Post Graduate Diploma in Anaesthesia

Course code: PGDA

Level: Advance Diploma

Duration: 2years

Overview

PGD in anaesthesia is two years program organized by NIHS under the leadership of MOH- Directorate of Training and Professional Development.

Availability of competent and efficient human resources in the health sector is essential in the provision of the health services expected of the Government of South Sudan. A system that enhances the delivery of right quality and caliber of human resources through training is critical.

Justification

The MOH introduced an innovation advocating for access to essential health care for all at all levels of the health sector. This involved establishing operational medical theatres at County hospital, significantly increasing the need for professionally trained anesthetic officers.

This programme aims to increase quality care in anesthetic services by producing an anesthetic officer who is innovative, resourceful, has the capacity to make independent decisions and can execute her/his duty with competence and creativity. This cadre has a unique role in peri-operative anesthesia management for successful surgical operations. The curriculum guides the training of anesthetic officers to provide high-quality anesthetic care and improve outcomes for surgical patients.

Course Objective

The program is to produce competent Anesthetic Officers at a Post Graduate Diploma level to provide effective anesthetic services with minimum supervision to improve quality of health care. The programme will enable the graduand anesthetists to achieve the following objectives at the end of the training period:

Maintain occupational safety practices in theatre,
Carry out infection control measures as well as apply ethical conduct and effective communication skills suitable for the anaesthetic profession.
Assemble and operate anaesthetic equipment,
Carry out maintenance services including minor repairs for special equipment used in anaesthesia.
Plan for anaesthesia, prepare patient, induce, maintain and reverse anaesthesia, as well as offer post anaesthetic care to patients.
Perform basic life support as well as advanced life support.
Offer emergency care outside theatre and care for patients in ICU.
execute administrative tasks, manage a working team as well as generate management tools.

After the programme a graduand will be able to:

Duties Tasks for Each Duty

1. Prepare Work Environment	Clean anaesthetic equipment
	Obtain theatre lists
	Identify working teams
	Set up anaesthetic equipment
	Prepare medicines and supplies for use
	Prepare an emergency trolley
	Display standard operating procedures
2. Maintain Safety Measures	Use protective gears

		Avail fire extinguishers
		Obtain pre- and post- exposure prevention measures
	3. Maintain Anaesthetic equipment	Check functionality of equipment
		Replace non-functional equipment
		Service equipment
		Repair minor faults
		Report malfunctioning equipment
		Store anaesthetic equipment
		Update anaesthetic equipment log book
	4. Manage Patient	Carry out pre-operative assessment
		Prepare an anaesthetic plan
		Provide counselling
		Obtain informed consent
		Administer anaesthesia
		Monitor parameters
		Manage anaesthetic events
		Transfer patients to recovery room
		Hand over patients
		Manage critically ill patients
		Manage pain
		Manage referrals
		Follow up patients up to 24 hours
	5. Carry out Quality Control	Avail clinical guidelines
		Design anaesthesia protocols
		Avail checklists
		Maintain supply chain
		Conduct mortality and morbidity audits
		Organise external monitoring and evaluation
		Carry out operational research
	6. Manage Anaesthetic Information system	Fill anaesthetic charts
		Fill anaesthetic log book
		Fill incident report forms
		Prepare and update stock cards
		Prepare and update inventory
		Carry out record keeping/establish a data base
		Disseminate information
	7. Perform Administrative tasks	Participate in recruitment of staff
		Allocate duties
		Carry out support supervision
		Appraise staff
		Conduct and attend meetings
		Generate reports
		Prepare activity work plan
		Prepare budgets
		Account for resources

8. Pursue Professional development			Participate in training anaesthetic students
			Adapt to new technology
			Conduct on-job training and mentorship
			Participate in educational refresher workshops
			Seek for continuous career development training
			Participate in health events i.e. conferences, exhibitions
			Identify staff for further training
			Network with other health agencies and associations

Program structure

The total course duration is 2040 hours, or 68 weeks, across 4 semesters (each with 450 contact hours and 60 hours of assessment time). The tables below break down the contact hours by semester. Note each has an additional 60 hours, or 2 weeks, of assessment time.

