The Department of Anesthesiology, Critical Care & Pain Management understands the role regional anesthesia plays in improving global orthopedic care and is committed to caring for patients, strengthening education, and expanding the application of regional anesthesia techniques worldwide.
The Department hosts several opportunities for physicians interested in improving global health equity. Our Regional Anesthesiology & Acute Pain Medicine (RA&APM) Fellowship offers both elective and long-term opportunities for applicants interested in advancing the state of anesthesia care.
Surgical conditions account for 11 to 32 percent of the global disease burden, but nearly five billion people do not have access to quality surgical and anesthetic care. Part of this global health equity problem is a critical shortage of adequately trained physicians to address these unmet needs. To help improve these deficits in musculoskeletal care, the Department launched the Global Health Initiative.
The Global Health Initiative aims to improve global health by providing sustainable educational programs to anesthesia providers in resource-limited settings. Founded in 2012 by Swetha Pakala, MD, the Global Health Initiative works at the local level to educate anesthesia providers on vital regional anesthesia techniques and facilitate sustainable growth and health infrastructure within these communities.
The Global Health Initiative has worked with anesthesia colleagues in several developing areas:
Currently, the Global Health Initiative is partnering with the Department of Anesthesiology and Intensive Care at the Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana. To better serve the Ghanaian anesthesia community, members of the Global Health Initiative have launched the Global Regional Anesthesia Curriculum Engagement (GRACE) protocol. GRACE is a research tool that provides a standardized approach to design, administer and measure changes associated with implementing a locally-tailored curriculum in these areas.
The Global Health Initiative offers a Global Health academic track for one to two RA&APM fellows passionate about improving global health equity. Incoming fellows can apply for the Global Health track before they begin their fellowship year.
Affiliated with the Hospital's Global Partnerships office, the Global Health Initiative works internally to better understand HSS involvement in the global health community and identify potential opportunities across several departments and surgical specialties.
Several of our attending staff participate in global medical missions, providing anesthesia care to patients in developing or recently devastated areas of the world. Our anesthesiologists have worked with The Touching Hands Project, Operation SMILE, and others.
Kethy Jules-Elysee, MD, leads several mission trips to Haiti and other areas each year. She owns and operates her own primary care clinic, working with the local Haitian community since 2012.
RA&APM fellows are eligible to participate in short-term missions as a clinical elective.