Bangkok Anesthesia Regional Training Centre
(Supported by the World Federation of Society of Anesthesiologists
And the Royal College of Anesthesiologists of Thailand)
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Activity Report 1996 – 2008
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1. Background and philosophy
WFSA-RCAT Bangkok Anesthesia Regional Training Centre (BARTC) was developed
by the initiation of Dr. Kester Brown (Australia), Dr. Robert Hare (Australia), Prof. Mitsugu
Fujimori (Japan) who supported Prof. Thara Tritrakarn (President of the Royal College of
Anesthesiologist of Thailand at that time) to set up a regional training centre in Bangkok,
Thailand in 1996. The objective is to promote teaching and training of anesthetic personnel in
developing countries in Asia by means of financial and educational support. The aim is to train
future trainers to form a critical mass and enable them to teach more junior colleagues in
their own countries and to reach the highest standard appropriate to their medical practice at
home.
The teaching program
The program is a twelve-month structured teaching program and consists of lecture,
discussion, bed side teaching and hand-on practical training of various anaesthetic techniques
and care in the operating room and ICU. There are 20 lectures, 18 bed side topics and 8 special
experiences. Lectures cover various aspects of physiology, anatomy, pharmacology and clinical
anesthesia care of patients with common and uncommon diseases of the region. Trainee will
participate in all departmental educational activities. Special experience includes CPR and
advanced cardiac life support training, the use of library and medical informatics, opportunity to
attend various medical congress or meeting in Bangkok and other cities, meeting and discussion
with visiting professors or lecturers from abroad.
Rotation
Trainee spends their first 6 to 8 months in a participating university hospital to pave their
basic and clinical knowledge and skill then rotates to 2 provincial hospitals. The practice in
provincial hospital is closer to the practice at home of trainee. Trainee get more practical skill
and knowledge that are more able to adapt or adopt when they go back home. With less
competition for cases with Thai residents and students, trainee has the opportunity to do more
manual skill in general and regional anesthesia. Trainees of the year 2006 class highly praised
the provincial hospitals rotation. The duration for this rotation is then increased from 2 to 4
months to give maximum benefit to trainee in the year 2007 class.
Trainee may request to spend more time in particular area of interest or home
requirement i.e. pediatric, obstetric or cardiothoracic anesthesia during their rotation in the
university hospital. Trainee from children hospital in Mongolia rotated to National Children
Hospital for 2 to 6 weeks and evaluated that was very beneficial to them.
Participating institutions
With the support of the Royal College of Anaesthesiologists of Thailand, the Department
of Anaesthesiology of 3 university teaching hospitals and 3 general hospitals have participated
in this program since 1996. They are:
1. Faculty of Medicine Siriraj Hospital, Mahidol University
2. Faculty of Medicine Ramathibodi Hospital, Mahidol University
3. Faculty of Medicine Chulalongkorn Hospital, Chulalongkorn University
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4. Chonburi Hospital, Chonburi Province, Ministry of Health
5. Ratchaburi Hospital, Ratchaburi Province, Ministry of Health
6. National Children Hospital, Bangkok, Ministry of Health
Executive committee
The executive committee consists of a director, an honorary secretary, chairman of
anesthesia department and a co-ordinator of the 6 participating institutes. The officers of 20042007 are:
Director:
Prof. Thara Tritrakarn
Siriraj Hospital
Honorary Secretary:
Prof. Jariya Lertakyamanee
Siriraj Hospital
Committee:
Prof. Ungkab Prakanrattana
Siriraj Hospital
Assoc. Prof. Sureerat Srisawat
Ramathibodi Hospital
Assoc. Prof. Wanna Somboonviboon
Chulalongkorn Hospital
Assoc. Prof. Thitima Chinachoti
Siriraj Hospital
Assoc. Prof. Supranee Niruthisard
Chulalongkorn Hospital
Assoc. Prof. Wanawimol Saengchote
Ramathibodi Hospital
Assist. Prof. Orawan Phongraweewan
Siriraj Hospital
Assoc. Prof. Oranuch Kyokong
Chulalongkorn Hospital
Assoc. Prof Prasatanee Janthorn
Ramathibodi Hospital
Dr. Sunida Atichart
Chonburi Hospital
Dr. Wiroj Pengpol
Ratchaburi Hospital
Dr. Anchalee Attchoo
Queen Sirikit National Institute
of Child Health
WFSA support
World Federation of Societies of Anesthesiologists (WFSA) provides financial support
as scholarships to trainees to be trained at BARTC. Three scholarships were awarded each year
in 1996, 1997 and 1998. The number has increased to 4 since 2000. The scholarship provides
one round trip economic airfare, accommodation and living expense (same amount as the local
Thai anaesthesia resident). There is no levy of tuition fee, no university charge. The
participating departments receive minimal compensation for teaching and consumable training
materials, e.g. cost of making slide, teaching material and handout, etc. Teachers, lecturers and
tutors do not get any financial compensation for their extra work. All of them have been
contributing on the basis of spirit and good deed to help other colleagues in the anesthesia
profession to help their people.
