UCSF Anesthesia and Perioperative Care Assistant Professor, Dr.
Division of Global Health Equity
Read about the Global Surgery, Anesthesia & Trauma Hub at UCSF Global Health Sciences
The University of California San Francisco has one of the longest experiences in formalized global health education and research in the United States. The Department of Anesthesia and Perioperative Care has supported numerous global health initiatives for the past 25 years including longstanding partnerships with Global Partners in Anesthesia and Surgery, the Center for Global Surgical Studies, and Operation Rainbow. These programs have focused on multidisciplinary research, education and policy efforts that aim to improve equitable access to quality surgical, anesthesia and pain services worldwide. In recent years, the Department has created a Global Health Endowment and the Division of Global Health Equity to support projects focusing on health equity both domestically and internationally.
Anesthesia, surgery, and pain management have historically been neglected by the global public health community. In 2006 it was estimated that 11% of the global burden of disease could be treated by surgical intervention with a larger but uncertain proportion of disease burden treatable with pain and palliative care services. Only recently have data become available that demonstrate inadequate access to surgical and anesthesia services is a much larger problem than initially predicted, and one that can no longer be ignored.
UCSF and the Anesthesia Division of Global Health Equity are committed to supporting anesthesia trainee and faculty both at UCSF and at partnering institutions around the world.
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All residents in the Department of Anesthesia have the opportunity to participate in a variety of global health research, education and policy initiatives both internationally as well as domestically.
Global Health Curriculum
All residents in the Department of Anesthesia and Perioperative Care have the opportunity to participate in a variety of global health educational opportunities. Residents in the clinical anesthesia years receive global health didactics as part of their core curriculum with the option to participate in an comprehensive global health equity curriculum designed for anesthesia trainees. All eligible residents are also given the option to during CA3 year to participate in a global health activity (Operation Rainbow).
Global Health 101
Global Health Pathway
For anesthesia residents seeking additional global health training, mentorship and elective time, we offer a dedicated Global Health Pathway as part of the multidisciplinary, campus-wide Global Health Clinical Scholars Program. This pathway requires completion of the Global Health Sciences (GHS) 101 course during CA-1 year and the GHS 211 course during three weeks of non-clinical global health time during the CA-2 year. Global Health Pathway Residents also receive up to three months during CA-3 year to participate in global health education, research and policy projects both domestically and internationally.
Applications for the Global Health Resident Pathway are due February 15 during the CA-1 year. (Application info)
In recent years, resident global health projects have included:
- Survey of non-physician anesthesia provider models in LMICs
- Difficult airway management practice patterns in LMICs
- Evaluation of pediatric pain management in low resource settings
- Trauma systems research
- Simulation-based education
- Determinants of c-section anesthetic choice in Uganda
- Anesthetic device development
- Evaluation of ethics for global health partnerships
Residents during their CA-3 year are provided an opportunity to accompany UCSF faculty in Central and South America to participate in 1-week clinical service trips. These opportunities take place through a long-term partnership between the Department of Anesthesia & Perioperative Care and the non-profit Operation Rainbow. Residents work closely with attendings to provide preop, intraop and postop care for a wide range of surgical conditions in resource-limited practice settings. In addition to clinical teaching provided during the trip, residents are provided the opportunity to participate in a hands-on, pre-trip curriculum to develop clinical skills and familiarity with cultural and ethical issues relevant to the practice of anesthesia in resource-limited settings.
The Anesthesia Division of Global Health Equity is excited to provide opportunities for medical students who are interested in our mission. Minimum project time off campus is generally 8 weeks and students must attempt to secure their own funding (see sources below). Students are encouraged to consider a full yearlong project after MSIII year. Please send inquiries along with your current CV to firstname.lastname@example.org
Below are links to the growing number of funding opportunities for trainees interested in global health and anesthesia.
Internal UCSF Sources:
- Short term scholarly projects and internal clinical elective support - Raptr
- Long term funding (1 year)
- Short term sources of funding
- Long term sources of funding
- OpenAnesthesia Resource Page
- GlobalSurgery Resource Page
The UCSF Department of Anesthesia & Perioperative Care is offering three global health fellowship pathways:
The UCSF Health, Equity, Action, Leadership (HEAL) Initiative is a unique fellowship opportunity for healthcare providers who are passionate about global health equity and global health delivery both in the US and around the world.
Through a partnership between the HEAL Initiative and the UCSF Department of Anesthesia's Division of Global Health Equity, this anesthesia global health fellowship pathway offers a unique, advanced training opportunity for US-licensed, board certified (or board eligible) physician anesthesiologists and certified registered nurse anesthetists. Fellows will join a multidisciplinary cohort of more than 50 fellows to work in Native American reservations and the poorest communities around the world.
Fellows are paired with local health professionals who are already working at our domestic and international partner sites. HEAL Anesthesia fellows develop skills essential for global health delivery through immersive training, a Master’s in Public Health, and intensive mentorship.
Eligible fellows will receive an appointment in the UCSF Department of Anesthesia and clinical privileges at Zuckerberg San Francisco General Hospital.
To read more about the details of this fellowship please visit the HEAL Initiative Anesthesia Page.
Applications are accepted on a rolling basis. Applicants are encouraged to apply during their CA-2 year or later. Application Information on Fellowships page.
Prerequisites for the HEAL Fellowship include US board certification (or board eligibility at the time of enrollment) in anesthesia and possession or eligibility for a US medical license. For CRNA applicants, an RN license, CRNA license (or eligibility) and credentialing by the NBCRNA (National Board of Certification and Recertification for Nurse Anesthetists) or eligibility for credentialing are required.
The Anesthesia Global Health Equity Fellowship is a one-year non-ACGME fellowship pathway based at UCSF’s Zuckerberg San Francisco General Hospital and Trauma Center. Fellows will have clinical appointments at ZSFG/UCSF and be given the opportunity to receive advanced training in trauma, obstetrics and regional anesthesia. Fellows are supported for up to six months to work on research, education and policy projects focusing on health equity at ZSFG or international partnering sites.
As part of the UCSF family, our fellows have opportunities to work with many ongoing global health initiatives at UCSF including the Center for Global Surgical Studies, Global Partners in Anesthesia & Surgery, and UCSF Global Health Sciences.
Applications are accepted on a rolling basis. Applicants are encouraged to apply during their CA-2 year. Application Information on Fellowships page.
The Global Med Ed Simulation Fellowship Program is a 1-year non-ACGME fellowship/certificate program at UCSF and San Francisco General Hospital (SFGH) for medical educators from low and middle-income countries (LMICs). The fellowship will be hosted at UCSF’s Kanbar Simulation Center and the SFGH Simulation Center in San Francisco, CA, USA with the ultimate goal of adding an additional fellowship training site in Uganda. Fellows will spend 2 months in San Francisco receiving intensive training on simulation methodology, then return to their home institutions to implement simulation projects. The overall goals of the fellowship are to develop expertise in simulation as an educational strategy, to acquire foundational skills to conduct scholarly work in the area of simulation, and to return to the fellow’s home country to implement simulation-based medical education programs. To accomplish these goals, the fellowship consists of a combination of coursework and experiential learning as well as stipend support for a mentored project in the fellow’s home country.
Prerequisites for the UCSF Anesthesia Global Health Equity Fellowship pathway at SFGH include ABA board certification (or board eligibility at the time of enrollment) and possession of or eligibility for a California Medical License (2113 licenses may be considered). Please check back as we are working to facilitate CRNA Global Health Equity Fellowship positions as well.
For Global Health fellowships, please contact:
Michael Lipnick, M.D.
Department of Anesthesia and Perioperative Care
University of California, San Francisco
San Francisco General Hospital
1001 Potrero Ave, SFGH 5, Room 3C38
San Francisco, CA 94143-1371
The Division’s research projects span a wide range of topics including: surgical disease and pain epidemiology, development of devices for low-resource settings in the UCSF Hypoxia Lab, and examining disparities in access to surgical and anesthesia care in the United States and internationally. For more information and recent publications please visit our faculty and trainee profiles.
Education initiatives have defined much of the Division’s work to date. A large focus of our work with international partners includes curriculum development for anesthesia workforce capacity building. The Division also supports educational opportunities for trainees at UCSF as well as partnering institutions including: the development of global health equity curriculum for anesthesia residents, simulation-based learning in low-resource settings, clinical skills courses for low resource settings, and multiple fellowship pathways, including a fellowship in medical education and simulation for providers from low income countries.
Policy and advocacy are at the heart of global health equity. Members of our division are active collaborators with the World Federation of Societies of Anesthesiologists (WFSA), the G4 Alliance, the LifeBox Foundation, and the World health Organization (WHO). Together, we are working to develop informed policy to increase access to safe anesthesia care worldwide.
Where we work
Currently the Anesthesia Division of Global Health Equity has active international projects in East Africa (Uganda & Tanzania), Central America (Guatemala), and the Philippines. Additionally, several domestic projects focusing on health equity are active and based at Zuckerberg San Francisco General Hospital. More information about our projects and where we work can be found on our partnerships page.
The UCSF Anesthesia Division of Global Health Equity is part of the multidisciplinary Global Surgery, Anesthesia & Trauma Hub at Global Health Sciences and has ongoing projects and partnerships with multiple collaborators. For more information on specific projects please see the links below or contact us with additional questions.
The UCSF Anesthesia Division of Global Health Equity is currently fundraising to support activities in our core project areas including: research, research training, and clinical education for anesthesia faculty and trainees (at UCSF and international partnering institutions) who seek to improve equitable access to surgery and anesthesia.
To make a secure donation online, please click on the "Donate Now" button below:
select “Direct your gift to a specific area,” and choose [Division of Global Health Equity].
For more information, please contact:
Assistant Director, University Development
220 Montgomery Street, 5th Floor
San Francisco, CA 94104
Office Tel: (415) 502-5868
Thank you for supporting Global Health, education, and research at UCSF!
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With generous contributions from many collaborators (including the Hellman Fellows Fund), faculty and residents have partnered with anesthesiologists at Busitema University and Mbale Regional Referral Hospital (Uganda) to open a new anesthesia simulation and skills center.