The Global Paediatric Surgery Network: A Model of Subspecialty Collaboration Within Global Surgery

Butler, Marilyn; Ozgediz, Doruk; Poenaru, Dan; Ameh, Emmanuel A.; Andrawes, Safwat S.; Azzie, Georges; Borgstein, Eric; DeUgarte, Daniel A.; Elhalaby, Essam A.; Ganey, Michael; Gerstle, J. Ted; Hansen, Erik N.; Hesse, Afua A. J.; Lakhoo, Kokila; Krishnaswami, Sanjay; Langer, Monica; Levitt, Marc A.; Meier, Don; Minocha, Ashish; Nwomeh, Benedict C.; Abdur-Rahman, Lukman O.; Rothstein, David H.; Sekabira, John

doi:10.1007/s00268-014-2843-1

Cited by 45 publications

(32 citation statements)

References 68 publications

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“…We indicate in our literature review a growing consensus in the best practices for GCH education. These include the following: (1) adequate preparation and orientation of residents before departure on GCH electives 16, 19, 50 -56 ; (2) adequate supervision of residents on GCH electives 16, 19, 57 ; (3) provision of post-GCH elective debriefing 58 -60 ; (4) establishment of ethical partnerships with host institutions, communities, and organizations that support the GCH electives and other educational opportunities, characterized by shared planning, 50,61,62 bidirectionality, 34,35,50,51,57,[62][63][64] long-term relationships, 16,50,51,65 cultural and contextual awareness, 50,56,65 and equitable resource allocation 8,66,67 ; (5) contributing to local professional development 22,27 ; and (6) ongoing evaluation. 16,50,51 In addition, the Federation of Pediatric Organizations recommended in…”

Section: Best Practices For Gch Educationmentioning

confidence: 99%

“…Initial discussion and site visits between NA and LMIC partners, with explicit and transparent discussion about mutual benefits, costs, and financing 16,50 Written agreements (such as a Memorandum of Agreement) with clear goals, objectives, and responsibilities 16,61 Scheduled, frequent, real-time communication between partners to ensure that LMIC partner institutions have significant and frequent input throughout the program planning process 16,50 Transparency between partnering institutions 16…”

Section: Shared Planningmentioning

confidence: 99%

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The Collaborative Role of North American Departments of Pediatrics in Global Child Health

et al. 2018

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Appeals for health equity call for departments of pediatrics to improve the health of all children including those from underserved communities in North America and around the world. Consequently, North American (NA) departments of pediatrics have a role in global child health (GCH) which focuses on providing health care to underserved children worldwide. In this review, we describe how NA departments of pediatrics can collaboratively engage in GCH education, clinical practice, research, and advocacy and summarize best practices, challenges, and next steps for engaging in GCH in each of these areas. For GCH in low- and middle-income countries (LMICs), best practices start with the establishment of ethical, equitable, and collaborative partnerships with LMIC communities, organizations, and institutions engaged in GCH who are responsible for the vast majority of work done in GCH. Other best practices include adequate preparation of trainees and clinicians for GCH experiences; alignment with local clinical and research priorities; contributions to local professional development and ongoing monitoring and evaluation. Challenges for departments include generating funding for GCH activities; recruitment and retention of GCH-focused faculty members; and challenges meeting best practices, particularly adequate preparation of trainees and clinicians and ensuring mutual benefit and reciprocity in NA-LMIC collaborations. We provide examples of how departments have overcome these challenges and suggest next steps for development of the role of NA departments of pediatrics in GCH. Collaborative implementation of best practices in GCH by LMIC-NA partnerships can contribute to reductions of child mortality and morbidity globally.

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Section: Best Practices For Gch Educationmentioning

confidence: 99%

Section: Shared Planningmentioning

confidence: 99%

The Collaborative Role of North American Departments of Pediatrics in Global Child Health

et al. 2018

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“…Collaborations are in development to improve communication between humanitarian organizations. The Global Paediatric Surgery Network ( ), for instance, was launched in 2010 with the aim of providing a network between volunteer surgeons for the purpose of enhancing service, education, advocacy, and research collaboration [ 36 ].…”

Section: Types Of Humanitarian Outreachmentioning

confidence: 99%

Surgical Outreach for Children by International Humanitarian Organizations: A Review

2017

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Low- and middle-income countries carry a disproportionate share of the global burden of pediatric surgical disease and have limited local healthcare infrastructure and human resources to address this burden. Humanitarian efforts that have improved or provided access to necessary basic or emergency surgery for children in these settings have included humanitarian assistance and disaster relief, short-term surgical missions, and long-term projects such as building pediatric specialty hospitals and provider networks. Each of these efforts may also include educational initiatives designed to increase local capacity. This article will provide an overview of pediatric humanitarian surgical outreach including reference to available evidence-based analyses of these platforms and make recommendations for surgical outreach initiatives for children.

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“…1 In the developing world, large paediatric populations facilitate trainee exposure to a wide variety of pathology and high case volume, but this training often occurs in settings in which treatment and teaching may not match the level of that in the developed world. 1,2 In the developed world, training in paediatric surgery is under pressure from numerous fronts. Trainee work hour restrictions, the decreasing incidence of congenital abnormalities due to improved maternal screening programmes and funding directives resulting in simple paediatric surgical cases being treated outside of tertiary centres and thus out of reach of trainees have combined to decrease trainee exposure to rare and complex as well as and to common paediatric surgical pathologies.…”

mentioning

confidence: 99%

“…1 In developing countries, lack of well-structured training programmes in well-resourced facilities, relative shortage of ancillary services (for instance, specialised paediatric nurses, anaesthetists and intensivists), and overall shortage of health care workers and resources pose significant barriers to training. 2 The paradox of the developing world with its relative oversupply of surgical pathology and severe shortage of human and other resources and the developed world with relative oversupply of human and ancillary resources but wherein exposure to complex and common paediatric surgical pathology is decreasing presents both challenges and opportunities for the training of skilled paediatric surgeons.…”

mentioning

confidence: 99%

A perspective on paediatric surgical training: opportunities and challenges

Patel

Loveland

2018

S. Afr. j. surg.

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The Global Paediatric Surgery Network: A Model of Subspecialty Collaboration Within Global Surgery

Cited by 45 publications

References 68 publications

The Collaborative Role of North American Departments of Pediatrics in Global Child Health

The Collaborative Role of North American Departments of Pediatrics in Global Child Health

Surgical Outreach for Children by International Humanitarian Organizations: A Review

A perspective on paediatric surgical training: opportunities and challenges

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