Entry requirement
Applicants must be medically qualified, holding a perment post in a government
teaching hospital, having had prior experience in full time anaesthesia for at least 3 years
in his/her home country with or without enrolling in the formal training. They must have
communicable spoken and written English language ability.
Recognition and certification
This is an important issue. Without proper certification, anaesthesiologists who have
completed the training and returned home are not recognized as specialist even though they have
gained considerable knowledge and skill. A WFSA Diploma of Anaesthesia (DA) would be
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ideal but WFSA Executive Committee ruled that WFSA is not a training institute and can not
confer a degree or diploma. The matter was resolved by having BARTC, under the auspices of
the Royal College of Anaesthesiologists of Thailand and the support of WFSA, issued a
Diploma of Anaesthesia (DA) degree to the successful trainee who passed the evaluation
process. The diploma was signed by the Chairman of Executive Committee or the President of
WFSA, the President of the Royal College of Anaesthesiologists of Thailand and the Director of
BARTC. The diploma is equivalent to a Master Degree in medicine.
Evaluation
The evaluation consists of a pre-test, formative and final summative evaluation. After 2
months of adaptation period, a pretest was done to evaluate the trainees’ back ground. This was
used to tailor the training to individual knowledge and skill. Some of trainees have passed basic
formal training at home but many countries in this region do not have formal training in
anesthesia. Formative evaluation was given by the trainee’ mentors who judge their progress in
learning, performance and clinical skill. It is given 60% weight in the final evaluation. The final
oral and written examinations (MCQ) are the rest 40% weight.
Overall problems
1. Language barrier is the major problem. English is not the trainees’ second language but is
the third or fourth language after their native language, French or Russian. The ability to
understand, read and communicate is therefore limited. Considerable time and effort is
needed to teach and train them. The first and third classes were taught in Thai which was
more comprehensible to Laotian trainees than English but it is still their third language.
2. Variation in the academic back ground and clinical experience of trainees cause difficulty in
teaching them as a class. Some trainee has enrolled in basic anesthesia training at home but
most of them have no formal training. Some has worked as general practitioner (GP) for
over 15 years and some worked in anesthesia as apprenticeship for over 10 years without
formal training. A tutor or mentor assigned to individual trainee is essential to help he/she
get proper training and hands on experience. During the first 2-3 month, trainee is assigned
to be attached to a teacher for 2-4 weeks and moved to another teacher to help trainee to
improve their basic understanding and adaptation until they are comfortable with the new
environment.
3. Clashing with the pre-existing residency training and training of nurse anesthetists. They
competed for cases, for time and for attention of teachers.
4. Without knowledge of Thai language, trainees from abroad can not communicate with
patient and can not read patients’ chart. This is a major hindrance of their learning. A local
anaesthesia resident is usually assigned to help each of them.
5. All consultants have a very heavy workload. It is difficult for them to take extra load
without any incentive or compensation. Even all participating teachers are willing to teach
this extra class with high spirit of good deed but some kind of reward or recognition is
needed.
Post training follow up: by country
Mongolia
The 11 graduates from BARTC have formed a critical mass and have made dramatic
improvement of anesthesia care and education in Mongolia. They introduced many new
techniques to Mongolia e.g. spinal and regional anesthesia in children, parenteral nutritional
support in children. The safety of anesthesia has been emphasized and reinforced. They have
strengthened and unify anesthesia training in Mongolia. The training duration is going to
increase from 1½ year to 3 year program. They organized training courses for doctors and
nurses. They setup pain clinic in Mongolia. They invited speakers from USA, Australia,
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Thailand and Korea to give refresher course in Ulaan Baatar. Dr Shagda Enkhtuvshin, the first
Mongolian BARTC graduate and the head of the team has received the best doctor of the year
award for 3 consecutive years.
Laos PDR
There are 12 Laotian trainees from BARTC. Four of them work in provincial hospitals in
Laos and 7 work in teaching hospitals in Vientiane. They are important teaching team in
anesthesia in Laos. The French government has launched 3 year training program in Laos with
teaching faculties from France and hope that the local faculties will carry on later. Dr Traychit
Chantasiri, the firs class graduate, received scholarship to continue his training in Luxemburg.
He joined the French team to start doing cardiac surgery in Laos in 2005.
Cambodia
Seven graduates from BARTC work in teaching hospitals in Phnom Penh and 2 in
provincial hospitals. They are active in anesthesia activities in their country. They help in
organizing annual Cambodian national anesthesia meeting.
Vietnam
Three trainees from BARTC, 1 is working in teaching hospital in Hanoi. He is active and
is an important force in organizing the 12th Asean Congress of Anesthesiologist in Vietnam.
Another is working in a private hospital in Ho Chi Minh City. The last one immigrated to
Australia in 2004
Myanmar
All 3 graduates work in teaching Yangon General Hospital. They are important teaching
force in Myanmar. Dr Soe Nyunt persuaded BARTC to hold the First WFSA-BARTC refresher
course in Myanmar on February 1, 2007
Bhutan
There are 2 trainees from Bhutan. One works in Thimphu, the capital of Bhutan. Another
works in a provincial hospital in the eastern part of Bhutan. They are the only 2 Bhutan
nationality anesthesiologists. Bhutan has no medical school, no specialist training. Imported
doctors and anesthesiologist from India are the source of help.
