Volunteerism and Resources

ASA is devoted to encourage and facilitate the role of the volunteer anesthesiologist in improving perioperative care globally.

GHO Committee Programs:

Overseas Training Programs (OTP)
http://www.asahq.org/gho/ghoprograms/overseastrainingprograms
The GHO Overseas Training Program (OTP) was established to address the urgent need for anesthesiologists in Rwanda and Guyana.

Global Scholars Program
http://www.asahq.org/gho/ghoprograms/globalscholars
The Global Scholars program is designed to bring emerging leaders in anesthesiology from low-resource settings to the ASA annual meeting.

Nicholas Greene, M.D. Award for Outstanding Humanitarian Contribution
http://www.asahq.org/gho/ghoprograms/humanitarianaward
The Nicholas Greene, M.D. Award for Outstanding Humanitarian Contribution award recognizes ASA members who have significantly contributed to humanitarian service, literature, education and/or technology.

Lifebox
http://www.asahq.org/gho/ghoprograms/lifebox
The GHO Committee in collaboration with the ASA Charitable Foundation supports Lifebox by raising awareness about the need for pulse oximeters, and by providing education, training and follow up throughout Latin America.

Volunteer Abroad:

ASA Overseas Training Programs
http://www.asahq.org/gho/ghoprograms/overseastrainingprograms

Residency Training Program in Rwanda
Our program is currently recruiting faculty volunteers to teach in Rwanda for one month each. This is a residency training program supported by ASA in collaboration with the Canadian Anesthesiologists Society International Education Foundation (CASIEF), established in 2006. For more information about the program, see the ASA-GHO website.

ASA Overseas Training Programs in Guyana
http://www.asahq.org/gho/ghoprograms/overseastrainingprograms

Residency Training Program in Guyana
A joint venture with CASIEF established in 2016 to help educate and train Guyanese Anesthesiology Residents in a newly developed residency training program at the Georgetown Public Hospital. Volunteers are needed for 2-4 week trips. Volunteers will provide classroom and clinical teaching as well as support faculty development. Expenses are supported by the ASA. For more information about the program, see the ASA-GHO website.

International Committee of the Red Cross (ICRC)
https://www.icrc.org/en/who-we-are/jobs/
Has salaried positions for anesthesiologists, able to accept assignments for a minimum of 3 months. "The anesthesiologist works as part of surgical teams deployed when existing facilities are unable to care for persons injured as a result of war. He/she may also treat victims of accident and illness. The teams work either in hospitals built, equipped, supplied and managed by the ICRC, or in existing hospitals to which the ICRC provides supplies and equipment, reinforces local personnel and, in some cases, assists with training

Health Volunteers Overseas
www.hvousa.org
HVO, which sends more than 350 health care professionals abroad each year, aims to improve care in developing countries by training local personnel. Volunteers visit Africa, Asia, Latin America, and the Caribbean. HVO does not send "teams" but staffs each site with rolling placements of individual volunteers year-round. Major program areas are Anesthesia, Dentistry, Dermatology, Endocrinology, Hand Surgery, Internal Medicine, Nurse Anesthesia, Nursing, Oral Surgery, Orthopedics, Pediatrics, and Physical Therapy. Some assignments allow volunteers to take their spouse and/or children.

Mercy Ships
www.mercyships.org

Mercy Ships is a global charity that has operated hospital ships in developing nations since 1978. The world's largest hospital ship, the Africa Mercy includes six operating rooms and a 78 bed ward. The ship's crew (about 450) is made up of both medical and non-medical volunteers who pay their own way to the ship and pay a crew fee to cover housing and meals on the ship. The anesthesia staff of six anesthesiologists includes at least four consultants, several of whom need to be pediatric anesthesiologists.  Mercy Ships works with host nations and collaborates with qualified local and international partners, to help fill the gaps in health care systems, and provides mentoring and training opportunities for medical professionals.  Surgical services focus on six specialities: maxillofacial, plastic reconstructive, general, ophthalmic, pediatric orthopedic, and obstetric fistula (VVF). While many of the volunteers on the ship are Christians from various denominations, a volunteer need not be Christian or have any religious affiliation in order to apply. All crew are expected to abide by the same Code of Conduct (posted on web site).

The Global Health Service Partnership (GHSP) program
http://www.peacecorps.gov/volunteer/globalhealth/
GHSP a public-private collaboration between Seed Global Health, the Peace Corps, and the US President’s Emergency Plan for AIDS Relief (PEPFAR). Established in 2012, the GHSP program is a novel federal initiative addressing vast shortages of health professionals in many parts of the world. GHSP is committed to helping increase clinical care capacity and strengthen health systems in resource-limited settings by cultivating the next generation of local doctors and nurses. The program places US health professionals alongside local medical and nursing faculty counterparts to meet the teaching needs identified at each partner institution.

Operation Smile
www.operationsmile.org
Operation Smile provides free plastic reconstructive surgery in over 50 sites worldwide annually. Most service is for facial clefts, but burn scars, and other congenital deformities are also treated. Pediatricians and Pediatric Intensivists support perioperative care. Educational programs and participation with international colleagues is emphasized. Through the Global Standards of Care program, Operation Smile commits to ensure that all patients, whether treated during in-country programs or international missions, benefit from the same procedures, sophisticated equipment, and credentialed staff. Fellowship support to participate in missions is available to residents in Plastic Surgery, Pediatrics and Anesthesiology.

