Engagement and role of surgical trainees in global surgery: Consensus statement and recommendations from the Association of Surgeons in Training

Fitzgerald, Edward; Sutton, Paul; Ahmad, Javaher Amir; Akerele, E. F.; Ashken, L.; Baryeh, Kwaku; Bethune, Robert; Borakati, Aditya; Brown, Timothy R.; Camilleri-Brennan, John; Choi, Jennifer; Connor, Katie; Duguid, A.; Dyson, Edward; Jf, Fitzgerald; Forde, Kenneth A.; Gokani, Vimal J.; Gunner, Charlotte; Hampton, Thomas; Harrison, Roger; Harries, Rhiannon; Javed, Mohammad; Khan, Husain Ali; Magee, Donald F.; Mahdi, Shareef; McDermott, Frank; McLean, Kenneth A; