Building a Global Surgery Initiative Through Evaluation, Collaboration, and Training: The Massachusetts General Hospital Experience

Chao, Tiffany E.; Riesel, Johanna N; Anderson, Geoffrey A.; Mullen, John; Doyle, Jason; Briggs, Susan M.; Lillemoe, Keith D.; Goldstein, Chris; Kitya, David; Cusack, James C.

doi:10.1016/j.jsurg.2014.12.018

Cited by 44 publications

(30 citation statements)

References 35 publications

(36 reference statements)

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“…The global shortage of surgical manpower is a crucial factor accounting for the underprovision of surgical care in LMIC. It indicates urgent and considerable investments in the training and education of local SAO providers . The scaling up of local human capital would enable long‐term care provision, and entice funding and infrastructure support that would otherwise be considered unattainable or irrelevant.…”

Section: Roles Of Professional Bodies and Academic Institutionsmentioning

confidence: 99%

“…Variations in local infrastructures, healthcare politics, socioculture and pre‐existing level of care and training require a flexible and dynamic approach to the delivery of global surgery efforts. The availability of structured, specialty‐specific global surgical curricula would ensure the delivery of appropriate, non‐burdensome, effectual and long‐lasting assistance, as well as the acquisition of positive educational experiences by the visiting surgeons . The ideal curriculum should incorporate not only broad technical skills in general surgery and/or other subspecialties but also training in policy and programmatic development and implementation .…”

Section: Roles Of Professional Bodies and Academic Institutionsmentioning

confidence: 99%

“…It indicates urgent and considerable investments in the training and education of local SAO providers. 7 The scaling up of local human capital would enable long-term care provision, and entice funding and infrastructure support that would otherwise be considered unattainable or irrelevant. In this regard, professional bodies and academic institutions can play important roles through partnership programmes, training and the development of global surgery curricula.…”

Section: Roles Of Professional Bodies and Academic Institutionsmentioning

confidence: 99%

“…The availability of structured, specialty-specific global surgical curricula would ensure the delivery of appropriate, non-burdensome, effectual and long-lasting assistance, as well as the acquisition of positive educational experiences by the visiting surgeons. 7 The ideal curriculum should incorporate not only broad technical skills in general surgery and/or other subspecialties but also training in policy and programmatic development and implementation. 16 To this end, the Society of Surgical Oncology and European Society of Surgical Oncology have developed a flexible global curriculum that incorporates the required domains in surgical oncology in a modular fashion to suit the needs of different regions of the world.…”

Section: Global Surgical Curriculamentioning

confidence: 99%

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Global surgery: A new agenda item for surgical training and professional partnership

Leung

2017

Surgical Practice

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Billions of people in resource‐poor countries continue to sustain significant mortality and disability from otherwise treatable surgical conditions due to inequitable access to surgical and anaesthesia care. ‘Global surgery’ aims to improve health and health equity in response by achieving ‘universal access to safe, affordable surgical and anaesthesia care’ for all people affected by surgical conditions, with a particular focus on underserved and disadvantaged populations. It embraces a wide range of international platforms and actors that strive to facilitate knowledge transfer and capacity building. The present study describes the global surgical landscape, based on findings from the Lancet Commission on Global Surgery, and discusses potential avenues for contributions by professional bodies and academic institutions. Previously considered too expensive or complicated for public health considerations, surgery is now regarded as an indivisible and integral component of global health. Global surgery should be regarded as an important agenda item by professional bodies willing and ready to participate in this momentous public health intervention.

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Section: Roles Of Professional Bodies and Academic Institutionsmentioning

confidence: 99%

Section: Roles Of Professional Bodies and Academic Institutionsmentioning

confidence: 99%

Section: Roles Of Professional Bodies and Academic Institutionsmentioning

confidence: 99%

Section: Global Surgical Curriculamentioning

confidence: 99%

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Global surgery: A new agenda item for surgical training and professional partnership

Leung

2017

Surgical Practice

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“…[1][2][3][4][5][6] Students from the United States report their international clinical experiences, but little has been written about international students' experience in US trauma programs. Given the current US policies restricting international students from practicing direct clinical care, 7 an observership rotation introducing trauma systems (TS) to international students was initiated as an alternative.…”

Section: Introductionmentioning

confidence: 99%

Duodenal Trauma: Incidence and Management in Penetrating and Blunt Abdominal Trauma

Parra¹,

Rosa²,

Filho³

et al. 2017

Panamerican Journal of Trauma, Critical Care &Amp; Emergency Surgery

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Aim: To create a non-clinical care education alternative for low-middle-income country (LMIC) medical students in an acute care surgery (ACS) service in the United States. Materials and methods:An observational 30-day rotation with retrospective evaluation for an international medical student occurred at a level one trauma center in the United States. Trauma morning report was used as an educational model based on some elements of the American College of Surgeons Committee on Trauma, Resources for Optimal Care of the Injured.Results: Trauma morning report was held daily for the student's 30-day experience. The trauma patients' primary and secondary survey, images, trauma bay, and operative management were all reviewed daily. Patients' prehospital and hospital courses were completely evaluated by the performance improvement team. The functional status, physical therapy, familial support networks, economic and health insurance record, and rehabilitation disposition were reviewed. Prior to discharge, socioeconomic barrier analysis was conducted to provide safe outpatient care plans. Education by attending surgeons for the multidisciplinary team, which was integrated by students, residents, fellows, faculty, social workers, physical therapists, advanced nurse practitioners, performance improvement coordinator, and nurse trauma manager, was conducted daily on a selected topic. Conclusion:Trauma morning report served as an observational education in multidisciplinary trauma systems (TS) for international students. The experience in the United States provides a new perspective on systems-based trauma care for international students. Clinical significance:The educational alternative exposed is a pathway for medical students from LMIC to increase their clinical experience, ACS knowledge, and trauma care systembased understanding. The students who opt for this kind of experience may choose a specialization in surgery, increase their research productivity, and improve the development of emergency medical services TS in their respective countries.Keywords: Acute care surgery education, Emergency medical services, Global health, International experience, Low-middleincome countries, Medical, Observational study, Students, Trauma systems development. Source of support: Nil Conflict of interest: None RESUMENObjetivo: Construir una alternativa de educación para estudiantes de los países de medianos y bajos ingresos(LMIC) mediante una rotación clínica tipo observador (sin contacto directo con el paciente) a través de un servicio de cirugía de emergencia en los Estados Unidos de América (USA). Materiales y métodos:Un estudiante internacional realizo una rotación tipo observador durante 30 días en un hospital de trauma de primer nivel en USA, donde los reportes de trauma matutinos fueron empleados como modelo de educación, basado en las directrices del comité de trauma del colegio americano de cirugía, la experiencia fue evaluada al final de manera retrospectiva.Resultados: Los reportes de trauma matutinos fueron presencia...

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Global Outreach Using a Systematic, Competency-Based Training Paradigm for Inguinal Hernioplasty

et al. 2017

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Building a Global Surgery Initiative Through Evaluation, Collaboration, and Training: The Massachusetts General Hospital Experience

Cited by 44 publications

References 35 publications

Global surgery: A new agenda item for surgical training and professional partnership

Global surgery: A new agenda item for surgical training and professional partnership

Duodenal Trauma: Incidence and Management in Penetrating and Blunt Abdominal Trauma

Global Outreach Using a Systematic, Competency-Based Training Paradigm for Inguinal Hernioplasty

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