WFSA Refresher Course
Refresher course is an effective way for transferring knowledge or new information to
many people who have some background knowledge or information. BARTC organized many
WFSA refresher courses in developing countries in Asia i.e.
1991 Hanoi, Vietnam
1993 Ho Chi Minh City, Vietnam
1995 Ho Chi Minh City and Hue, Vietnam
1998 Vientiane, Laos PDR
1998 Haiphong, Vietnam
2004 Phnom Penh, Cambodia
2006 Ulaan Baatar, Mongolia
2007 Yangon, Myanmar
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Future plan
The aim of helping future trainer anaesthetists from developing countries to enable them
to train their junior colleagues in their home countries will be continued for at least another 4
years.
A three-year anesthesia training program has recently been established in Nepal, Laos,
Cambodia and Vietnam. The future trainees may have a higher academic background than those
in the previous classes. The training program may have to be changed to suit the need of the
trainees. Advanced training in subspecialty, e.g. cardiovascular, neuro, paediatric anesthesia,
ICU, pain medicine will be available for them to choose. Some kind of certification or degree of
advance training that will be recognized as higher than their local degree and higher than
Diploma of Anaesthesia (DA) may have to be considered. Higher Certificate of Advanced
Training may be an example.
A mixture of trainees without previous formal training and those with 1 and 3 year
training is expected. This will complicate the training and the evaluation. With good intention,
high spirit and commitment, BARTC will try its best to make the program succeesful.
Organizing WFSA refresher course in developing countries is a quick way of transfering
updated knowledge or information to a big group of attendance. It is important to select the
topics and content that is applicable and suitable to the need and the practice of anaesthetists in
less affluent countries. They have limited equipment, drugs, money and human resource.
BARTC will bring visiting and regional lecturers to the neighbouring countries in the future
refresher course in Laos, Cambodia, Vietnam, Mongolia and Myanmar.
2. The classes
The first class (1996-1997)
Three Laotians were awarded scholarships and successfully completed the program
(June 1, 1996 – May 31, 1997) and were awarded the Diploma of Anaesthesia from WFSARCAT-BARTC. They were:
1. Dr. Traychit Chanthasiri, Mahosot Hospital, Vientiane, Lao PDR
2. Dr. Sisongkham Phanmany, Mahosot Hospital, Vientiane, Lao, PDR
3. Dr. Vanpheng Norasingh, Mahosot Hospital, Vientiane, Lao, PDR
They had 6-8 years experience in clinical anaesthesia in their home country but had
never had formal training before coming to BARTC. They now returned to Lao PDR and are
teaching their junior colleagues in Mahosot Hospital which is the major teaching hospital in Lao
PDR.
Thai language was used in this class. The Laotian doctors understand Thai language and
read Thai textbook.
The second class (1997-1998)
Three scholarships were awarded to the second batch of trainee:
1. Dr. Boualy Suvanavong, Mahosot Hospital, Vientiane, Lao PDR
2. Dr. Serey Seng, Phreah Kossamak Hospital, Phnom Penh, Cambodia
3. Dr. Kinh Nguyen Quoc, Viet Duc Hospital, Hanoi, Vietnam
Only Dr. Boualy completed the program and was awarded the Diploma of Anaesthesia.
Dr. Kinh attended the course for 3 months and left to attend a Ph.D course in Hanoi. Dr. Serey
attended the course for 6 months and went home to visit his family in Cambodia in the middle of
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December 1997 and did not come back. Cambodia had political trouble and a mini civil war in
October to December 1997. His resignation was received in February 1998.
English language was used in this class. Language barrier caused difficulty in
communication. Difference in academic background and clinical experience among the 3
trainees from different countries created a difficult problem in teaching and training. It was
decided that the selection of candidate by their national society or authority was not appropriate.
Candidates should be selected by merit of their background, experience and local situation in
each country. Candidates should have similar background and clinical experience.
The third class (1998-1999)
The executive committee of BARTC organized WFSA refresher course in Lao PDR on
March 25-26, 1998. They made a site visit and interviewed candidates for the third batch.
Scholarships were awarded to:
1. Dr. Phiphorn Boonmala, Friendship Hospital, Vientiane, Lao PDR
2. Dr. Sithideth Sayavong, Savannakhet Provincial Hospital, Lao PDR
3. Dr. Vilayphone Kounlavong, Mahosot Hospital, Vientiane, Lao PDR
They had 3-5 year clinical experience in anaesthesia but had never had a formal training
before coming to BARTC. Thai language was used in this class. They joined the local Thai
residents in lecture and all other teaching activities. They all completed the program and
returned home. Dr. Sithidej is the only trained anesthesiologist in his province of Savannakhet.
He is now chairman of department of anaesthesiology in his hospital and is responsible not only
to giving anaesthesia but also training his young colleagues.
