About
Overview
Dr. Janey Phelps first visited Kamuzu Central Hospital (KCH) as part of a surgical trip in 2014 and she quickly realized the need to partner with the anesthesia clinical officers at KCH to enhance the peri-operative anesthesia care. Anesthesia clinical officers have 18 months of training after which they are the anesthesia providers for all ages, surgical cases, and provide all the medical care in the intensive care unit. Due to the profound shortage of medical doctors in low to middle income countries (LMICs) clinical officers are used in every specialty field in the majority LMICs. There are only a handful of anesthesia physicians in the country of Malawi with a population 21 million and only one in the city of Lilongwe. The main focus of this partnership is to provide continual medical education to the anesthesia clinical officers and to assist in the training of the anesthesia clinical officer students and anesthesia residents. An International Resident/Fellow rotation was developed to help fulfill this mission and provide UNC anesthesia trainees with a robust Global Health experience.
The resident/fellow clinical experience is to provide focused, individualized education in the areas of global health, anesthesia in low resourced areas, and to offer continuing medical education opportunities for the anesthesia clinical officers and students through the residents. The Anesthesia International elective focuses on both clinical exposure and on providing education to the Malawian clinical officers and students. The collaborative relationship with the anesthesia clinical officers at Kamuzu Central Hospital offers a meaningful opportunity for the residents to make a lasting and positive impact through education and quality improvement research.
Malawi
UNC Project Malawi (UNCPM) is a collaboration between UNC and the Malawi Ministry of Health that was established in 1999. UNCPM employs hundreds of Malawian staff, including clinicians, nurses, laboratory staff, pharmacy technicians, data officers, and administrative staff. In addition, UNCPM has ~15 permanent Malawian and expatriate resident faculty in infectious diseases, hematology-oncology, women’s health, pediatrics, and epidemiology. UNCPM serves as a training site of the Fogarty International Center, and as the site of many ongoing research studies, including protocols implemented by the NIH.
KCH is the national referral hospital in the capital city of Lilongwe, serving the central region of Malawi and has a catchment area of 10 million. It is an 800-bed hospital that will flex to over 1,000 beds during the busy season. KCH is overseen by the Ministry of Health and is affiliated with the Malawi College of Medicine with on-site facilities for the third-year Malawian medical students.
Our department has sent numerous anesthesia residents, attendings and pediatric and obstetric anesthesia fellows to KCH. Our attendings have published global health research manuscripts in peer reviewed journals, written book chapters, conducted research, partnered with KCH faculty for quality improvement projects, and received national awards for their Global Health advocacy. Faculty have been the invited external visiting Professor examiner for the Anesthesia Clinical Officer Student final clinical exams.
Other Sites and Resources
UNC Office of Global Health and Education (OGHE)
UNC Project Malawi
UNC School of Medicine
OGHE Global Health Scholars Program
UNC Institute for Global Health and Infectious Diseases
UNC Fellowship Training Program in Infectious Diseases
The UJMT Fogarty Global Health Fellowship (UJMT LAUNCH)