Resurge International
www.resurge.org
Formerly Interplast. Mission is to provide free reconstructive surgery for people in developing nations, while also partnering with in-country medical professionals to help them develop their skills and surgical outreach programs. Teams of 10 to 15 members include plastic surgeons, anesthesiologists, pediatricians, operating room nurses, and recovery room nurses. Trips generally last two weeks, during which time 75-100 surgeries are completed. Visiting Educator Workshops are specially geared to training in surgery, orthodontics, physical therapy, and occupational therapy. Resurge also supports permanent Surgical Outreach Centers in nine countries. The Webster Fellowship allows a newly trained plastic surgeon to work at Interplast sites around the world for one year.

Cure International
www.cure.org
CURE is a non-denominational Christian organization which establishes specialty teaching hospitals (currently 10) and builds partnerships in developing countries to provide direct care services, training of in-country professionals, and advocacy for the health needs of children. Specialty diagnoses targeted by CURE include facial clefts, hydrocephalus, spina bifida, club foot, spinal deformities, osteomyelitis, and burn contractures. Patients are accepted regardless of faith or creed; CURE accepts volunteers of all faiths.  Teams are sent 1-5 times per country each year; longer-term individual assistance is also welcome. CURE mostly uses short term volunteers (1-2 wk) but there is are full time positions for an anesthesiologist in some CURE hospitals. Sites needing help most include Uganda, Zambia, Dominican Republic, Honduras and Malawi. See Website under 'help now '> 'go' > 'professionals', or contact agency for current needs. Opportunities for Anesthesiology Residents include the GHO Resident International Scholarship. Residents and students may be accepted at some other locations on an ad hoc basis.

Medical Missions for Children
www.mmfc.org
Most procedures are cleft lips/palates and related  secondary procedures. Dental team accompanies surgical team on most trips. Speech Therapists should be fluent in Spanish. Most team members have worked with each other in  the past (Boston-based Board and volunteers), with others from NY and other states. Although prior international experience is not required, it is preferable. Countries visited on yearly basis with strong in-country friendships. Conferences & lectures are given throughout the trip. Costs to participant depend on funding; some are fully funded for transportation/housing, others share expense with volunteer team members. MMFC provides sponsorship forms that allow team members to raise necessary funds. Student may accompany as volunteers; contact agency.

Operation Rainbow
www.operationrainbow.org
Plastic surgical and orthopedic care for needy patients in the US and abroad, incorporating a strong teaching component as well. Operation Rainbow funds nurse's airfares and any supplies that are not donated. MDs pay their own airfare. (Although CRNA's may work independently under physician supervision, they are considered nurses for funding purposes).

Palestine Children's Relief Fund
www.pcrf.net
PCRF is a relief organization whose medical components include (1) bringing injured and sick children to the U.S. and Europe for free care that is not available to them in the Middle East; (2) supporting in-country medical services by sending medical supplies and equipment to war-torn Lebanon, the West Bank and the Gaza Strip; and  (3) sending American medical professionals to train in-country medical personnel and treat difficult cases. The International Palestinian Cardiac Relief Organization (IPCRO) is a component that provides cardiac care and open-heart surgery for Palestinian children and adults with heart conditions
Alliance for Smiles

Rotaplast International
www.rotaplast.org
Provides free reconstructive surgery for indigent children born with cleft lip, cleft palate, and other facial deformities. Pediatricians and Pediatric Intensivists support perioperative care. A number of non-medical positions are available to members of Rotary Clubs.

Medecins Sans Frontieres (Doctors Without Borders)
www.doctorswithoutborders.org
MSF provides assistance when catastrophic events — such as armed conflict, epidemics, malnutrition, or natural disasters — overwhelm local health systems. MSF also assists people who face discrimination or neglect from their local health systems or when populations are otherwise excluded from health care. The US office, based in NY is one of 19 international offices of MSF. MSF requires 2 years of professional experience, availability for at least six months (less for surgeons and anesthesia providers), current professional credentials and relevant work or travel experience outside the U.S. MSF pays most expenses and allocates a small stipend.  Application process takes several months, including interview and orientation; see website for details. Once accepted, MSF will match the volunteer's professional experience with field vacancies. Although MSF generally requires a minimum commitment of 6 continuous months, some assignments are 9-12 months duration. Thus, thus more flexibility by the volunteer allows consideration for more vacancies. Surgeons and anesthesiologists may be accepted for a minimum of six weeks in the field. Field staff does not have free selection of assignments, but may decline based on issues of security or the nature of the work.

Health Talent International (Guatemala) Mission Trips
http://healthtalents.org
Health Talents International is a non-profit Christian organization that works within the Churches of Christ to promote medical evangelism in developing countries. Ten surgical teams travel to HTI’s Clinical Ezell in Guatemala each year for cataract surgery, herniorrhaphies, hysterectomies, and cleft palate repair for the rural Mayan and ladino population living in the area.

 

Volunteer Medical Services Abroad (all specialties)
http://www2.pedsanesthesia.org/vmsa_search.iphtml
Searchable directory of over 150 US-based organizations that provide volunteer medical services, hosted by the Society for Pediatric Anesthesia. May be searched by specialty, country, and a variety of other indices.

