A model for global surgical training and capacity development: the Children’s of Alabama–Viet Nam pediatric neurosurgery partnership

Haji, Faizal; Lepard, Jacob; Davis, Matthew C.; Lien, Nguyen Duc; Can, Dang Do Thanh; Hung, Cao Vu; Thang, Le Nam; Rocque, Brandon G.; Johnston, James M.

doi:10.1007/s00381-020-04802-4

Cited by 13 publications

(8 citation statements)

References 31 publications

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“…This surgical trainee mobility most commonly involved HIC surgical trainees spending time in LMIC hospitals [ 47 – 58 ]. Less commonly, exchanges involved LMIC surgical trainees travelling to HIC hospitals [ 43 , 59 ] or bi-directional exchanges [ 60 , 61 ], and in just one case a LMIC-LMIC trainee mobility programme [ 62 ]. HIC institutional support for surgical training in LMICS — either through support for the delivery an existing formal training programme [ 15 , 53 , 56 , 58 , 63 – 68 ], or additional training delivered to trainees enrolled in a formal training programme [ 17 , 18 , 48 , 69 – 71 ], or delivered outside of a formal training programme [ 16 , 19 – 21 , 61 , 72 – 77 ].…”

Section: Resultsmentioning

confidence: 99%

“…This surgical trainee mobility most commonly involved HIC surgical trainees spending time in LMIC hospitals [47][48][49][50][51][52][53][54][55][56][57][58]. Less commonly, exchanges involved LMIC surgical trainees travelling to HIC hospitals [43,59] or bi-directional exchanges [60,61], and in just one case a LMIC-LMIC trainee mobility programme […”

Section: Taxonomy Of Global Surgery Education and Training Programmesmentioning

confidence: 99%

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Global Surgery Education and Training Programmes—a Scoping Review and Taxonomy

2021

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Global surgery is an emerging field of study and practice, aiming to respond to the worldwide unmet need for surgical care. As a relatively new concept, it is not clear that there is a common understanding of what constitutes “global surgery education and training”. This study examines the forms that global surgery education and training programmes and interventions take in practice, and proposes a classification scheme for such activities. A scoping review of published journal articles and internet websites was performed according to the PRISMA Extension for Scoping Review guidelines. PubMed MEDLINE, EMBASE and Google were searched for sources that described global surgery education and training programme. Only sources that explicitly referenced a named education programme, were surgical in nature, were international in nature, were self-described as “global surgery” and presented new information were included. Three hundred twenty-seven records were identified and 67 were ultimately included in the review. “Global surgery education and training” interventions described in the literature most commonly involved both a High-Income Country (HIC) institution and a Low- and Middle-Income Country (LMIC) institution. The literature suggests that significant current effort is directed towards academic global surgery programmes in HIC institutions and HIC surgical trainee placements in LMICs. Four categories and ten subcategories of global surgery education and training were identified. This paper provides a framework from which to study global surgery education and training. A clearer understanding of the forms that such interventions take may allow for more strategic decision making by actors in this field.

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Section: Resultsmentioning

confidence: 99%

Section: Taxonomy Of Global Surgery Education and Training Programmesmentioning

confidence: 99%

Global Surgery Education and Training Programmes—a Scoping Review and Taxonomy

2021

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“…This section presents a brief review of the most recent discussions on the 'changing' modes of South-South and South-North academic collaboration, with a focus on Asia and Africa. The review reveals that capacity building is the key theme of North-South partnerships, particularly in relation to professional skills development (Cummings, Bergquist, Boateng, Phoxay, and Stadler, 2021;Haji et al, 2021) research capacity (Harris, 2020;Martinez and Sá, 2020;Weinrib and Sá, 2020) and knowledge transfer (Tamaldin et al, 2020). Capacity building of medical and health related professionals is a major sub-theme (Cummings et al, 2021;Haji et al, 2021) as is training of future leaders in the Global South and Southeast Asia and Africa (Borg, Borg Axisa, Ophiyandri, and Hakam, 2020;Huda, 2020).…”

Section: Literature Reviewmentioning

confidence: 99%

Academic Collaboration in Africa and Asia: Current Status, Challenges, and Emerging Trends and Strategies

Allame

Anas

Elghazali

et al. 2022

IJAHE

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South-South cooperation has garnered much attention in recent times among states, policymakers, and academics and its scope is growing to encompass economic cooperation and health, education, research, and development initiatives. This article examines the current status of academic partnerships between institutions in Asia and Africa, the challenges confronting them, and the emerging trends and strategies. Practical examples are provided to showcase the current practices and challenges in each region. The article also highlights academic cooperation experiences during the COVID-19 pandemic and identifies the emerging trends and challenges in academic collaboration in Asia and Africa in the post-pandemic era. It proposes strategies for future NorthSouth, North-South-South, and South-South academic collaboration. During the pandemic, academic cooperation in teaching, learning, and research across borders has demonstrated resilience and sustainability. Increased opportunities for collaboration within, between, and beyond Asia and Africa are being provided by technology-enhanced collaborative modes. However, the digital divide within and across the two continents will impact the future modalities of academic collaboration.

