Memorandum of Understanding between The

This memorandum outlines the wishes and desires of the signatories, in connection with the
Regional Anaesthesia and Pain Management Fellowship at Ganga Hospital.
In an effort to advance the safety, quality and availability of anaesthesiology everywhere, the
signatories wish to promote the skills and knowledge of anesthesiologists in low resource
settings in Asia and Africa.
Number of Fellowships Offered: 4
Duration and Period of Fellowships: 6 months
Nature of Fellowships (e.g. area of specialisation): Regional Anaesthesia & Analgesia
Name of Fellowship Coordinator / Leader:Dr Balavenkat Subramanian
Overall Aims of Fellowship: To mentor the trainee in the safe conduct of Regional Anaesthesia,
to train and empower them with the skills of using Ultrasound guided and peripheral nerve
guided nerve blocks.To assign clinical responsibilities if the mentor deems so.
Specific aims of the fellowship are listed in Annex 1.
Recognising that the nature of this fellowship scheme may change from time to time, the
signatories assume the following roles and responsibilities:
WFSA will:
1. Award a grant of US$ 1,500to be used for:
- Travel costs for fellows (airfares)
This grant is awarded to the institution, not the individual fellows.
2. Advertise the fellowship scheme on its website and support the application process as
3. Endorse the fellowship scheme and credit the ISA, host institution and host physician(s).
4. Award a joint Certificate of Training to each fellow at the end of his/her fellowship.
5. Consider external teaching visits if requested and as appropriate.
6. Publish reports on the fellowship scheme on its website.
ISA will:
1. Endorse the fellowship scheme and credit the WFSA, the host institution and host
2. Publicise the fellowship scheme – for example on its website or in its newsletter, and
provide links to the scheme on the WFSA website.
3. Support the WFSA and Ganga Hospital where possible, for example with its educational
4. Facilitateany visa or other immigration requirements for fellows and anyexternal
teachers if required.
5. Assist with registration of trainees with the Medical Council of India.
6. Award a joint Certificate of Training to each fellow at the end of his/her fellowship.
Ganga Hospital will:
1. Provide all necessary support, mentoring and supervision of the fellows to ensure the
maximum achievement possible of the desired learning objectives.
2. Manage the funds received from the WFSA and provide financial reports on the use of
the funds within two (2) months of the end of each fellowship (or group of fellowships).
3. Not take any fees or overhead from the grant award.
4. Acknowledge the WFSA funding in any publication or communication about the
fellowship scheme.
5. Award a joint Certificate of Training to each fellow at the end of his/her fellowship.
6. Provide a written report, in an agreed format, on the fellowships within two (2) months
of the end of each fellowship (or group of fellowships).
Any dispute or disagreement arising from this MoU should be addressed by the WFSA’s
Education Committee and the Fellowship Coordinator at the host institution in the first instance.
Fellowship schemes often evolve and the parties to this MoU may update this document by
mutual agreement at any time. Updated MoUs must also be signed by the representatives of
the parties in order to come into effect.
The WFSA and the ISA do not assume any liability to any person or entity for any claim, damage,
loss or injury resulting from the Regional Anaesthesia Fellowship at Ganga Hospital.
______________________________________________The World Federation of Societies ofAnaesthesiologists
Represented by the President:Dr David J Wilkinson
The Indian Society of Anaesthesiologists
Represented by the President: Dr Chakra Rao
------------------------------------------------------------------------The Ganga Medical Centre and Hospital
Represented byDr Balavenkat Subramanian
Annex 1:
Specific Learning Objectives:
Phase 1: First 30 Days: Observation Phase/ Introductory Month:
The trainees will be given introduction about the hospital, culture, nature of work,
responsibilities and obligations to the patient, patient care being the only single motive.
The trainees will be taught and made to observe Ultra Sound and Peripheral Nerve Stimulator
guided nerve blocks.
The trainees will have hands-on training in the USG machine, on volunteers.
They will attend teaching sessions between 7.30am and 8.30am every Saturday morning.
They will be provided with learning material on Regional Anaesthesia.
Phase 2: Next 150 Days: Induction & Consolidation Phase:
The Trainees will be inducted into clinical work and closely observed by the mentors.
The trainees will be assigned specific topics in Regional Anaesthesia, and they would be aided in
making power point presentations on the academic day.
They will be taught about Rescue Blocks/ Recourse to General Anaesthesia/ Treating
complications that are associated with the use of Regional Anaesthesia.
The course will be committed to enhancing their skills and knowledge in upper and lower
extremity blocks, neuraxial blocks and truncal blocks.
The trainees will be issued with a certificate and the end of the course.
The mentors will have a debrief session with the trainees before the end of the course.