Orthopedic Surgery in the Developing World: Workforce and Operative Volumes in Ghana Compared to Those in the United States

Brouillette, Mark; Kaiser, Scott P.; Konadu, Peter; Kumah-Ametepey, Raphael; Aidoo, Alfred J.; Coughlin, R. Richard

doi:10.1007/s00268-013-2314-0

Cited by 31 publications

(23 citation statements)

References 59 publications

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“…Educational Programs: Programs reported on efforts to develop locally relevant curricula by reviewing case data from local specialists. [24][25][26][27][28] Programs also reflected on the lack of relevant standards to guide education, and the need to ensure locally relevant curricula especially when international partners were involved. 26,28,[29][30][31][32][33][34][35][36][37][38] Suggestions included having partners co-develop curricula to ensure local relevance.…”

Section: Thematic Analysis Of Lessons Learned From Specific Pgme Progmentioning

confidence: 99%

“…8,36,76,96,101,103,104,111,[115][116][117][118][119] Health Care Workforce Priorities and Retention of Graduates in Region Programs described the need for targeted research on the burden of non-communicable diseases to advocate for the training of specialists and to counter the previous predominant focus on infectious diseases. 24,40,63,71,98,118,120,121 Publications also reported on the benefits of simultaneously establishing training programs in fields that are complementary such as surgery and anesthesia. 29,71,98,110,122 Programs reported that retention of graduates was influenced by location of training as well as career prospects and employment opportunities after graduation.…”

Section: Thematic Analysis Of Lessons Learned From Specific Pgme Progmentioning

confidence: 99%

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Postgraduate Medical Education in Sub-Saharan Africa: A Scoping Review Spanning 26 Years and Lessons Learned

Talib

Narayan

Harrod

2019

Journal of Graduate Medical Education

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Background Investments in training physician specialists through postgraduate medical education (PGME) are critical for Sub-Saharan Africa, given the increasing burden of non-communicable diseases.Objectives The objectives of this scoping review were to (1) understand the breadth of publications on PGME from Sub-Saharan Africa, and (2) conduct a thematic analysis of lessons learned by specific training programs.Methods We conducted a literature search of 7 databases for PGME literature published between January 1991 and December 2016. Two reviewers independently reviewed titles and abstracts for inclusion. Full-text articles were then reviewed, and bibliometric data were extracted to create a profile of PGME-related publications. Two authors coded the manuscripts to identify articles written about specific PGME programs. These were analyzed for lessons learned. ResultsWe identified 813 publications that reported on postgraduate medical education in Sub-Saharan Africa. Most articles were published between 2005 and 2016. Nations leading in publication were South Africa and Nigeria, followed by Ethiopia, Uganda, Kenya, Ghana, and Malawi. The largest number of articles related to general surgery training, followed by family medicine, emergency medicine, and anesthesiology. Thematic analysis revealed advantages of training programs for health facilities, challenges related to teaching, resourcing, and standardizing of training, and lessons learned related to international partnerships, faculty engagement, and research support for trainees.Conclusions PGME in Sub-Saharan Africa has evolved over the past 26 years. Future growth will require strategic support to scale programs, support new specialties, trainees, and teachers, and leverage best practice models to sustain PGME programs.

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Section: Thematic Analysis Of Lessons Learned From Specific Pgme Progmentioning

confidence: 99%

Section: Thematic Analysis Of Lessons Learned From Specific Pgme Progmentioning

confidence: 99%

Postgraduate Medical Education in Sub-Saharan Africa: A Scoping Review Spanning 26 Years and Lessons Learned

Talib

Narayan

Harrod

2019

Journal of Graduate Medical Education

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“…This entails an increase in the average life expectancy and a consequent exposure of the population to the so-called man-made diseases [2][3][4] . Despite this growing burden, orthopaedic care in the developing world remains scarce when compared with developed countries, with only one in three people provided for [5] . This disparity in demand and supply of orthopaedic care has implications for orthopaedic training across the globe.…”

Section: Introductionmentioning

confidence: 99%

From Cape Town to Cambridge: Orthopaedic trauma in contrasting environments

Lawrence

Khanduja

2016

WJO

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AIM:To compare the trauma experience gained by a trainee at a United Kingdom major trauma centre and a secondary level hospital in South Africa. METHODS:A profile of inpatient trauma cases during a five-week period in Addenbrooke's Hospital, Cambridge and Somerset Hospital, Cape Town was created. This was achieved by recording various parameters for each patient admitted including age, gender, injury, mechanism of injury and postal/area code. This, together with details of the departments themselves, allows a comparison of the amount and variety of orthopaedic trauma cases experienced by an individual trainee in each setting. RESULTS:The trauma profiles differed significantly. Patients in Cape Town were younger and more likely to be male. In the young, injury in Cape Town was more likely to occur due to assault or being struck by a vehicle, whilst patients in Cambridge were more likely to be injured whilst in a vehicle or in high energy falls. In older patients, trauma at both centres was almost exclusively due to mechanical falls. In a given age group, injuries at the two centres were similar, however the majority of patients admitted to Addenbrooke's were elderly, resulting in less variation in the overall injury profile. CONCLUSION:The trauma profile of a major trauma centre in the United Kingdom is less varied than that of a South African secondary centre, with significantly fewer cases per surgeon. This suggests a more varied

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“…12 To illustrate this point, 95% of all operations at a hospital in Ghana were trauma-related procedures compared with 65% at a US hospital in San Francisco. 13 Orthopedic disease is an underrecognized, underfunded, and shockingly significant contribution to the burden of disease in LMICs.…”

mentioning

confidence: 99%

“…9 To illustrate this shortage, there are 24 orthopedic surgeons in Ghana and 23,956 in the United States. 13 Ghana has a population roughly 11x smaller than that of the US, yet the number of orthopedic surgeons in Ghana is almost 1000x smaller. Other studies have documented similar issues with access to orthopedic care in LMICs.…”

mentioning

confidence: 99%

Initiatives in Medical Volunteerism Aimed at Reducing the Burden of Orthopedic Disease in Low- and MiddleIncome Countries

Anastasio

2019

Int J Travel Med Glob Health

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While infectious disease garners much attention and research funding globally, initiatives aimed at treating traumatic orthopedic injuries are underfunded despite such injuries accounting for a significant degree of morbidity worldwide. In recent years, a number of organizations have sought to alleviate this burden through treatment and educational initiatives in low- and middle-income countries (LMICs). Additionally, emerging developments in orthopedic technology are allowing for more expansive treatment options in resourcepoor environments. Distribution of both used and surplus orthopedic implants and components in LMICs and programs intended to encourage resident involvement with overseas volunteerism have proved beneficial in reducing the global burden of orthopedic disease. The goal of this manuscript is to educate readers about current initiatives in orthopedic volunteerism.

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Orthopedic Surgery in the Developing World: Workforce and Operative Volumes in Ghana Compared to Those in the United States

Cited by 31 publications

References 59 publications

Postgraduate Medical Education in Sub-Saharan Africa: A Scoping Review Spanning 26 Years and Lessons Learned

Postgraduate Medical Education in Sub-Saharan Africa: A Scoping Review Spanning 26 Years and Lessons Learned

From Cape Town to Cambridge: Orthopaedic trauma in contrasting environments

Initiatives in Medical Volunteerism Aimed at Reducing the Burden of Orthopedic Disease in Low- and MiddleIncome Countries

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