American Academy of Ophthalmology
http://www.aao.org/international/outreach/international-organizations-list
List of international eye care organizations

Canadian Network for International Surgery
http://www.cnis.ca
Seeks to improve maternal health, increase safety, and build local capacity in low-income countries by through building infrastructure, teaching, developing educational materials and surgical information systems. CNIS operates twenty centers in eight African countries. CNIS creates educational curricula specific to low income counties. Surgeons, obstetricians and nurses are trained to teach these courses, and they volunteer their time in Africa to teach skills to healthcare students.

Catholic Network of Volunteer Services
http://www.cnvs.org/
Searchable directory of Catholic overseas volunteer organizations; some are medical but most focus on areas such as social justice, development, and spiritual guidance.

International Healthcare Opportunities Clearinghouse (IHOC)
http://library.umassmed.edu/ihoc/index.cfm
Maintained by University of Massachusetts Medical School Lamar Soutter Library.

Medical Mission Exchange
http://www.mmex.org
Online database of short- and long-term medical missions serving the Dominican Republic, Guatemala, Haiti, Honduras, and Belize

Plastic Surgery Foundation (Volunteers in Plastic Surgery)
http://www.thepsf.org/humanitarian/volunteers-in-plastic-surgery.htm
The website of the American Society of Plastic Surgeons and Plastic Surgery Education Foundation lists trips planned by other organizations, and resources for trip planning and QA. Has also been known as aka Reconstructive Surgeons Volunteer Program (RSVP)

Volunteer Overseas Resources - GVI
http://www.gviusa.com/volunteer-abroad/?gclid=CNiPm9D7n8cCFc0WHwodnrsJfQ
For over 14 years, GVI has been operating globally and helping volunteers find projects, Not specifically medical.

 

International Medical Corps
www.imcworldwide.org
Responding rapidly to crisis situations, IMC offers emergency and on-going medical and health care assistance to people at highest risk, while training local counterparts to provide these services themselves. Its mission is to  build local capacity in areas worldwide where few organizations dare to serve. By offering training and health care to local populations, and with the flexibility to respond rapidly to emergency situations, IMC rehabilitates devastated health care systems and helps restore self-reliance. IMC maintains an emergency response roster which requires that volunteers be willing to deploy within 72 hours, usually, and be available for 2-8 weeks.

Medical Reserve Corps
https://www.medicalreservecorps.gov/HomePage
The US is divided in to 10 Medical Reserve Corps units, within which there are multiple state and regional MRC's that implement preparedness programs for disasters and emergencies. The MRC was established when the events of 9/11 highlighted the need for coordinated mobilization and access for emergency  health resources. As a result, the MRC was established to provide a way to recruit, train, and activate medical and health professionals to respond to community health needs, including disasters and other public health emergencies.

ReliefWeb
http://reliefweb.int/
Consolidates news and information about international disaster assistance and humanitarian aid projects from over 4,000 global sources. Can be browsed by topic, country, or specific disaster area.

ABA Certification -rules for rotations abroad
http://www.theaba.org/PDFs/BOI/BOI_PrimaryCertification

ASA Resident International Anesthesia Scholarship Program
http://www.asahq.org/gho/ghoprograms/scholarship
Residents have the opportunity to participate in the training and education of local anesthesia providers as well as experience the unique aspects of delivering safe anesthesia CURE Hospital in Addis Ababa, Ethiopia. With appropriate planning, the resident will be eligible to receive ABA credit. Covered expenses include travel, lodging, meals, visa, vaccinations and medical insurance. Applicants must be CA 2 residents at time of application and must have completed a pediatric anesthesia rotation, and currently in good standing in a U.S. Anesthesiology residency training program. Applications are usually due by the end of January.

HVO-SEA Fellowship for Residents
http://www.seahq.net
The applicant must have completed two years of anesthesia training and be in an ACGME accredited anesthesia residency program at the time of travel overseas. Senior anesthesia residents will spend 4 weeks teaching at a Health Volunteers Overseas (www.HVOUSA.org) anesthesia site in a developing country. Fellows are exposed to surgical conditions and anesthetic techniques not usually seen in their home institutions

Plan Your Trip:

CIA Factbook
https://www.cia.gov/library/publications/the-world-factbook
Information on history, culture, government, society, and economics of 267 World entities, with major news updates.

ReliefWeb
http://reliefweb.int/
Consolidates news and information about international disaster assistance and humanitarian aid projects from over 4,000 global sources. Can be browsed by topic, country, or specific disaster area.

UN Office for the Coordination of Humanitarian Affairs
http://www.unocha.org
Up to date information on various humanitarian challenges. Topics may be searched by country, theme, date, or specific event.

Worldmapper
http://www.worldmapper.org/
An engaging as well as informative collection of maps in which territories are re-sized according to the subject of interest. Nearly 600 maps include health, economy, population, language, and religion. 

CDC Global Health
http://www.cdc.gov/globalhealth/index.html
Up-to-date information on global epidemics and health issues.

CDC Traveler's Health
http://wwwnc.cdc.gov/travel/
Dangers, prevention, immunization.

