Analysis of field reports from anaesthesia volunteers in low- to middle-income countries

Pieczynski, Lauren M; Laudański, Krzysztof; Speck, Rebecca M.; McCunn, Maureen

doi:10.1111/medu.12262

Cited by 13 publications

(20 citation statements)

References 18 publications

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“…Instead, residents appreciated that learning to adapt to cultural differences was one of the most important and unique benefits of their rotation as demonstrated before in other groups of volunteers. 7,18,19…”

Section: Discussionmentioning

confidence: 99%

“…The size of the group was necessarily small due to the limited number of residents who had participated in the elective but was also based partially on a prior study. 7 Answers, especially on the pre-trip survey, may have contained bias. Despite assurances of anonymity and that their answers would not affect their elective, residents may have given answers they thought the organizers wanted to hear.…”

Section: Discussionmentioning

confidence: 99%

“…We estimated the number of participants based on the contextual analysis of prior studies. 7 Parametric data are presented as the mean and standard deviation ( X ± SD) while nonparametric data are presented as median and interquartile ranges ( M e ± IQ). Chi square (χ 2 ) testing was employed to measure the degree of association between categorical variables.…”

Section: Methodsmentioning

confidence: 99%

“…14 The challenge of adapting to a low-resource environment may spur ingenuity, foster resilience, and enhance the participants’ critical thinking skills or ability to “think outside the box.” 15-19 The possibility of cultural misunderstandings can present a challenge if the resident is not prepared to deal with communication barriers and may even result in harm. 7,19-21 The resident may also have to diplomatically address the unrealistic expectations of local staff. 20,21 A benefit of practicing professionalism and intercultural communication with self-restraint and respect for local customs is usually a strong welcome from the host country.…”

Section: Introductionmentioning

confidence: 99%

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The Impact of an International Elective on Anesthesiology Residents as Assessed by a Longitudinal Study

Dohlman

DiMeglio

Laudański

2019

Journal of Medical Education and Curricular Development

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Introduction: Participation of anesthesiology residents in international electives may lead to the acquisition of skills as described in the Accreditation Council for Graduate Medical Education (ACGME) competencies. There is great interest in participating in such electives, but it is not clear there are educational or professional benefits. The purpose of this study was to evaluate the educational benefits of participating in overseas electives among anesthesiology residents. Methods: A longitudinal study design was used between 2010 and 2015 to survey all anesthesiology residents selected to participate in the nationally competitive Society for Education in Anesthesia-Health Volunteers Overseas (SEA-HVO) Traveling Fellowship Program in which third-year residents receive scholarships and ABA credit for 1-month teaching electives in a low-resource country. Pre-elective and post-elective surveys were sent via de-identified e-mails during the third year of residency. We investigated residents’ expectations, plans, and comfort level with teaching techniques prior to the elective and after and asked about perceived benefits. Results: The response rate was 68.8% of the 45 residents who received the survey. Participants were motivated by professional and humanitarian goals. Residents reported improved comfort with teaching techniques, especially lecturing and giving feedback. Participants acquired better skills in assessing the learning needs of students. There was a slight but nonsignificant increased comfort dealing with cultural and language barriers. The major self-perceived unique benefit of international electives was improvement in intercultural communication. The systems’ changes reported by residents as the most important to improve were those that affected patient safety. Conclusion: Global health electives have a small positive effect on teaching, cultural proficiency, and systems assessment skills. Residents improve in their ability to identify educational needs and to give feedback. Patient safety during anesthetic care is appreciated as the most important systems’ need.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Impact of an International Elective on Anesthesiology Residents as Assessed by a Longitudinal Study

Dohlman

DiMeglio

Laudański

2019

Journal of Medical Education and Curricular Development

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“…7 In this article, we describe the Health Volunteers Overseas (HVO) Oncology Training Program in Honduras, which focuses on providing education, surgical training, and research mentorship to surgical oncology residents, nurses, and other health care providers in Tegucigalpa, Honduras.…”

mentioning

confidence: 99%

Volunteering in Honduras: Results and Reflections

Chuang

Sarchet

Pyle

et al. 2015

JCO

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According to the GLOBOCAN 2012 data released by the International Agency for Research on Cancer, an estimated 14.1 million new cancer cases and 8.2 million cancer deaths occurred worldwide in 2012. This is an immense increase compared with 2008 statistics, which reported 12.7 and 7.6 million new cases and deaths, respectively. 1 Low-and low-middle-income countries accounted for more than half of the new cancer cases and nearly two thirds of all cancerrelated deaths. The social and economic disparities in cancer prevention and treatment present a disproportionate burden in these low-resource settings. Honduras is a low-middle-income country with a total population of 8.3 million. Cancer accounts for 13% of deaths each year. The most common cancers reported are prostate, gastric, cervix, liver, and breast. The mortality rates from cervix and gastric cancers are among the highest globally, at 18.5 and 8.8%, respectively. 2,3 There are 24 surgical, eight gynecologic, 13 medical, and four radiation oncologists in Honduras. Hospital General San Felipe (HGSF) is the only public cancer hospital in Honduras that treats underserved patients. Currently, there is only one surgical oncology training program in Honduras. During the 4-year curriculum, residents are taught to provide surgical care for men and women with a wide spectrum of malignancies.Efforts to improve the education and training of residents in surgery and oncology in countries with limited specialists have been growing in the last decade. Medical volunteerism in such countries has become an area of interest for medical students, residents, fellows, and attending physicians from outside of the affected countries, and there are a number of models for providing this assistance. Barriers to successful exchanges between volunteers and in-country physicians include time constraints of the volunteers and infrastructure deficits in low-resource settings that prohibit optimal learning environments. Increasingly, a combination of short-term, hands-on teaching sessions coupled with ongoing Internet-based instruction by volunteers at a distance has emerged as a successful model for supporting incountry physicians to provide increasingly sophisticated medical and surgical care within the limits of available resources. For example, a successful program of surgical training to perform radical hysterectomies in patients with cervical cancer has been implemented in Kenya through collaboration with the Society of Gynaecologic Oncology of Canada. 4 The 2-week intensive program, which is staffed by one expert Canadian surgeon, included seven video didactics, a pre-and post-test, and seven live surgical sessions with oral and written feedback after each patient case. Short-term follow-up revealed four successful radical hysterectomies by the Kenyan surgeons after the Canadian trainer had left. Similarly, the Central America Gynecologic Oncology Education Program, an initiative that is focused on the education and training of obstetrics and gynecology residents in the prevention an...

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