Anesthesia Residency Training in Thailand and Canada: A Comparative Case Study
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BOOK AND NEW MEDIA REVIEWS
Anesthesia Residency Training in Thailand and Canada: A Comparative Case Study Anne K. Wong. June 2019, ÓAnne K. Wong. ISBN: 978-1-9992372-0-2
Gregory Klar, MD, FRCPC, MIPH Received: 29 April 2020 / Accepted: 30 May 2020 Ó Canadian Anesthesiologists’ Society 2020
Anesthesia Residency Training in Thailand and Canada: A Comparative Case Study is an interesting and important addition to the literature on global health as it pertains to anesthesiology and medical education. This e-book is an extraordinary read for several reasons. Among them, it opens the eyes to differences in the practice of anesthesiology and medical education in two training programs at opposite ends of the world. Dr. Wong exposes the way culture shapes medicine to the contextual needs and values of that country. Indeed, this comparative study must have been difficult to orchestrate for both geographic reasons and data collection. For example, collecting quantitative, qualitative data in two culturally and economically dissimilar countries would be extremely difficult. Doing so in an environment with varying language barriers would only add to the difficulty. Dr. Wong clearly placed all her energy on carefully constructing data collection protocols and subsequent analysis of those data to provide the clearest comparisons and to avoid bias. She elected to use a mixed-method methodology for the comparative study. Dr. Wong’s work can easily be used as a tool for much needed project/program evaluations in global health partnerships, which are becoming more prevalent around the globe. The book explores some ethical aspects of medical education. At the time of publication, the World Federation of Medical Education strongly advocated for global standards regarding medical education. Dr. Wong strongly advocates against blanket standards and for adaptation of guidelines with locally relevant, culturally applicable solutions – which brings me to my next point: I
G. Klar, MD, FRCPC, MIPH (&) Queen’s University, Kingston Health Sciences Centre, Kingston, ON, Canada e-mail: [email protected]
believe that Dr. Wong’s publication is not only innovative within the field of anesthesiology but is before its time from an ideological standpoint. The data were collected during the years 2006–2009, and the manuscript was written in 2010. The content, manuscript, or data analyses have not been altered from the original publication. Hence, one can say that this text was frozen in time over the last decade. I emphasize this point because, between 2010 and 2020, The Lancet Commission on Global Surgery came to existence, and the volume of global health publications increased dramatically. A common theme in many global health publications and global health partnerships is the importance of cultural applicability and sensitivity. This resonates with Dr. Wong’s presentation, which predated The Lancet Commission and the subsequent surge in publications. Dr. Wong not only brought to light how each culture shapes its medical education syste
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