The fourth class (2000)
After reviewing and evaluating the previous 3 batches, the executive committee of
BARTC decided to make a major change in the fourth class as the following:
1. Change the rota schedule to have each trainee start at one institution and remain there
for 8 months. Trainee will get acquaintance and learn more from consultants. Subspecialty
rotation, e.g. cardiovascular, pediatric, neuroanesthesia, etc, can be arranged according to
trainee’s interest and performance. A month rotation to three different institutions is arranged to
give the trainee the opportunity to get exposure to different clinical setting and teaching. They
will meet more consultants in Thailand which will be helpful for future co-operation. A month
rotation to a provincial hospital is also provided to give the trainee the opportunity to expose to
the practice more similar to their home practice.
2. Rearrange teaching topics to be 20 lectures, 18 bed side topics and 8 special
experiences to be more compact and to facilitate more comprehensive discussion in the
operating room and stimulate more self study.
3. Change the starting date of the class from June to January. This is to avoid clashing
with the start of the first year residency training on 1st June in each institute. It will allow
consultants to have more time to spend with the trainees of BARTC. The new opening of the
class applied from the 4th class of the year 2000.
4. A consultant will be assigned to take care of each trainee for 1 to 3 months and
rotates to other consultants through out the year to make sure that they will get proper training
and are well looked after.
5. English will be used in the fourth class.
Four scholarships were awarded to anaesthesiologists to train at BARTC as the fourth
class. They are:
1. Dr. Enkhtuvshin Shagdar, Maternal & Child Health Research Center, Ulaan Baatar,
Mongolia
2. Dr. Sithan Ky, National Pediatric Hospital, Phnom Penh, Cambodia
3. Dr. Kim Anh Le Thi, Danang General Hospital, Danang, Vietnam
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4. Dr. Hoang Truong Thanh, University of Medicine and Pharmacy, Ho Chi Minh City,
Vietnam
All of them have 4-5 years prior experience in anaesthesia. Dr. Enkhtuvshin and Dr. Le
Thi completed their specialization course at home before coming to BARTC.
All 4 trainees completed the training, received Diploma of Anesthesia and returned home
and help improving anesthesia practice and teaching at home.
Dr. Enkhtuvshin Shagdar has made great contribution in improving anesthesia standard
in Mongolia. Prof. Choijamts Gotto, Director of Maternal & Child Health Research Center,
Ulaanbaatar, Mongolia reported that she introduced 24 new techniques learned in Thailand to
Mongolia. She organized the First National Anesthesia Meeting in Mongolia in 2001. She
invited a group of anesthesiologists from Mayo Clinic, USA (led by Prof. Sait Tarhan) to join
the Second National Meeting in 2002. She was awarded “Best Doctor of the year 2002”. She is
planning a project “training of nurse anesthetist” in Mongolia as she has seen in Thailand. In
2003 she was again awarded “Best Doctor of The Year”. She organized and made several short
VDO presentations on children safety which were repeatedly shown on the Mongolian National
Television in 2003. She received a scholarship from Chung Num University to further her study
in Korea for 6 months in 2004. Prof Choijamts Gotto also reported that they have organized a
conference presented by physicians who had training in Thailand which gathered over 70
anesthetists. They also set up Thai Mongolian Student’s Association in 2003. Thank to WFSA
for supporting this educational activities.
The fifth class (2001)
Four scholarships were awarded to
1. Dr. Bayarsaikhan Bazardargia, Anaesthesiology and Intensive Care Department,
Maternal and Child Research Medical Center, Ulaanbaartar, Mongolia
2. Dr. U Soe Nyunt, Department of Medical Sciences Institute of Medicine (1) and
Yangon General Hospital, Yangon, Myanmar
3. Dr. Sonephet Phomma, Anesthesia, Champasak Provincial Hospital, Champasak
Province, Lao PDR.
4. Dr. Amphanh Xaypangna, Anesthesia Department at Pakse Hospital, Pakse, Lao
PDR
Dr. Sonephet and Dr. Amphan were from Southern Laos. When they returned home,
they are the important force in improving anesthesia practice in Southern Laos. Dr. Soe
requested and had training in thoracic anesthesia for 4 months to prepare himself to be posted to
work in a chest hospital in Yangon, Myanmar. All of them completed the course and received
DA.
The sixth class (2002)
The 4 WFSA scholarships were award to
1. Dr. Myagmar Ariuntungalag, Dept. of Anaesthesiology, Pediatric Surgery Clinic,
Maternal and Childrens Health Research Center, Ulaanbaatar-24, Monglolia
2. Dr. Garjaman Rai, Riserboo Hospital, Trashigang District, Eastern Bhutan, Bhutan
3. Dr. Sovonnarith Chhay, National Pediatric Hospital, Russian Federation Blv., Khan
Tuol Kork, Phnom Penh City, Cambodia
4. Dr. Phonexay Somsaath, Anesthesia service, Mahosot Hospital, Vientiane, Lao PDR.
The Government of Thailand awarded a scholarship to
5. Dr. Phouva Photilak, Sayaburi Hospital, Sayaburi Province, Lao PDR.
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The Japan International Co-operation Agency (JICA) of Cambodia awarded a
scholarship to
6. Dr. Te Kuy Chiv, National Maternal and Child Health Center, Phnom Penh,
Cambodia
Dr. Garjaman Rai has never had any experience in anesthesia. He was a general
practitioner for over 15 years. He was the first Bhutan doctor to have anesthesia training and
was the first anesthesiologist in Eastern Bhutan.