Traveler's Checklist
https://travel.state.gov/content/passports/en/go/checklist.html
Links to getting visas, CDC recommendations, travel insurance, embassy contact information etc.

US State Department Smart Traveler Enrollment (STEP)                 
https://travel.state.gov/content/passports/en/go/step.html
U.S. citizens traveling or living abroad may register with the nearest U.S. embassy or consulate. STEP will send the latest State Department security and safety updates, including travel alerts and warnings on the destination country; help the US embassy make contact in an emergency; and or help family and friends get in touch.

US State Department Overseas Citizens Services - Emergency contact
If your family needs to reach you because of an emergency at home, they can call Overseas Citizens Services in Washington, D.C. at 888-407-4747 or 202-501-4444.

US State Department Alerts and Warnings
https://travel.state.gov/content/passports/en/alertswarnings.html

US State Department Insurance Providers for Overseas Coverage
https://travel.state.gov/content/passports/en/go/health/insurance-providers.html
Lists about 30 insurance providers and about 35 air ambulance and medical escort services. The Department of state notes that none of the listed companies have been vetted or are  specifically endorsed by the State Department.

Travel Insurance Review
http://www.travelinsurancereview.net/plans/evacuation/
A blog covering a variety of issues in selecting travel insurance. Sponsored by insurance companies and links to Squaremouth for estimates, but useful nonetheless.

Squaremouth
https://www.squaremouth.com/travel-insurance-benefits
Gives a good oversight of the many types of insurance and what disclaimer clauses to watch out for.  Compares and sells policies from a number of participating companies

Insure My Trip
http://www.insuremytrip.com
Compares and sells policies from a number of participating companies

TripInsuranceStore.com
www.tripinsurancestore.com
Provides information on buying policies and sells policies from 10 different companies.

QuoteWright.com
www.quotewright.com
Compares and sells policies from a number of companies.

World Travel Center
http://www.worldtravelcenter.com
Compares and sells policies from a number of participating companies

Working with Volunteer Organizations:

Charity Navigator
http://www.charitynavigator.org
Evaluates charities on the basis of fiscal health and financial transparency. Rates only charities that have assets of >$1 Mil and which meet certain criteria. 

Guidestar: National Database of Non-profit Organizations
http://www.guidestar.org
Summary  and evaluation of charities' financial activities

Better Business Bureau Wise Giving Alliance
http://www.give.org
Reviews charities against a set of 20 standards involving governance and oversight, finances, and impact.

Union of International Associations (UIA)
http://www.uia.org/
A research institute and documentation center, based in Brussels. "Non-profit, apolitical, independent, and non-governmental in nature, the UIA has been a pioneer in the research, monitoring and provision of information on international organizations, international associations and their global challenges since 1907." Core activities include the Yearbook of International Organizations, International Congress Calendar, and the Encyclopedia of World Problems.

Interaction
http://www.interaction.org
Interaction is an alliance of 180 non-governmental organizations. Interaction provides a forum and common ground among organizations for communication, advocacy, and collaborative action.

Brookings Institute Initiative on International Volunteering and Service
https://www.brookings.edu/project/initiative-on-international-volunteering-and-service/
The Brookings Initiative on International Volunteering and Service seeks to explore ways in which the culture of volunteerism can help enhance global understanding and security. The initiative has a goal to substantially increase the number of Americans that volunteer overseas.

Frontline Healthworkers Coalition
http://frontlinehealthworkers.org
Alliance of US-based organizations sharing a goal of promoting more strategic U.S. investment in frontline health workers as a cost-effective way to provide effective and efficient health care. Among the approximately 50 allied organizations are several whose main goals are improvement of surgical care.

InterAction
http://www.interaction.org
Alliance of U.S.-based international nongovernmental organizations (NGOs) focused on international poverty and development.

Intrahealth
http://www.intrahealth.org
Support of primary health workers in low and middle income countries. Intrahealth, based at UNC, provides education, material support and advocacy. Funded by USAID, Gates Foundation and other major donors with interests in Global health and development

THEnet
http://www.thenetcommunity.org
THEnet is a consortium of health-professions education institutions committed to achieving health equity through medical education, research and service that is responsive to communities' priority needs. Together as a community of practice, and partnering with others, THEnet seeks to transform medical education, build institutional capacity and shape policy so as to make health systems around the world more equitable.

Includes discussion of leadership and national policy; healthcare-associated infection; healthworker safety; medications, vaccines, and equipment; funding; and research. Notably missing is proposed chapter 8, Surgical Safety.

Consortium of Universities for Global Health (CUGH)
http://www.cugh.org
The site includes many resources for education and for finding training programs in Global Health. CUGH includes a variety of issue-specific interest groups. The one on Anesthesia and Surgery is in its development phases.

Global Health Delivery Online (GHDOnline)
http://www.ghdonline.org
Provides resources and links on Global health, education and research. Opportunity to join discussion groups dedicated to specific issues.

Service Reef
https://gho.servicereef.com/organizations/global-health-outreach-2
ServiceReef.com is a website that allows organizations to post and coordinate events. Among the users are a variety of health-related groups, particularly Global Health Outreach (CMDA).

