826df848
Nathan N. The future of pediatric anesthesiology training. Anesth Analg. 2023;136(3):433. doi: http://www.doi.org/10.1213/ANE.0000000000006393
Documento marco del Plan de Estudios y Competencias para un programa de Anestesiología en Colombia. Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.). 2017. [Internet]. [cited 13 Sep 2023]. Available at: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://scare.org.co/wp-content/uploads/Documento-Marco-del-Plan-de-Estudios-y-Competencias-para-un-programa-de-Anestesiologia-en-Colombia-1.pdf
Samuels PJ, Clay SJ. What is the condition of education in Pediatric Anesthesiology? Pediatr Anesth. 2015;5(25):445-6. doi: http://www.doi.org/10.1111/pan.12654
Snell JJ, Lockman JL, Suresh S, Chatterjee D, Ellinas H, Walker KK, et al. Pediatric anesthesiology milestones 2.0: An update, rationale, and plan forward. Anesth Analg. 2023:10-213. doi: http://www.doi.org/10.1213/ANE.0000000000006381
Cladis FP, Waisel D. Creating the pediatric anesthesiology consultant: you can’t have your cake and eat it too (unless you change the recipe). Anesth Analg. 2023;136(3):434-6. doi: http://www.doi.org/10.1213/ANE.0000000000006218
Ambardekar AP, Furukawa L, Eriksen W, McNaull PP, Greeley WJ, Lockman JL. A consensus-driven revision of the Accreditation Council for Graduate Medical Education case log system: pediatric anesthesiology fellowship education. Anesth Analg. 2023;136(3):446-54. doi: http://www.doi.org/10.1213/ANE.0000000000006129
Ambardekar AP, Singh D, Lockman JL, Rodgers DL, Hales RL, Gurnaney HG, et al. Pediatric anesthesiology fellow education: is a simulation‐based boot camp feasible and valuable? Pediatr Anesth. 2016;26(5):481-7. doi: http://www.doi.org/10.1111/pan.12865
Ambardekar AP, Eriksen W, Ferschl MB, McNaull PP, Cohen IT, Greeley WJ, et al. A consensus-driven approach to redesigning graduate medical education: the Pediatric Anesthesiology Delphi Study. Anesth Analg. 2023;136(3):437-45. doi: http://www.doi.org/10.1213/ANE.0000000000006128
Coté CJ. The WFSA pediatric anesthesia fellowships: origins and perspectives. Paediatr Anaesth. 2009;19(1):31-2. doi: http://www.doi.org/10.1111/j.1460-9592.2008.02867.x
Cavallieri S, Canepa P, Campos M. Evolution of the WFSA education program in Chile. Paediat Anaesth. 2009;19(1):33-4. doi: http://www.doi.org/10.1111/j.1460-9592.2008.02881.x
Morriss WW, Milenovic MS, Evans FM. Education: the heart of the matter. Anesth Analg. 2018;126(4):1298-304. doi: http://www.doi.org/10.1213/ANE.0000000000002653
Kaur B, Taylor EM. Development of a pediatric anesthesia fellowship curriculum in Australasia by the Society for Pediatric Anesthesia of New Zealand and Australia (SPANZA) education sub committee. Pediatr Anesth. 2023;33(2):100-6. doi: http://www.doi.org/10.1111/pan.14536
Hansen TG. Specialist training in pediatric anesthesia–the Scandinavian approach. Pediatr Anesth. 2009;19(5):428-33. doi: http://www.doi.org/10.1111/j.1460-9592.2009.02932.x
Shimada Y, Nishiwaki K, Sato K, Sato E, Miyasaka K. Pediatric anesthesia practice and training in Japan: a survey. Pediatr Anesth. 2006;16(5):543-7. doi: http://www.doi.org/10.1111/j.1460-9592.2005.01817.x
Trujillo A. Social determinants for health and neonatal anesthesia in Colombia. Colombian Journal of Anesthesiology. 2023;51(2). doi: http://www.doi.org/10.5554/22562087.e1063
Ibarra P. Colombian anesthesiology at a crossroad? Colombian Journal of Anesthesiology. 2021;49(4). doi: http://www.doi.org/10.5554/22562087.e994
Ministerio de Educación Nacional de la República de Colombia. Resolución 16233 del 30 de septiembre de 2015. Por medio de la cual se resuelve la solicitud de registro calificado del programa de Especialización en Anestesiología Pediátrica de la Universidad ICESI para ser ofrecido bajo la metodología presencial en Cali-Valle. 2015.
Jaramillo J, Echeverry PC, Gomez JM. Tratado de Anestesiología Pediátrica. Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.). Bogotá, Mayo 2015. ISBN 978-958-8873- 18-3.
Echeverry P. The new challenges in pediatric anesthesia in Colombia. Colombian Journal of Anesthesiology. 2017;45(1):5-7. doi: http://www.doi.org/10.1016/j.rca.2016.10.003
Liston DE, Jiménez N. Promoting research in pediatric anesthesiology. Colombian Journal of Anesthesiology. 2014;42(2):120-3. doi: http://www.doi.org/10.1016/J.RCA.2013.12.001
Downloads
Copyright (c) 2023 Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
