Beyond Absolutism: Guiding Principles Needed for Humanitarian Medicine: Letter to the Editor

Leeds, Ira L.

doi:10.1007/s00268-010-0612-3

Cited by 5 publications

(2 citation statements)

References 3 publications

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“…Further demonstration projects with the appropriate monitoring and evaluation are necessary to justify widespread adaptation of such an educational model. Rather than institutions entering into new international surgery ventures on their own, consortia that share opportunities among U.S. medical schools and help produce guidelines for effectively designed missions may help alleviate some of the limitations noted above [25]. In the interim, the success of the surgical trip model above suggests an acceptable level of risk to clinical care for expanding the availability of similar experiences at other U.S. teaching institutions.…”

Section: Discussionmentioning

confidence: 99%

Intensive medical student involvement in short-term surgical trips provides safe and effective patient care: a case review

et al. 2011

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BackgroundThe hierarchical nature of medical education has been thought necessary for the safe care of patients. In this setting, medical students in particular have limited opportunities for experiential learning. We report on a student-faculty collaboration that has successfully operated an annual, short-term surgical intervention in Haiti for the last three years. Medical students were responsible for logistics and were overseen by faculty members for patient care. Substantial planning with local partners ensured that trip activities supplemented existing surgical services. A case review was performed hypothesizing that such trips could provide effective surgical care while also providing a suitable educational experience.FindingsOver three week-long trips, 64 cases were performed without any reported complications, and no immediate perioperative morbidity or mortality. A plurality of cases were complex urological procedures that required surgical skills that were locally unavailable (43%). Surgical productivity was twice that of comparable peer institutions in the region. Student roles in patient care were greatly expanded in comparison to those at U.S. academic medical centers and appropriate supervision was maintained.DiscussionThis demonstration project suggests that a properly designed surgical trip model can effectively balance the surgical needs of the community with an opportunity to expose young trainees to a clinical and cross-cultural experience rarely provided at this early stage of medical education. Few formalized programs currently exist although the experience above suggests the rewarding potential for broad-based adoption.

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Section: Discussionmentioning

confidence: 99%

Intensive medical student involvement in short-term surgical trips provides safe and effective patient care: a case review

et al. 2011

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“…Rather than the differences that Mr. Leeds and his colleagues highlight in their letter, we believe that our published experience and that of the Emory Medishare group serve to emphasize the fact that we are health care providers united by common problems. In fact, Mr. Leeds himself has correctly championed this crucial need for meaningful and productive cross‐institutional collaboration within the global health community [3, 4].…”

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confidence: 99%

Inherent Difficulties of Measuring the Burden of Surgical Disease in Resource‐Poor Settings: Reply

et al. 2013

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Beyond Absolutism: Guiding Principles Needed for Humanitarian Medicine: Reply

Welling

2010

World j. surg.

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Beyond Absolutism: Guiding Principles Needed for Humanitarian Medicine: Letter to the Editor

Cited by 5 publications

References 3 publications

Intensive medical student involvement in short-term surgical trips provides safe and effective patient care: a case review

Intensive medical student involvement in short-term surgical trips provides safe and effective patient care: a case review

Inherent Difficulties of Measuring the Burden of Surgical Disease in Resource‐Poor Settings: Reply

Beyond Absolutism: Guiding Principles Needed for Humanitarian Medicine: Reply

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