Aid For Africa
http://www.aidforafrica.org/category/member-charities/?type=all-members&snap=M
Alliance of U.S.-based nonprofits and their African partners working to help children, families, and communities throughout Sub-Saharan Africa.  Member organizations are required to meet specific tests of programmatic impact, fiscal accountability, and governance standards (see "eligibility" tab on the website).

World Health Professions Alliance
http://www.whpa.org
The World Health Professions Alliance WHPA brings together the global organizations representing the world's dentists, nurses, pharmacists, physical therapists and physicians and speaks for more than 26 million health care professionals in more than 130 countries. WHPA works to improve global health and the quality of patient care and facilitates collaboration among the health professions and major stakeholders.

WFSA website on safety and quality
http://www.wfsahq.org/our-work/safety-quality
Links to articles on safe practices as well as professional well-being

International Standards for the Safe Practice of Anesthesia
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2957572/?tool=pubmed
Published 2010, the standards include tiered recommendations for different environments.
This is scheduled to be updated sometime in late 2016-2017.

WHO Toolkit on Essential and Emergency Surgical Services
http://www.who.int/surgery/publications/imeesc/en
This tool targets policy-makers, managers, and health-care providers (surgeons, anesthetists, non-specialist doctors, health officers, nurses, and technicians). This tool contains WHO recommendations for minimum standards to improve quality and safety of emergency, surgery, trauma, obstetrics and anesthesia at first-referral level health-care facilities.

WHO Patient safety, education and research 
http://www.who.int/patientsafety/education/en/
WHO Patient Safety has developed a range of training materials and tools to help individuals and organizations improve their understanding and knowledge of patient safety.

WHO guide for developing national patient safety policy and strategic plans
http://www.who.int/patientsafety/guide-for-developing-national-patient-safety-policy-and-strategic-plan_final.pdf

WATSI
https://watsi.org/
A crowd funding source for supporting patients and organizations. Watsi promotes full transparency, posting all its donations and the projects they support on a web-based spreadsheet.

World Medical Association Medical Ethics Manual, 3rd ed.
http://www.wma.net/en/30publications/30ethicsmanual/pdf/ethics_manual_en.pdf
Available in 10 languages, revised 2015. This multi-authored 125-page manual includes chapters on Basic principles, Physicians and patients, Physicians and colleagues, Physicians and society, and Research. Download is free from the World Medical Association website (wma.net). Topics include, but are not specific to, global health.

Ethical Challenges in Short-Term Global Health Training
http://www.ethicsandglobalhealth.org
A web-based course consisting of a series of 10 cases designed to highlight ethical issues that may arise during short-term training experiences for those involved in global health research and service. The site also provides additional resources for further reading about each case and ethical issues in short-term training programs abroad. Sponsored by JHU Berman Institute of Bioethics and Stanford University Center for Innovation in Global Health.

WHO Code of Practice on the Migration of Health Workers
http://www.who.int/hrh/migration/14075_MigrationofHealth_Workers.pdf
2014 statement on the role of high income countries in "brain drain"

Donations and Supplies:

Afya Foundation
http://www.afyafoundation.org
Afya collects and delivers critically needed surplus medical supplies, hospital equipment, and humanitarian provisions for acute and ongoing health crises worldwide. Website offers instruction for donating and for requesting supplies.

Americares
http://www.americares.org
AmeriCares gives disaster relief and humanitarian medical aid to people in crisis in the USA and around the world.

Direct Relief International
http://www.directrelief.org/usa
Direct Relief’s assistance programs focus on maternal and child health, the prevention and treatment of disease, and emergency preparedness and response, and are tailored to the particular circumstances and needs of the world’s most vulnerable and at-risk populations.

Crosslink International
http://www.crosslinkinternational.net
Crosslink Memphis, Inc., is a 501(c)(3) non-profit Christian medical mission supply ministry.
  
Heart to Heart International
http://www.hearttoheart.org
HHI provides medicine and equipment to clinics in the US and by outfitting international medical teams with the supplies they need.  The Custom Order Program allows selection of specific medicines and supplies to a team for short-term or long-term international medical projects. Qualifying organizations can choose from a variety of medicines, supplies and equipment from leading manufacturers like BD, Johnson & Johnson, Welch Allyn and more. HHI also provides a standardized kit for disaster medical relief work, the " Ready Relief Box" containing items like: OTC pain relievers, antibiotics, topical creams, re-hydration salts, antacids, allergy medications and first-aid supplies.

International Medical Equipment Collaborative (IMEC)
http://www.imecamerica.org
IMEC provides equipment for health care, agriculture, and education projects in developing countries.

International Medical Relief Foundation
http://imrfusa.org
The International Medical Relief Foundation (IMRF) collects surplus medical supplies and equipment for distribution to developing countries around the world. It has been created and managed by groups of Rotarians and non-Rotarians in the Mid Hudson Valley area of New York state. Acting as a clearinghouse, the IMRF collects and recycles surplus and outdated medical and surgical goods from hospitals, clinics, manufacturers and individual physicians for shipment to public and charitable institutions. The distribution in the receiving country is supervised by volunteers, through the Rotary International network. This assists in the reduction of medical waste while improving the health of communities worldwide.

MAP International
http://www.map.org/gems
MAP International  enables healthcare agencies and medical missions to procure much needed medicines and supplies to serve  poor communities worldwide.

