Academic Needs in Developing Countries: A Survey of the West African College of Surgeons

Nadler, Evan P.; Nwomeh, Benedict C.; Frederick, Wayne; Hassoun, Heitham T.; Kingham, T. Peter; Krishnaswami, Sanjay; London, Jason A.; Pitt, Susan C.; Riviello, Robert; Rogers, Selwyn O.

doi:10.1016/j.jss.2009.03.090

Cited by 13 publications

(4 citation statements)

References 7 publications

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“…Surgeons in LMICs self-report a need for increased research training and skills, in addition to clinical assistance [80]. Additionally, improving the quality of particular treatments in LMICs, such as cleft surgeries, requires a better understanding of the local needs, barriers to care, outcomes, and predictive factors that define cleft anomalies and other diseases in those countrie, and which may be unique to resource-limited settings.…”

Section: Building Capacity While Addressing Specific Needs: a Diagmentioning

confidence: 99%

An Opportunity for Diagonal Development in Global Surgery: Cleft Lip and Palate Care in Resource-Limited Settings

Patel

Hoyler

Maine

et al. 2012

Plastic Surgery International

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Global cleft surgery missions have provided much-needed care to millions of poor patients worldwide. Still, surgical capacity in low- and middle-income countries is generally inadequate. Through surgical missions, global cleft care has largely ascribed to a vertical model of healthcare delivery, which is disease specific, and tends to deliver services parallel to, but not necessarily within, the local healthcare system. The vertical model has been used to address infectious diseases as well as humanitarian emergencies. By contrast, a horizontal model for healthcare delivery tends to focus on long-term investments in public health infrastructure and human capital and has less often been implemented by humanitarian groups for a variety of reasons. As surgical care is an integral component of basic healthcare, the plastic surgery community must challenge itself to address the burden of specific disease entities, such as cleft lip and palate, in a way that sustainably expands and enriches global surgical care as a whole. In this paper, we describe a diagonal care delivery model, whereby cleft missions can enrich surgical capacity through integration into sustainable, local care delivery systems. Furthermore, we examine the applications of diagonal development to cleft care specifically and global surgical care more broadly.

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Section: Building Capacity While Addressing Specific Needs: a Diagmentioning

confidence: 99%

An Opportunity for Diagonal Development in Global Surgery: Cleft Lip and Palate Care in Resource-Limited Settings

Patel

Hoyler

Maine

et al. 2012

Plastic Surgery International

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“…2,10,16,20,53 A previous survey among surgeons in sub-Saharan Africa had shown that many surgeons in these areas desire a better understanding of clinical research 54 . This knowledge is critical to improving interest and quality of surgical research.…”

Section: Resultsmentioning

confidence: 99%

Surgical care in the developing world-strategies and framework for improvement

Akenroye

Adebona

Akenroye

2013

J Public Health Africa

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The purpose of this study was to identify the various problems with surgical care in the developing world and enumerate identified strategies or propose solutions. We also sought to rank these strategies in order of potential impact. The MEDLINE database was sought. Studies published in English, reporting currently employed solutions to identified barriers or problems to surgical care in developing countries or potential solution(s) and published between 2000 and 2012 were eligible for inclusion. 2156 articles were identified for possible inclusion. MeSH terms include surgery, general surgery, developing countries, health services accessibility and quality improvement. Forty-nine full articles with a primary focus on the solutions to the challenges to surgical care in the developing world were included in the final review. Many articles identified problems with infrastructure, workforce shortage, inadequate or inappropriate policies, and poor financing as major problems with healthcare in the developing world. Solutions addressing these problems are multifactorial and would require active participation of local authorities and collaboration with providers from the developed world. The burden of surgical care is increasing. There is poor access to surgical services in the developing world. If and when surgical care is received, the quality could be less than the standard in developed nations. Solutions exist to tackle these problems but require a multidimensional approach to be successful.

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“…In response to the feedback of attendees, a revised and expanded course was planned for the following year. Before embarking on that endeavor, the AAS Global Affairs Committee performed an assessment of academic needs of the WACS and determined that their interest was primarily in clinical research [2]. Thus, the subsequent course was refashioned as a Fundamentals of Research and Career Development Course (FRCDC) to meet these specific local requirements.…”

Section: Introductionmentioning

confidence: 99%

Assessing the Efficacy of the Fundamentals of Research and Career Development Course Overseas

Nadler

Krishnaswami

Brundage

et al. 2010

Journal of Surgical Research

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Academic Needs in Developing Countries: A Survey of the West African College of Surgeons

Cited by 13 publications

References 7 publications

An Opportunity for Diagonal Development in Global Surgery: Cleft Lip and Palate Care in Resource-Limited Settings

An Opportunity for Diagonal Development in Global Surgery: Cleft Lip and Palate Care in Resource-Limited Settings

Surgical care in the developing world-strategies and framework for improvement

Assessing the Efficacy of the Fundamentals of Research and Career Development Course Overseas

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