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PACT Update 2023

Supporting Anaesthesia Training across the Pacific

The Pacific region needs financial support to reach the global safe surgery target of five anaesthetists per 100,000 people*. Funding a Pacific Island anaesthesia trainee through the four-year Fiji National University’s MMed Anaesthesia programme costs approximately $20,000 NZD per year. While Pacific Islands struggle to fund trainee development, the generous contributions from Anaesthetists across Aotearoa to the PACT programme and additional support from the Ralph and Eve Seelye Education Trust are helping to develop a safe, sustainable anaesthesia workforce across the Pacific.

PACT (Pacific Anaesthesia Collaborative Training) currently supports four Fellows at various levels of their anaesthesia training. Inaugural PACT Fellow, Dr Cecilia Vaai-Bartley, completes her training this year and will commence working as a consultant in Samoa in the new year. All four Fellows are grateful for the ongoing support that makes it possible for them to reach their goals and contribute to their home nations.

Photo: Dr Indu Kapoor, Dr Cecilia Vaai-Bartley, Dr Esjae Sesega, Dr James Dalby-Ball at the PSA Meeting.

*Kempthorne, P., Morriss, W.W., Mellin-Olsen, J., & Gore-Booth, J. (2017). The WFSA Global Anesthesia Workforce Survey. Anesthesia and analgesia, 125(3), 981-990.

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Dr Cecilia Vaai-Bartley

Senior Registrar Anaesthesia and ICU Department, Tupua Tamasese Meaole Hospital, Samoa

Inaugural PACT fellow, Dr Cecilia Vaai-Bartley completed her Masters at Fiji National University, graduating in December of 2023. She was also the recipient of the jointly sponsored NZSA and ASA prize receiving the highest academic achievement in Masters Anaesthesia and Arishma in the Postgraduate Diploma in Anaesthesia.

I’m currently completing my research project, a descriptive study on admissions to ICU during the 2019 measles epidemic in Samoa. Although it was a tragic time for Samoa, there are many lessons to be learnt. Alongside my studies, I have also been stepping up to take on more clinical leadership responsibilities to help our acting HoD. The additional work is a challenge but I am finding it very enjoyable.

Words are not enough to express my gratitude and appreciation for every contributor to PACT. Your contribution is helping Samoa’s health sector and most especially the people of Samoa. May God bless you all and return your kindness thousandfold. Faafetai tele lava.

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Dr Sweta Mudaliar

Second year, MMe in Anaesthesia Colonial War Memorial Hospital, Fiji

This year has been a rigorous and comprehensive journey that I have found both demanding and rewarding. A stand-out moment in my training so far was the successful management of a complex pediatric surgical case. The patient’s condition required meticulous planning and coordination. The experience tested my clinical skills and exemplified the collaborative and multidisciplinary nature of anaesthesia practice.

The generous contributions of the PACT programme, Seelye Trust, and the NSZA have been instrumental in shaping my journey as a budding anaesthetist. I am profoundly thankful for the impact it has had on my professional development.

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Dr Esjae Sesega

First year, MMe in Anaesthesia Anaesthesia Department, TTM hospital, Motootua, Samoa

This year has been a remarkable journey. Working in a completely different environment with diverse people and patient populations has pushed me out of my comfort zone, exposed me to complex cases, and provided invaluable experiences. I’m determined to gain as much knowledge as possible, with the goal of contributing to my dedicated team when I return home to Samoa.

The support from PACT has been exceptional. They’ve been supportive and genuinely concerned about my well-being. As the year comes to an end, the pressure is mounting with final exams on the horizon. I need to remain focussed and am reminded of a saying from home: don’t let the last hit bend the nail.

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Nikish Narayan

First year, MMe in Anaesthesia Anaesthesia Department, Lautoka Hospital

This is my first year in the MMe in Anaesthesia programme. The support from PACT, Seelye Trust and the NZSA has enabled me to recommence my studies after taking a break due to financial constraints.

The academic year has been very fruitful and gaining practical experience has really helped me consolidate my learning.
Due to the geographical spread and patients presenting late, I have had to administer anaesthetics outside of Lautoka to provide life-saving surgery. Without access to the usual equipment and drugs, I’ve had to rely heavily on foundational principles and apply a level of dexterity to ensure successful outcomes. Every challenge is a learning opportunity and I strive to continue learning and improving in the coming academic year.

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