ARSI Certificate Course for Rural Medical Officers: A Proposal


The vast majority of the world is without access to surgical and anesthesia care, and a severe workforce shortage, particularly in anesthesia, is a major contributing factor.1,2,3,4,5 The Lancet Commission on Global Surgery (LCoGS) showed that Africa and South Asia, claiming some of the world’s lowest resource areas and accounting for over a third of the global population, lay claim to just 12% of surgeons, anesthetists and obstetricians.6 In the Commission’s qualitative interviews, providers on more than two continents noted that in the world’s most rural and under-resourced areas, it was unlikely to have a surgeon and an anesthesiologist in the same place.7

Researchers estimate that low- and middle- income countries (LMICs) will need 1.4 to 2.2 million more providers by 2030 to meet demand, an insurmountable threshold in some LMICs. A suggested interim measure by the Disease Control Priorities 3 (DCP3), the LCoGS, and others is the concept of “task-based credentialing,” where individuals – physicians of other disciplines or non-physician clinicians – are trained and credentialed in a limited set of procedures.1,8 Administration of certain modes of anesthesia has been suggested to be well-suited for task-based credentialing and a critical way to mitigate the shortage and misdistribution of surgical workforce.

Log in or register for free to continue reading
Register Now For Free Already Registered? Log In
This entry was posted in Featured, Primary Care, Primary Care Featured 1 and tagged , . Volume: .

Post a Comment

You must be logged in to post a comment.