The BARTC Neuroanaesthesiology fellow shares insights about her fellowship in Thailand, highlighting her learning experiences and expectations
Please introduce yourself
Hello, my name is Setsengua Ochirsuren, I’m from Mongolia. Before my fellowship, I worked as an anaesthesiologist at the Second State Central Hospital of Mongolia. I’m currently studying a WFSA-BARTC fellowship in Neuroanaesthesiology at Siriraj Hospital, Bangkok.
The Bangkok Anaesthesia Regional Training Center (BARTC) programme has provided me with support from the World Federation of Societies of Anaesthesiologists (WFSA).
[The BARTC programme is a community of anaesthesiologists across Asian countries that work together to improve anaesthesia education and practice. A BARTC fellow works in 3 university hospitals around Bangkok – Siriraj Hospital, King Chulalongkorn Memorial Hospital and Ramathibodi Hospital]
Why were you interested in anaesthesia as a career?
My interest in anaesthesia began during my internship in Bayankhongor province, a remote western region of Mongolia. I was fascinated by the precision and critical thinking required to manage patients’ perioperative care. Anaesthesia combines my passion for physiology and pharmacology with the opportunity to significantly impact patient outcomes. Additionally, the diverse opportunities within anaesthesia, from critical care to pain management, offer a dynamic and fulfilling career path.
Why did you want to pursue a fellowship with the WFSA?
I’m studying in Thailand with support from WFSA, which has been incredibly beneficial. It represents a unique opportunity to enhance my expertise in neuroanaesthesiology on a global scale, to collaborate with international experts and learn from diverse healthcare systems.
What is your working day like?
My working day begins with a Zoom session on anaesthesia activities. Then, I discuss cases with my consultants before surgery, including problem lists, comorbidities, risks, possible complications, fluid management, and pain management.
Learning directly from my consultants who teach procedures and anaesthesia management techniques is such a fantastic, invaluable opportunity.
What are the highlights during your neuroanaesthesiology fellowship so far?
The opportunity to work and learn at renowned institutions, such as Mahidol University (Siriraj Hospital), King Chulalongkorn Memorial Hospital, Ramathibodi Hospital, and the Neurological Institute of Thailand, was a significant factor in my decision to apply for this fellowship.
The last few months have been a period of personal and professional growth. Adapting to a new healthcare environment in Thailand, learning from diverse cases, and overcoming challenges have all contributed to my development as a well-rounded neuroanesthesiologist. Another highlight has been the exceptional learning opportunities, such as attending specialised workshops and seminars led by leading experts in the field.
Also, I present interesting cases, articles, and topics that add another layer of engagement and learning, collaborating with a diverse team of healthcare professionals, including neurologists, radiologists, and ICU specialists, has enriched my learning experience.
Despite facing challenges with language barriers and cultural differences, I have also been able to improve my English and communication!
What transferrable skills have you learned that could be applied back home?
- Advanced airway management: In Thailand, I’ve become adept at advanced airway management techniques, such as handling difficult intubations and utilising fiberoptic bronchoscopy. These critical skills ensure patient safety and can be applied in various challenging clinical scenarios back home.
- Perioperative neurophysiological monitoring: I’ve gained proficiency in using intraoperative neurophysiological monitoring, including motor and sensory evoked potentials. This expertise allows for the protection and assessment of neural function during surgeries, a practice that can enhance patient outcomes when implemented in neurosurgical centers in my home country.
- Critical care management: Managing patients in the neurosurgical intensive care unit (ICU) has enhanced my ability to handle complex critical care scenarios. Skills such as managing intracranial pressure, optimising hemodynamics, and providing neuroprotective strategies are directly transferable to any ICU setting, enabling me to provide advanced care to critically ill patients
What are your favourite things about Thailand?
I was drawn to Thailand because of its reputation for high-quality medical training and advanced healthcare infrastructure. The warmth and hospitality of the Thai people have made my stay here incredibly welcoming – their friendliness and willingness to help have made it easy to adapt to a new environment and feel at home.
Experiencing celebrations like Songkran (Thai New Year) and Loy Krathong (Festival of Lights) and visiting ancient temples like Wat Phra Kaew in Bangkok, Wat Pho, and the historical city of Ayutthaya has given me a deep appreciation for Thailand’s history and architecture. And, of course, I love the food!
What are your plans when your return to Mongolia?
In Mongolia, we do not have a formal neuroanesthesia fellow training, so my goal is to contribute to training in this field. These skills are crucial for preparing the next generation of anaesthesiologists, so I hope to ensure they are applied in educational programs and workshops at home in the future.
The WFSA offers its Fellowships to anaesthesiologists from low and middle-income countries to increase their skillset and become leaders for anaesthesia once they return to their home countries. Upcoming WFSA fellowships and how to apply
Cover photo: BARTC fellows receiving advice on research
