Global Surgery Fellowship: A model for surgical care and education in resource-poor countries

Aarabi, Shahram; Smithers, C. Jason; Fils, Marie May L ouis; Godson, Jean Louis; Pierre, Jean Hamilton; Mukherjee, Joia S.; Meara, John G.; Farmer, Paul

doi:10.1016/j.jpedsurg.2015.06.009

Cited by 20 publications

(16 citation statements)

References 13 publications

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“…This degree program provides the fellow with previously nonexistent resources: access to a network of international surgeons, opportunities to publish and present both nationally and internationally, and a support network to continue program building. It allows for appropriate training and education while providing longitudinal follow-up for patients, facets that have been identified as important to provision of surgical care [20]. The lack of specialty care is reflective of the overall surgical health of the country; it is a privilege to be able to develop a fellowship program when the need for basic surgical care is still unmet in many areas.…”

Section: Discussionmentioning

confidence: 99%

Genitourinary reconstructive surgery curriculum and postgraduate training program development in the Caribbean

DeLong

Virasoro

2021

Société Internationale D’Urologie Journal

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Objectives: To describe the development of a genitourinary reconstructive fellowship curriculum and the establishment of the first genitourinary reconstructive and pelvic floor postgraduate training program in the Caribbean. Methods: In an effort to respond to the need for specialty-trained reconstructive urologists in the Dominican Republic, we developed an18-month fellowship program to train local surgeons. The process began with creation of a curriculum and partnership with in-country physicians, societies, hospitals, and government officials. We sought accreditation via a well-established local university, and fellowship candidates were selected. A database was maintained to track outcomes. Subjective and objective reviews were performed of the fellows. Results: The first fellow graduated in 2018, the second in 2020, and the third is currently in training. The curriculum was created and implemented. The fellowship has been successfully integrated into the health system, and the fellows performed 199 and 235 cases, respectively, during the program, completing all rotations successfully. They have been appointed to the national health system. Both graduates are now docents in the program and in the public system. Additional staff including radiologists, radiology technicians, nurses, urology residents (both Dominican and American), urology attendings, operating room staff, and anesthesia residents were trained as a result of the program. Conclusions: To our knowledge, this is the first fellowship of its kind in the Caribbean. A novel curriculum was created and implemented, and the first 2 fellows have successfully completed all rotations. This training model may be transferable to additional sites.

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Section: Discussionmentioning

confidence: 99%

Genitourinary reconstructive surgery curriculum and postgraduate training program development in the Caribbean

DeLong

Virasoro

2021

Société Internationale D’Urologie Journal

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“…For instance, the University of North Carolina – Malawi Surgical Initiative has adopted an innovative approach by placing a senior surgical resident to provide continuity of care and training for local personnel . The Partners in Health in Haiti programme has likewise deployed a fully‐trained paediatric surgeon to train local personnel, while providing active clinical services …”

Section: Roles Of Professional Bodies and Academic Institutionsmentioning

confidence: 99%

“…14 The Partners in Health in Haiti programme has likewise deployed a fully-trained paediatric surgeon to train local personnel, while providing active clinical services. 15…”

Section: Fellowship and Residency Trainingmentioning

confidence: 99%

Global surgery: A new agenda item for surgical training and professional partnership

Leung

2017

Surgical Practice

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Billions of people in resource‐poor countries continue to sustain significant mortality and disability from otherwise treatable surgical conditions due to inequitable access to surgical and anaesthesia care. ‘Global surgery’ aims to improve health and health equity in response by achieving ‘universal access to safe, affordable surgical and anaesthesia care’ for all people affected by surgical conditions, with a particular focus on underserved and disadvantaged populations. It embraces a wide range of international platforms and actors that strive to facilitate knowledge transfer and capacity building. The present study describes the global surgical landscape, based on findings from the Lancet Commission on Global Surgery, and discusses potential avenues for contributions by professional bodies and academic institutions. Previously considered too expensive or complicated for public health considerations, surgery is now regarded as an indivisible and integral component of global health. Global surgery should be regarded as an important agenda item by professional bodies willing and ready to participate in this momentous public health intervention.

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“…The first survey of U.S. GH fellowships documented the growing number and variety of GH fellowship opportunities available in 2010 and described program characteristics such as size, duration, specialty, and educational activities. 5 Subsequently, profiles of individual GH fellowships [6][7][8][9][10] and reviews of GH opportunities within subspecialty fellowships [11][12][13][14][15][16] have been published.…”

Section: Introductionmentioning

confidence: 99%

Status of global health fellowship training in the United States and Canada

Evensen¹,

Duffy

Dawe

et al. 2019

Can. Med. Ed. J

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Background: Increasing numbers of residency graduates desire global health (GH) fellowship training. However, the full extent of training options is not clear. Objective: To identify clinical GH fellowships in all specialties in the U.S. and Canada and to describe their demographics, innovative features, and challenges. Methods: The authors surveyed program directors or designees from GH fellowships with a web-based tool in 2017. Program directors reported demographics and program characteristics. Results: The authors identified 85 potential programs. Fifty-four programs (63.5%) responded confirming 50 fellowships. The number of U.S. GH fellowship programs increased by 89.7% since 2010. One-third of fellowships accepted graduates from more than one specialty. The most common single-specialty programs were Emergency Medicine or Family Medicine. Fellowship duration was most commonly 24 months. Median size was one fellow per year. Funding and lack of qualified applicants were significant challenges. Most programs were funded through fellow billing for patient care or other means of self-support. Conclusions: The number of U.S. and Canadian GH fellowship programs has nearly doubled since 2010. Programs reported lack of funding and qualified applicants as their most significant challenges. Consensus amongst stakeholders regarding training requirements may improve outcomes for future fellows, their employers, and the patients they serve.

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Global Surgery Fellowship: A model for surgical care and education in resource-poor countries

Cited by 20 publications

References 13 publications

Genitourinary reconstructive surgery curriculum and postgraduate training program development in the Caribbean

Genitourinary reconstructive surgery curriculum and postgraduate training program development in the Caribbean

Global surgery: A new agenda item for surgical training and professional partnership

Status of global health fellowship training in the United States and Canada

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