Dr. Phouva Photilak worked in a remoted Provincial Hospital of Sayaburi.
Five trainees completed the course, passed the examination and received DA. Dr.
Phonexay Somaath dropped out after having 3 months of training due to family problems. They
all returned home working for their people and their countries.
The seventh class (2003)
The scholarship was given to 2 Mongolian and 2 Cambodian anesthesiologists. They are:
1. Dr. Boldbaatar Odgerel, Dept. of Anesthesiology and Intensive Care, Pediatric
Surgery Clinic, Maternal and Children Health Research Center, Ulaanbaatar-24,
Mongolia.
2. Dr. Bayalagmaa Khuvtsagaan, Dept. of Anesthesia and Intensive Care, First Central
Clinical Teaching Hospital, Ulaanbaatar, Mongolia.
3. Dr. Chin Kosal, Preah Bat Norodom Sihanouk Hospital, Phnom Penh, Cambodia.
4. Dr. Chan Dara, Svay Rieng Hospital, Svay Rieng Province, Cambodia.
The four trainees have settled well in Bangkok in January 2003.
Unfortunately, there was a violent racial exasperation in Cambodia in February 2003.
The Royal Thai Embassy in Phnom Penh was burnt down and Thai people fled from Cambodia.
The Thai Government severed the political tie with Cambodia and expelled Cambodian from
Thailand. We had difficult time in obtaining permit for the 2 Cambodian anesthesiologists to
continue their staying in Thailand. Fortunately, the political tension resolved in a relatively short
time of a few months and they were allowed to stay until completing of the training.
Father of Dr Bayalagmaa Khuvtsagaan who had lung carcinoma became critically ill in
November 2003. She was allowed to take the final examination 1 month before the other
trainees. She returned home and lived with her father in the final week of his life.
The other 3 trainees passed the evaluation and graduated on December19, 2003. They all
returned home to work in their home countries.
The eighth class (2004)
The scholarship was given to 2 Mongolian and 2 Cambodian anesthesiologists. They are:
1. Kherlen Ponkhoon, Maternal and Child Research Center of Mongolia, Ulaan Baatar 24,
Mongolia.
2. Dr Regjii Bazarragchaa, Sukhbaatar District University Hospital, Ulaanbaatar, Mongolia
3. Dr Chan Sovandy, Preak Kossamak Hospital, Phnom Penh, Cambodia
4. Dr Kol Virin, Preah Ang Duang Hospital, Phnom Penh, Cambodia.
The 2 Mongolian anesthetists had completed their formal one and a half year basic
training in anesthesia at home but the 2 Cambodian have 3-4 years working experience in
operating room and anesthesia but never had any formal training in anesthesia before coming
to BARTC.
They all had settled well and made a good adaptation to the new place and new
environment. They were enthusiastic and making good progress in their training. All of them
completed the training and passed the evaluation, received the Diploma and returned home.
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Dr Chan Sovandy persuaded the teachers to visit Cambodia and joined the Annual
Meeting of the Cambodian Society of Anesthesiologists and Reanimation in November
2004. Four members of the Executive Committee of BARTC visited Phnom Penh on
November 19 – 22, 2004. They gave lectures at the Meeting , made a site visit to 5 hospitals
where the alumni of BARTC work.
The ninth class (January 15, 2005 – January 14,2006)
The scholarships were given to 4 anesthesiologists from Bhutan, Cambodia, Mongolia and
Myanmar. They were:
Dr Deepak Tamang (M, 45)
J.D.W. National Referral Hospital,
Bhutan
Thimphu, Bhutan
e-mail: deetam91@yahoo.co.uk
Dr. Moe Thu Lin (F, 39)
Anesthesiology Department, Myanmar
Myanmar
Yanggon General Hospital Yangon, Myanmar
Phone: 95-1-256112 (ext.857)
Dr. Bilegmaa Demberel (F, Department of Intensive Care Unit , National Mongolia
37)
Cancer Center, Ulaabaatar-48, Mongolia
E-mail: bilegmaa_01@yahoo.com
Seng Sakal (M, 39)
Preah Kossamak Hospital Street 271 Sangkat Cambodia
Toul Kork II, Khan Toul Kork Phnom Penh
Dr Deepak Tamang is an Indian and married to a Bhutan wife. He has settled in Bhutan.
He has been working as an emergency surgical general practitioner for over 20 years. He
appreciated the need and extreme shortage of anesthesiologist in Bhutan. He decided to take a
carrier as anesthesiologist. He has never had any training in anesthesia before.
They all completed the training and passed the evaluation and returned to work in their
home countries.