Medical Bridges
http://www.medicalbridges.org
"Medical Bridges (R) recovers medical surplus that would otherwise be discarded and redistributes it to hospitals, clinics and healthcare providers in less fortunate countries. Our goal is to continue bridging the healthcare gap, connecting those who have with those who hope."


MediSend International
http://www.medisend.org
MediSend International  programs are specifically designed to meet the needs and challenges of developing country hospitals, and include: (1) certified training and education in biomedical equipment technology; (2) test and repair laboratories; (3) technical support  (4) the distribution of medical supplies and biomedical equipment . Recently, MediSend International held graduation ceremonies for biomedical technician trainees from hospitals in Nigeria, Kazakhstan, Papua New Guinea, Haiti and Peru. They had the unique opportunity to train in the MediSend Biomedical Repair Training Program.

Medshare International
http://www.medshare.org
"MedShare is a nonprofit organization dedicated to improving healthcare and the environment through the efficient recovery and redistribution of the surplus of medical supplies and equipment to those most in need. We collect surplus medical supplies and equipment from hospitals, distributors and manufacturers, and then redistributes it to qualified healthcare facilities in the developing world. We also outfit medical missions and safety net clinics in both the U.S. and abroad."

Partnership for Quality Medical Donations
http://www.pqmd.org/
The Partnership for Quality Medical Donations is an alliance of non-profit and corporate organizations committed to bringing measurable health impact to under-served and vulnerable people through active engagement with global partners and local communities.

Project C.U.R.E.
http://www.projectcure.org
Project C.U.R.E. is the largest provider of donated medical supplies and equipment to developing countries around the world.

FDA guidelines on donating drugs to international humanitarian relief efforts
http://www.fda.gov/downloads/NewsEvents/PublicHealthFocus/UCM249617.pdf

DEA permit to export controlled substances for medical missions
http://deadiversion.usdoj.gov/imp_exp/med_missions.htm
DEA Website with information and forms

WHO Guidelines for drug donations - 1999
http://www.who.int/hac/techguidance/guidelines_for_drug_donations.pdf
Additional guidelines for drug donations as part of development aid.

WHO Guidelines for Medicine Donations - 3rd edition 2011
http://www.who.int/medicines/publications/med_donationsguide2011/en
This 3rd edition of Guidelines for medicine donations has been developed by the World Health Organization (WHO) in cooperation with major international agencies active in humanitarian relief and development assistance. The guidelines are intended to improve the quality of medicine donations in international development assistance and emergency aid.

WHO Guidelines for Medical Equipment Donations - 2000
http://www.who.int/medical_devices/management_use/manage_donations/en/
Donated equipment from surplus in high resource settings may help bridge the gap between current technologies and those available in low resource settings. If not well executed, however, donation may become a burden on the recipients, as well as a waste of money, time, and human resources, while also imposing an unnecessary environmental burden. This website provides a review of issues involved in creating useful and appropriate donations of medical equipment.

Sabre Foundation
http://www.sabre.org/

Books for Africa
http://www.booksforafrica.org
Books for Africa is a volunteer-based nonprofit that accepts popular fiction and nonfiction reading books (soft and hard cover); primary, secondary, and college textbooks (soft and hard cover); reference books such as encyclopedias and dictionaries; medical, nursing, IT, and law books. Bibles or religious books should be separated from other donations and marked as “Religious texts.”   Acceptable books are gently used and relevant to an African reader. BFA does not accept ethnocentric books (e.g. biography of Abraham Lincoln), American history or civics, or foreign languages except French.  BFA also accepts school/office supplies such as paper, pencils, pens, wall charts, maps, etc. Acceptable books are gently used and relevant to an African reader. See website for details.

Books For Africa partners with non-governmental organizations (NGOs) in Africa that have the ability to clear a container at port and distribute the books in the recipient country. Examples include schools and universities, churches, member clubs of Rotary International, and YWCAs. BFA books typically are delivered to local schools and universities, libraries, and community centers in Africa. The NGO consignee in Africa is required to pay the shipping costs for a 40-foot container, provide port documentation and pay all port and clearance costs (estimated total $11-13,000), and then distribute the books in the recipient country.

Brothers Brother
https://www.brothersbrother.org/gifts-kind/#book
Do not send book without obtaining advance approval. BB's book donation policy states: "While we prefer to deal directly with dealers and distributors for new products in this area, we appreciate donations of books and educational materials that we receive from both groups and individuals, provided they are pre-approved. Used books must be in excellent condition (not written in, no pages missing, back and front cover attached, and no broken spines) have copyright dates less than 10 years old and on subjects not obtained through donations from publishers. If the used books meet these basic standards, BBF will first review the inventory list of the books before a final decision will be made. When BBF accepts the books, they must be brought to BBF's warehouse or boxed and sent at the donor's expense."

University of Buffalo Health Sciences Library
http://library.buffalo.edu/hsl/services/donationsprogram
Internet site lists many resources, both domestic and international, that collect and distribute medical texts.

Educational Resources:

Virtual Anaesthesia Textbook
http://www.virtual-anesthesia-textbook.com
An extensive list of links and information for anesthetists, anesthesiologists and related personnel. Organized by textbook chapter titles,

Manual of Regional Anesthesia by Dr. Carlo D. Franco
http://cookcountyregional.com
Regional neuroanatomy and anesthesia techniques; includes  techniques are based on landmarks, paresthesia, and stimulation, as well as techniques using ultrasound. Excellent cadaveric anatomical specimens demonstrated.

