Addressing Malawi's surgical workforce crisis: A sustainable paradigm for training and collaboration in Africa

Qureshi, Javeria S.; Young, Sven; Muyco, Arturo P; Borgstein, Eric; Charles, Anthony; Mulwafu, Wakisa; Shores, Carol G.; Banza, Leonard; Cairns, Bruce A.; Viste, Asgaut; Mkandawire, Nyengo

doi:10.1016/j.surg.2012.08.004

Cited by 45 publications

(45 citation statements)

References 20 publications

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“…There were 3 residents in the inaugural class, with plans to continue enrolling a minimum of 3 residents per class. 14 The Rwandan surgical training program has been able to increase its number of trainees owing to the assistance of the HRH program, which provides administrative, financial, and teaching support. US surgeons serve as faculty, help develop the curriculum, and supplement teaching by the Rwandan faculty.…”

Section: Discussionmentioning

confidence: 99%

“…Trauma accounted for most of the orthopedic and half of neurosurgical operations. 1,14,16,[19][20][21] Emergency procedures provide important training for working at district and referral hospitals. Eventually, many of these emergency procedures could be performed at the district level, allowing the referral hospitals to focus on more specialized elective care.…”

Section: Discussionmentioning

confidence: 99%

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Identifying Gaps in the Surgical Training Curriculum in Rwanda Through Evaluation of Operative Activity at a Teaching Hospital

Rickard

Ntakiyiruta

Chu

2015

Journal of Surgical Education

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Identifying Gaps in the Surgical Training Curriculum in Rwanda Through Evaluation of Operative Activity at a Teaching Hospital

Rickard

Ntakiyiruta

Chu

2015

Journal of Surgical Education

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“…The use of modalities such as elearning, career pathway development, fellowships and research and academic support are essential components. International collaboration with highincome countries providing support and expertise to address the surgical workforce crisis, as demonstrated in Malawi, [11] could be an effective model in enhancing burn care locally.…”

Section: Discussionmentioning

confidence: 99%

Burn surgeons in South Africa: A rare species

et al. 2016

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Background. The high burden of burn injuries in South Africa (SA) requires surgeons skilled in burn care. However, there are few dedicated burn surgeons and properly equipped units or centres. Objectives. To quantify the involvement of surgeons in burn care in SA hospitals, identify factors that attract surgeons to pursue burn care as a career and deter them from doing so, and understand the challenges of hospitals treating burn patients around the country. Methods. This was a prospective, qualitative study. Questionnaires were handed out at the South African Burn Society Congress in September 2013 and a trade symposium in March 2014. Results. One hundred questionnaires were handed out, and there was a 70% response rate. Twentysix (39%) of the respondents had a specialist surgical qualification. Only half the units had registrars (48%) and interns (51%) on their staff. Only 30% of the respondents were dedicated to burn care alone, the majority being involved on a parttime basis. The most common factor respondents suggested was needed to recruit future burn care providers, cited by 76%, was better facilities and resources. Other factors included training and skills development (59%), subspecialist training (55%), development of a diploma in burn care (52%), development of research (52%) and healthcare worker psychological support (45%). Conclusion.We have demonstrated that current workforce resources for burn care are inadequate, the major deficit being lack of training and the resourcerestricted environment. This survey provides basic information towards workforce planning, which can be used to inform the necessary strategic decisions.

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“…In general, Ethiopia has an ambitious training programme for doctors, partly aimed at offsetting migration (10). Several authors, including collaborating colleagues in surgery and orthopaedics from Haukeland and Malawi, have suggested a similar model (11,12).…”

Section: Training Surgeons In Low-income Countriesmentioning

confidence: 99%