The tenth class trainees
The tenth class training of BARTC began on January 15, 2006 and ended on January 14,
2007. There are 5 trainees in this class. Their names are the following:
Dr. Erdenedalai Altaikhuu
Dr. Mungun Banzar
Dr. Enkhtsetseg Dorjpalam
Dr. Bounnheun
Khaykhamphithoune
Dr. Maung Maung Swe
Dept. of Anesthesiology, The Shastin
Central Hospital, Bayangol duureg, Ard
Ayushiin gudamj-1, Ulaanbaatar, Mongolia
Maternal and Child Medical Research
Center of Mongolia, Amarsanaa Street,
Bayangol District, Ulaanbaatar-24, Mongolia
Dept. of Anesthesiology and Intensive care
Medicine, Central Clinical Hospital II,
Ulaanbaatar, Mongolia
Dept. of Anesthesiology, Mahosot Hospital,
Vientiane, Lao PDR.
Medical Officer (Anesthesia), Department of
Anesthesia, Yangon General Hospital
Mongolia
Mongolia
Mongolia
Lao
Myanmar
The first four of them were sponsored by WFSA and the last one was supported by
WHO. Three of them are anesthesiologists from Mongolia, one from Laos and another from
Myanmar. All of them have spent their 8 months rotation in a participating university hospital.
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They rotated to 2 provincial hospitals for 1.5 month each. Language barrier is the most
important problem of the 4 trainees except Dr Swe from Myanmar who has good command of
English. Back ground knowledge of Dr Swe and the 3 Mongolian is much higher than the
Laotian. These problems make the teaching and training very difficult. Anyhow all of them have
made significant progress in their training. They passed the exit examination in December and
were conferred a Diploma of Anesthesia Degree. All of them returned home.
WFSA-BARTC Refresher course was held in Ulaan Baatar, Mongolia on July 24 -25 , 2006
with 104 participants. Prof Annekhe Meursing, President of WFSA and Prof Thara Tritrakarn
were the leaders of the team. We visited 5 hospitals in UB and a provincial hospital in Tuv
province. The visitors were very impressed by the contribution the former trainees of BARTC
have made to their country. They have significantly improved anesthesia care and education in
Mongolia. Full report is attached.
The eleventh class trainees
The WFSA scholarship was awarded to 2 Mongolia, one Cambodia and another from
Vietnam. The eleventh class started on January 15, 2007. Their names, hospitals and countries
are the following:
Dr. Dulamragchaa
Chimedbazar
Dr. Khajidmaa
Tumendemberel
Dr. Nguyen Ngoc Tuyen
Dr. Ay Sovuth
Department of Anesthesiology and Intensive
Care, Pediatric Surgical Clinic, Maternal and
Child Medical Center
E-mail: bazaraal@hotmail.com
Anesthesiology and Intensive therapy General
Hospital of Murun soum Khuvsgul province,
Mongolia
Anesthesiology Dept., Vietnam-Czech
Hospital, No. 1 Nha Thuong Stree, Haiphong,
Vietnam
E-mail: tuyen_gmhs@yahoo.com
Preah Kossamak Hospital Street 271 Sangkat
Toul Kork II, Khan Toul Kork Phnom Penh
Mongolia
Mongolia
Vietnam
Cambodia
The 2 Mongolians had attended 1 year training course at home. The Cambodian and the
Vietnamese have worked in anesthesia for 3 and 5 years but had never attend any formal
training course.
All trainees spent the first 6 months in the assigned university hospital and rotated to
Chonburi and Ratchaburi Hospital for 2 months each and came back to the university hospital to
prepare for the final examination. All trainees had the opportunity to attended the 15th AEAN
Congress of Anesthesiologists at Pattaya on November 10-13, 2007 and the Annual Scientific
Meeting of Siriraj Hospital on March 5-9, 2007.
All trainees have made a good progress in their training and passed the examination. The
graduation and conferment of the Diploma of Anesthesia (DA) was on December 18, 2007.
One of the trainee ( Dr Khajidma Tumendemberel) developed acute abdomen in
September. She was admitted and had a laparoscopic gynecological surgery. She had no
insurance coverage and could not afford. BARTC shouldered the investigation expense (27,005
Baht) and Siriraj waved the surgery cost. The medical insurance coverage should be added in the
scholarship.
The twelfth class trainees
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The scholarships were awarded to one Myanmar, 3 Mongolians. Their names, hospitals
are the following:
Dr Aung Htet completed basic training at home and received
M.Med.Sc.(Anaesthesiology) from University of Medicine(1), Yangon. The three Mongolians
had one year training in anesthesia and 2 to 5 years experience in anesthesia and intensive care.
Summary
The WFSA Bangkok Anesthesia Training Center has trained 44 trainees from developing
countries in Asia since 1996. Thirty seven completed the training and graduated, 3 dropped out.
Four of them are currently in the training. Twelve of them are from Laos, 13 from Mongolia,
10 from Cambodia, 4 from Vietnam, 3 from Myanmar and 2 from Bhutan.