Disease Control Priorities: Essential Surgery
http://dcp-3.org/
Disease Control Priorities: Economic Evaluation for Health (DCP3). The DCP-3, led and coordinated by the University of Washington Department of Global Health (UW-DGH) aims to present evidence available on the economics and efficacy of management strategies for the major causes of global disease burden, including infectious and chronic diseases, trauma, mental disorders and environmentally-induced conditions. The volume Essential Surgery identifies 44 surgical cost-effective procedures that could be feasibly implemented in low- and middle-income countries. Universal access to those procedures would rank among the most cost effective of all health interventions. Sections are Overview; The Global Burden; Surgical Interventions; Surgical Platforms and Policies; The Economics of Surgery.  Online downloads are free at dcp-3.org or through the World Bank Open Knowledge Repository at www.openknowledge.worldbank.org

Primary Surgery Textbook Vol 1- Non-Trauma
http://www.meb.uni-bonn.de/dtc/primsurg
Compiled in 1999 by the German Federal Ministry for Economic Co-operation in conjunction with Kenyan practitioners. It was compiled by Maurice King Peter Bewes, James Cairns, and Jim Thornton in collaboration with Kenyan and other experts. As noted in the forward, "the methods and techniques described correspond to the state of the art with regard to their feasibility in rural hospitals, where sophisticated technical equipment may not be available."

Primary Surgery Textbook Vol 2 - Trauma
https://www.ghdonline.org/surgery/discussion/primary-surgery-trauma-volume-2-2
A comprehensive text available on the GDHOnline website. Because of its size, it may be easier to download specific chapters.

Surgical Care at the District Hospital
http://www.who.int/surgery/publications/en
A long-standing classic multi-authored text covering basics of wound care, surgical procedures, anesthesia and resuscitation. This site also serves as a portal to other WHO resources on surgery in resource-limited settings.

Pediatric Surgery and Critical Care - APSA Publications
http://www.eapsa.org/research/publications
APSA publications provide information about specific pediatric surgery-based resources. Access to the pediatric handbook of critical care, and the journal of pediatric surgery. APSA has an extensive online library of common pediatric surgical diseases. A handbook of pediatric surgical critical care is available online.

Handbook of Pediatric Surgical Critical Care
http://www.eapsa.org/apsa/media/Documents/APSAHandbookofSurgicalCriticalCare_Jun52014.pdf

Textbook of Surgery for Victims of War, from International Committee of the Red Cross
https://www.icrc.org/eng/resources/documents/publication/p0446.htm
This handbook summarizes the experience of leading practitioners in the field of war surgery and is intended to help military and civilian surgical teams treat people wounded in armed conflicts. It covers first aid, admission of urgent cases and triage, skin grafts, treatment of infections, wounds and burns, plastic surgery and anesthesiology.

WFSA Anaesthesia Tutorial of The Week
http://www.wfsahq.org/resources/anaesthesia-tutorial-of-the-week
Covers specific topics. You may view these on line, or receive these by email.

Update in Anaesthesia
http://www.wfsahq.org/resources/update-in-anaesthesia
World Federation of Societies of Anesthesiologists

Anesthesia Illustrated
http://www.anesthesiaillustrated.com/portfolio/
Global open access initiative to provide quality educational content and learning objects to anesthesia educators around the world. Over 140 slideshows are available on clinical topics, management, career issues, ethics, and more. From the Stanford Anesthesia Informatics and Media Lab. Goal is to share the work being developed for educational use at Stanford and Yale Universities with the broader anesthesia community.

Disaster Ready
https://www.disasterready.org
A web-based training site whose goal is to assist humanitarian aid workers to be effective and prepared in natural disasters and conflicts. Target audience is agencies which themselves might not have resources to mount the breadth of training programs, as well as individuals. “DisasterReady.org is a collaborative nonprofit effort informed by an advisory committee of prominent aid agencies including Save the Children, the International Rescue Committee, Project HOPE, the UN Refugee Agency (UNHCR), Mercy Corps, the International Federation of Red Cross and Red Crescent Societies (IFRC), World Vision, Oxfam America, and others.” Course topics include International law, team building, conflict management, programs and operations, leadership and organizational management, and staff welfare (safety, travel, threats).

Otorhinolaryngology Portal
http://www.drrahmatorlummc.com
Contains images and descriptions of anatomy and pathology. Excellent illustrations of airway issues commonly encountered, and which may be useful for lecture presentations. Run by Dr. Rahmat Omar, University of Malaya Medical Centre, Kuala Lumpur, MALAYSIA

International Anesthesia education forum
http://www.anesthesiaforum.org/educational-resources.html
Anesthesiologists from the University of Utah providing free refresher courses for colleagues in medically underserved regions of the world.

Medical PowerPoint BlogSpot (Dr. Aslam)
http://medicalppt.blogspot.com/
A wealth of prepared lectures in various topics ranging from basic concepts to subspecialty issues.