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“…Since then, more and more surgical telecollaboration systems have been used for various surgical procedures. [5][6][7][8] However, the application of telecollaboration in neurosurgery is not as comprehensive as in other disciplines. Limited space and high-precision micromanipulation requirements in neurosurgery limit the applications of telecollaboration.…”

mentioning

confidence: 99%

“…5,8 Long-distance collaboration can be divided into three types: 1) real-time video conferencing, in which telesurgery specialists train local surgeons visually or verbally through live video and voice streaming or freehand sketching; [9][10][11] 2) robot-assisted remote surgery, where remote surgical experts operate remote robots directly through the network; [12][13][14] and 3) virtual interactive presence and augmented reality (VIPAR) systems, in which these systems display information on the screen of a flat-panel monitor or smart glasses, allowing the local operator to simultaneously perceive the surgical field and virtual instructions. 7,15,16 However, as described in the literature, the VIPAR system has some limitations. The first limitation is that erroneous interactions or serious surgical complications can result from network latency or outages in connectivity.…”

mentioning

confidence: 99%

Mobile internet-based mixed-reality interactive telecollaboration system for neurosurgical procedures: technical feasibility and clinical implementation

Zhang

Zhao

et al. 2022

Neurosurgical Focus

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OBJECTIVE To increase access to health interventions and healthcare services for patients in resource-constrained settings, strategies such as telemedicine must be implemented for the allocation of medical resources across geographic boundaries. Telecollaboration is the dominant form of surgical telemedicine. In this study, the authors report and evaluate a novel mobile internet-based mixed-reality interactive telecollaboration (MIMIT) system as a new paradigm for telemedicine and validate its clinical feasibility. METHODS The application of this system was demonstrated for long-distance, real-time collaboration of neuroendoscopic procedures. The system consists of a local video processing workstation, a head-mounted mixed-reality display device, and a mobile remote device, connected over mobile internet (4G or 5G), allowing global point-to-point communication. Using this system, 20 cases of neuroendoscopic surgery were performed and evaluated. The system setup, composite video latency, technical feasibility, clinical implementation, and future potential business model were analyzed and evaluated. RESULTS The MIMIT system allows two surgeons to perform complex visual and verbal communication during the operation. The average video delay time is 184.25 msec (range 160–230 msec) with 4G mobile internet, and 23.25 msec (range 20–26 msec) with 5G mobile internet. Excellent image resolution enabled remote neurosurgeons to visualize all critical anatomical structures intraoperatively. Remote instructors could easily make marks on the surgical view; then the composite image, as well as the audio conversation, was transferred to the local surgeon. In this way, a real-time, long-distance collaboration can occur. This system was used for 20 neuroendoscopic surgeries in various cities in China and even across countries (Boston, Massachusetts, to Jingzhou, China). Its simplicity and practicality have been recognized by both parties, and there were no technically related complications recorded. CONCLUSIONS The MIMIT system allows for real-time, long-distance telecollaborative neuroendoscopic procedures and surgical training through a commercially available and inexpensive system. It enables remote experts to implement real-time, long-distance intraoperative interaction to guide inexperienced local surgeons, thus integrating the best medical resources and possibly promoting both diagnosis and treatment. Moreover, it can popularize and improve neurosurgical endoscopy technology in more hospitals to benefit more patients, as well as more neurosurgeons.

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A model for global surgical training and capacity development: the Children’s of Alabama–Viet Nam pediatric neurosurgery partnership

Cited by 13 publications

References 31 publications

Global Surgery Education and Training Programmes—a Scoping Review and Taxonomy

Global Surgery Education and Training Programmes—a Scoping Review and Taxonomy

Academic Collaboration in Africa and Asia: Current Status, Challenges, and Emerging Trends and Strategies

Mobile internet-based mixed-reality interactive telecollaboration system for neurosurgical procedures: technical feasibility and clinical implementation

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