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3. Name and address of BARTC trainees by year of training (1996-2007)
1st Class (June 1, 1996 – May 31, 1997)
Dr. Traychit Chantasiri,
Department of Anesthesiology, Mahosot
male,
Hospital PO Box 7692, Vientiane Lao PDR
Tel. (856-21) 223067
Dr. Vanpheng Norasing,
Department of Anesthesiology, Mahosot
female,
Hospital PO Box 7692, Vientiane Lao PDR
Tel. (856-21) 223067
Dr. Sisongknam Phanmany,
Department of Anesthesiology, Mahosot
male,
Hospital PO Box 7692, Vientiane Lao PDR
Tel. (856-21) 223067
2nd Class (June 1, 1997– May 31, 1998)
Dr. Boualy Suvanavong,
Department of Anesthesiology, Mahosot
male,
Hospital PO Box 7692, Vientiane Lao PDR
Tel. (856-21) 223067
Dr. Serey Seng, male
Intensive and Anesthesia Unit of Preah
Kossomar Hospital, Phnom Penh,
Cambodia
Dr. Nguyen Quoc Kinh, male Department of Anesthesiology, Viet Duc
Hospital, No.40-Trang thi Str, Hanoi,
Vietnam
Lao PDR
Lao PDR
Lao PDR
Lao PDR
Cambodia
Vietnam
12
3rd Class (June 1, 1998– May 31, 1999)
Dr. Phiphorn Boonmala,
Mithaphap Hospital, putting Anesthetic
Lao PDR
male,
and refueling Section , Vientiane, Lao PDR.
Tel. 856-41- 3306
Dr. Sithideth Sayavong,
Anesthesiology
service
Savannakhet Lao PDR
male,
Provincial Hospital, Lao PDR.
Tel. 856-41-212171 Fax : 856-41-212731
Dr. Vilayphone Kounlavong, Department of Anesthesiology, Mahosot
Lao PDR
female,
Hospital PO Box 7692, Vientiane, Lao PDR
Tel. (856-21) 223067
4th Class (January 15, 2000 – January 14, 2001)
Dr. Houng Troung Than,
Department of Anesthesiology of the
male,
University of Medicine and Pharmacology
in Ho Chi Minh City – Binh Dan Hospital,
HCMC, Vietnam
Dr. Le Thi Kim Anh, female, Department of Anesthesiology, Danang
Hospital, Danang City, Vietnam
Dr. Sithan Ky, male,
Surgical Department, National pediatric
Hospital, Phnom Penh City, Cambodia
Dr. Shagdar Enkhtuvshin,
Maternal and Child Research Centre,
female,
Ulaanbaatar, Mongolia
Vietnam
Vietnam
Cambodia
Mongolia
5th Class (January 15, 2001 – January 14, 2002)
Dr.Bayarsaikhan Bazardargia, Anesthesiology and Intensive Care
male,
Department, Maternal and Child Research
Medical Center, Ulaanbaatar, Mongolia
Dr. U Soe Nyunt, male,
Department of Medical Sciences Institute of
Medicine(1) and Yangon General Hospital,
Yangon, Myanmar
Dr. Sonephet Phomma, male, Anesthesia, Champasak Provincial Hospital,
Champasak Province, Lao PDR.
Dr. Amphanh Xaypangna,
Anesthesia Department at Pakse Hospital,
male,
Pakse, Lao PDR.
6th Class (January 15, 2002 – January 14, 2003)
Dr. Myagmar Ariuntungalag, Dept. of Anesthesiology, Pediatric Surgery
female,
Clinic, Maternal and Children’s Health
Research Center, Ulaanbaatar-24, Mongolia
Dr. Garjaman Rai, male,
Riserboo Hospital, Trashigang District,
Eastern Bhutan, Bhutan
Dr. Sovonnarith Chhay, male, National Pediatric Hospital, Russian
Federation Blv., Khan Tuol Kork, Phnom
Penh City, Cambodia
Dr. Phouva Photilak , male, Sayaburi Hospital, Sayaburi Province, Lao
PDR.
Dr. Phonexay Somsaath,
Anesthesia service, Mahosot Hospital,
female
Vientiane, Lao PDR.