Supercourse
http://www.pitt.edu/~super1
A repository of over 5, 000 lectures on global health, epidemiology, prevention and development. The site also includes many links to other Public Health-related resources.  Courses may be downloaded as a group, or individually http://www.pitt.edu/~super1/assist/download.htm

Tulane University Acid-Base tutorials
http://www.acid-base.com/
Features the history, physiology and treatment of acid-base disturbances, information on the production of acid, understanding pH, clinical considerations and more.

New York Society of Regional Anesthesia  (NYSORA)
http://www.nysora.com/regional-anesthesia/index.1.html
New York Society of Regional Anesthesia website. Promotes the practice of Regional Anesthesia, Pain Management and Perioperative Medicine through timely dissemination of new information using far-reaching and innovative educational resources.

Global Health Library
http://www.globalhealthlibrary.net/php/index.php?lang=en
Search engine for literature from many international regional sources. Function is much like Pubmed, utilizing MESH terms.

Open Anesthesia (International Anesthesia Research Society)
http://www.OpenAnesthesia.org
An anesthesia wiki covering an online textbook of anesthesia, Critical care manual, ABA key words, Review question of the week, Controversies in anesthesia, guide to surgical procedures, new developments in anesthesia.

World Anaesthesia Online
http://www.wfsahq.org/
World Federation of Societies of Anesthesiologists. Offers online journal, as well as "tutorial of the Week"

World Journal of Surgery
http://link.springer.com/journal/volumesAndIssues/268
Free online access; often carries articles by members of the ASA-GHO  and the SPA international Anesthesia committees

World Medical Journal
http://www.wma.net/en/30publications/20journal/index.html
Publishes by the World Medical Association, serves as a platform for publishing innovative ideas, overviews of trends, and areas of medical progress that are not usually found in other medical journals. The WMA also publishes the World Medical Ethics Manual, periodic white papers on matters of international interest, and a variety of multimedia publications for professional and patient education.

Univadis (Merck & Co.)
http://www.univadis.com
An online information service covering 24 medical/surgical specialties (including pediatrics), available in 38 countries.

DevelopingAnesthesia
http://www.developinganaesthesia.org/
A  website on anesthesia in austere environs developed by the originators of the “Real World Anesthesia” course from Australia and New Zealand. A rich variety of resources include tutorials on anesthesia, emergencies, and intensive care; teaching materials designed for short modular training programs; and links to additional learning and teaching materials..

Operation Giving Back (Am Coll Surg)
http://www.operationgivingback.facs.org
Maintained by American College of Surgeons; lists surgical volunteer needs as well as a rich collection of useful resources for international medical volunteers.

The Global Partners in Anesthesia and Surgery resource page.
http://www.globalpas.org/resources/
An additional compilation of resources for volunteering, training, and international collaboration.

Global Pediatric Surgery Network
http://globalpaediatricsurgery.org
Serves as a clearinghouse for volunteer work performed by pediatric surgeons around the world.

Selected readings on Global Health and Anesthesia
http://spacies.pedsanesthesia.org/resources/selected-articles-on-global-health-and-anesthesia/
References and abstracts of over 100 journal articles of interest in Global Health, Anesthesia, Surgery, Maternal Health, and Ethics.

Anesthesia for Global Outreach (AGO)
www.AnesthesiaGlobalOutreach.com
AGO is a 3 day course that prepares anesthesia providers to deliver anesthesia care in poorly resourced environments – the conditions under which 80% of the world’s anesthesia care is delivered.  The course hosts a cadre of well-known experts in global health and anesthesia.  Participants will have the opportunity to consider intellectual, technical, psychological, and ethical aspects of outreach anesthesia work in conditions that they are unlikely to have encountered in their training or daily practice.  The 2016 course will be held October 7-9 in Boston, MA and the following course will be held in May 2018 in Dalhousie, NS.  For more information please visit the website or send an inquiry to info@anesthesiaglobaloutreach.com to be put on the mailing list.

Anaesthesia in Develping Countries
Kampala, Uganda

https://www.ndcn.ox.ac.uk/study/continuing-professional-development/anaesthesia-in-developing-countries

This is a five-day course organised by the University of Oxford and held annually in Uganda. The course aims to equip anaesthetists who have trained in high-income countries with skills, knowledge and attitudes relevant to working in low-resourced settings. The international faculty are drawn from both high-income and low-income settings to provide a breadth of experience and training. For more information please see the webpage,  or contact Nik.Andrew@ndcn.ox.ac.uk to be put on the mailing list.

Real World Anesthesia Course (RWAC)
Christ Church New Zealand/Darwin, Australia/Frankston, Australia

http://www.developinganaesthesia.org/real-world-anaesthetic-course.html
The Real World Anaesthetic Course (RWAC) is held annually in Australia or New Zealand to help anaesthetists prepare for short or long term placement in resource poor countries.
This  5-day course focuses on knowledge, skills and attitudes required for working in low- and middle-income countries (LMICs) and other resource-poor environments.
The course is held in October or November each year and the venue alternates between New Zealand (Christchurch) and australia (Darwin, Northern Territory or Frankston, Victoria).

The 2017 course will be held in Christchurch and the 2018 course will be held in Darwin.  Demand for previous courses has been high. 
The website also contains rich resources on anesthesia in austere environments, including a downloadable monograph on Anesthesia Emergencies, and the course materials for RWAC.