Year 1, Semester 1

Code	Course Units	LH		TH		PH	CH	CU
DAN 1101	Communication Skills and Medical Ethics	15	45			45	60	4
DAN 1102	Occupational Health, Infection Prevention & Control, Basic Life Support and Airway Management	30	45		45		75	5
DAN 1103	Applied Anatomy and Physiology I	45	45			45	90	6
DAN 1104	Pharmacology I	30	45		45		75	5
DAN 1105	Computer Application	15	30			60	60	4
Attachment to Practicum Sites							90
Total Hours							450

Year 1, Semester 2

Code	Course Units	LH	TH	PH	CH		CU
DAN 1201	Advanced Airway Management	30	30	60	75	5
DAN 1202	Equipment and Instrumentation	15	45	45	60	4
DAN 1203	Basic Physics and Clinical Measurements	30	45	45	75	5
DAN 1204	Clinical Chemistry	30	45	45	75	5
DAN 1205	Applied Anatomy and Physiology II	45	45	45	90	6
DAN 1206	Pharmacology II	15	45	45	60	4
Attachment to Practicum Sites					15
Total Hours					450

Year 2, Semester 1

Code	Course Units		LH		TH		PH		CH		CU

DAN 2101	Medical Conditions and Anaesthesia Complications	30		45		45		75		5
DAN 2102	Obstetric Anaesthesia	30		45		45		75		5
DAN 2103	Pediatric Anesthesia	30		45		45		75		5
DAN 2104	Management and Administrative Skills	30		45		45		75		5
DAN 2105	Research Methods	30		45		45		75		5
Attachment to Practicum Sites								75
Total Hours								450

Year 2, Semester 2

Code		Course Units		LH		TH		PH	CH	CU

DAN 2201	Anaesthesia for General Surgery and Gynecology		30		45		45		75	5
DAN 2202	Anaesthesia for Specialized Surgery		30		45		45		75	5
DAN 2203	Pain and Disaster Management		30		45		45		75	5
DAN 2204	Intensive Care Medicine		30		45		45		75	5
DAN 2205	Research Report		30		45		45		75	5
Attachment to Practicum Sites									75
Total Hours									450

Who are we targeting

In this course we are targeting medical students who wanted to expand their profession and practical comprehension on the concepts of anesthesiology. Someone aspiring to work in surgical operation supporting surgery in the hospital. This course acquaints the students with the quality care in anesthetic services to provide high-quality anesthetic care and improve outcomes for surgical patients. This course aim to produce an anesthetic officer who is innovative, resourceful, has the capacity to make independent decisions and can execute her/his duty with competence and creativity.

ENTRY REQUIREMENT

Admission requirement

To gain admission into the Diploma in Clinic Medicine and Public Health course, a candidate must, first, satisfy the general requirements for admission to NIHS at a diploma level. In addition a candidate shall be eligible for admissions to the PGDA programme on meeting any of the following minimum qualifications: –

A person may be admitted to the diploma programme (entry into year one) via the diploma scheme if the person has:

Academic level

Profession

Age limit

¾ South Sudan Senior 4 certificate minimum 60% average total scored in sciences subjects

¾ Uganda Certificate of Education minimum third (3rd) Grade, or 2 principals passed in Uganda Advance Certificate in Education

¾ Kenya senior 4 certificate minimum C+

¾ Other country certificates need to equate to equivalent above.

¾ Diploma in Nursing or Registered Nursing

¾ Diploma in Midwifery

¾ Diploma in Clinical Medicine and Public Health

¾ Ordinary Diploma in Anaesthesia

18-40 years

Direct Entry:

A person may be admitted to the diploma programme (entry into year one) via the diploma scheme if the person has:

Country	Level completed	Results scored
South Sudan:	Senior 4 certificate	Minimum 60% average total scored in science subjects.
Uganda	O-Level Certificate or A-Level certificate	Minimum third (3rd) Grade or One principal passed and two subsidiaries,
Kenya	Senior 4 certificate	Minimum Passed C+

Field placement and attachment

PGDA field placement and attachment (1year)

COURSE FEES (PER SEMSESTER PER ACEDEMIC YEAR)

Fees	New student	Continue student
Tuition (per semester)	$300	$300
Functional/administrative	$250	135
Total	$550	$435