Mongolia
Myanmar
Lao PDR
Lao PDR
Mongolia
Bhutan
Cambodia
Lao PDR
Lao PDR
13
Dr. Te Kuy Chiv, male,
National Maternal and Child Health Center Cambodia
P-O-BOX 113, France Street, Sangkat Srah
Chak, Khan Daun Penh, Phnom Penh,
Cambodia
Supported by Government of Thailand
Supported by JICA
7th Class (January 15, 2003 – January 14, 2004
Dr. Boldbaatar Odgerel,
Dept. of Anesthesiology and Intensive Care ,
female,
Pediatric Surgery Clinic, Maternal and
Children Health Research Center,
Ulaanbaatar-24, Mongolia
Dr. Bayalagmaa Khuvtsagaan, Kh. Bayalagmaa, Anesthesiologist,
female,
Department of Anesthesia and Intensive Care,
First Central Clinical Teaching Hospital,
Ulaanbaatar, Mongolia
Dr. Chin Kosal, male,
Preah Bat Norodom Sihanouk Hospital,
Street 271, Sangkat Tum, Nuptek Khan
Chamkamon, Phnom Penh, Cambodia
Dr. Chan Dara, male,
Svay Rieng Hospital, Svay Rieng Province,
Cambodia
8th Class (January 15, 2004 – January 14, 2005)
Dr. Kkherlen Ponkhoon,
Dept. of Anesthesiology, Maternal and
female,
Children Health Research Center of
Mongolia, Ulaanbaatar-24, Mongolia
Dr. Regjii Bazarragchaa,
male,
Dr. Chan Sovandy, male,
Dr. Kol Virinn, male,
Dept. of Anesthesiology, Sukhbaatar district,
University Hospital, Mongolia
Preak Kossamak, Street 271, Sangkat
Thelkork II, Khan Thou Kork, Phnom
Penh, Cambodia
Operating Room, Preah Ang Duong
Hospital, Battambang Province, Cambodia
9th Class (January 15, 2005 – January 14, 2006)
Dr. Demberel Bilegmaa,
Anesthesiologist and reanimatologist of
female,
Intensive Care Unit in National Cancer
Center of Mongolia, Ulaanbaatar-48,
Mongolia
Dr. Moe Thu Lin, female,
Department of Anesthesiology Yangon
General Hospital, Myanmar
Dr. Deepak Tamang, male,
Casualty Department, JDW National
referral Hospital, Thimphu, BHUTAN
Dr. Seng Sakal, male,
Preak Kossamak, Street 271, Sangkat
Thelkork II, Khan Thou Kork, Phnom
Penh, Cambodia
Mongolia
Mongolia
Cambodia
Cambodia
Mongolia
Mongolia
Cambodia
Cambodia
Mongolia
Myanmar
Bhutan
Cambodia
14
10th Class (January 15, 2006 – January 14, 2007)
Dr. Erdenedalai Altaikhuu,
Dept. of Anesthesiology, The Shastin
male,
Central Hospital, Bayangol duureg, Ard
Ayushiin gudamj-1, Ulaanbaatar, Mongolia
E-mail: erdenedalai0086@yahoo.com
Phone home:-680368
Phone mobile:-99870086
Dr. Mungun Banzar, female,
Maternal and Child Medical Research
Center of Mongolia, Amarsanaa Street,
Bayangol District, Ulaanbaatar-24, Mongolia
E-mail: munguu_banzar2005@yahoo.com
Phone mobile:-99132197
Dr. Enkhtsetseg Dorjpalam,
Dept. of Anesthesiology and Intensive care
female,
Medicine, Central Clinical Hospital II,
Ulaanbaatar, Mongolia
E-mail: ee_dr2003@yahoo.com
Phone mobile:-97699177817; 97611301355
Dr. Bounnheun
Dept. of Anesthesiology, Mahosot Hospital,
Khaykhamphithoune, female, Vientiane, Lao PDR.
E-mail: Bounnheun.k@ahoo.com
Phone mobile: 009 856 7708547
Phone home 009 856 21412145
Dr. Maung Maung Swe, male,
Medical Officer (Anesthesia), Department of
Anesthesia, Yangon General Hospital
Email: maungswe@yahoo.com
Phone : 00995117815
HP: 0951 583676
11th Class (January 15, 2007 – January 14, 2008)
Dr. Dulamragchaa
Department of Anesthesiology and Intensive
Chimedbazar, female,
Care, Pediatric Surgical Clinic, Maternal and
Child Medical Center
E-mail: bazaraal@hotmail.com
Dr. Khajidmaa
Anesthesiology and Intensive therapy General
Tumendemberel, female,
Hospital of Murun soum, Khuvsgul province,
Mongolia
Dr. Nguyen Ngoc Tuyen,
Anesthesiology Dept., Vietnam-Czech
male,
Hospital, No. 1 Nha Thuong Stree, Haiphong,
Vietnam
E-mail: tuyen_gmhs@yahoo.com
Dr. Ay Sovuth, male,
Preah Kossamak Hospital Street 271 Sangkat
Toul Kork II, Khan Toul Kork Phnom Penh
Mongolia
Mongolia
Mongolia
Lao
Myanmar
Mongolia
Mongolia
Vietnam
Cambodia
15
The 12th class
Dr. Aung Htet, male 33 yr
Anesthesiology and intensive care
unit, Yangon General Hospital,
Yangon, Myanmar
Dr,Unurzaya
Department
of
Anesthesiology,
Sonsonyagalan, female, 33 Second General Hospital, Peace
Avenue, Ulaan Baatar
Dr. Bolormaa Batnasan, National Cancer Center, Nam Yan Ju
female, 33
Street, Bayar-Zurkh district, Ulaan
Baatar
Dr.Amarzaya Tsedevdorj, Department of Anesthesiology, State
female, 33
Research Center of Maternal and
Child Health, Ulaan Baatar
4. BARTC trainees by country (1996-2008)
Total
Graduated 2007
Lao PDR
12
12
Cambodia
10
10
Mongolia
16
13
Vietnam
4
4
Myanmar
4
3
Bhutan
2
2
48
44
Total
Myanmar
Mongolia
Mongolia
Mongolia