Background
The principles of global surgery should be taught as a part of the core curriculum in medical schools. The need for medical students to be familiar with the topic is increasing in acceptance. There is, however, a paucity of data on how medical students are exposed to global surgery. This study aims to evaluate exposure of medical students to global surgery, awareness of the key messages of the Lancet Commission on Global Surgery, global surgery career aspirations and barriers to said aspirations.
Methods
ISOMERS was a multi-centre, online, cross-sectional survey of final year medical students globally. The questionnaire utilised a combination of Likert-scale, multiple-choice, and free text questions.
Results
In this study, 1593 final year medical students from 144 medical schools in 20 countries participated. The majority (n = 869/1496, 58.1%) believed global surgery to be relevant, despite 17.7% (n = 271/1535) having any exposure to global surgery. Most participants (n = 1187/1476, 80.4%) wanted additional resources on global surgery. Difficulty in providing appropriate care for patients living abroad (n = 854/1242, 68.8%) was the most common perceived barrier to a career in global surgery.
Conclusions
Participants believed global surgery was a relevant topic for medical students and wanted additional resources that they could access on global surgery. It is critical for medical students to become aware that global surgery is a field that aims to address inequity in surgical care not just internationally, but nationally and locally as well.
Predation on earthworms is common in some generalist predator species, as for example several ground beetle species (Coleoptera: Carabidae) that frequently feed on earthworms. In spiders (Araneae), however, such behavior is far less well documented. A survey of reports on spiders feeding on earthworms yielded a total of 44 naturally occurring predation events. Spiders from 14 families were observed feeding on earthworms in nature, and species from two additional families consumed earthworm prey in captivity. Earthworm predation by spiders has been observed in temperate, subtropical, and tropical regions in 18 different countries. Tropical spiders from the families Theraphosidae (Mygalomorphae) and Ctenidae (Araneomorphae) accounted for 59% of the reported predation events. Reports from French Guiana document the capture of giant earthworms (0.6-1 m in length) by the giant tarantula, Theraphosa blondi (Latreille, 1804). Predation on giant earthworms by large tarantulas has also been observed in rainforest habitats in Brazil, Ecuador, Peru, and Venezuela. Wandering spiders (Ctenidae) are known to feed on earthworms in Belize,
Widespread introduced species can be leveraged to investigate the genetic, ecological and adaptive processes underlying rapid evolution and range expansion, particularly the contributions of genetic diversity to adaptation. Rhinella marina, the cane toad, has been a focus of invasion biology for decades in Australia. However, their introduction history in North America is less clear. Here, we investigated the roles of introduction history and genetic diversity in establishment success of cane toads across their introduced range. We used reduced representation sequencing (ddRAD) to obtain 34,000 SNPs from 247 toads in native (
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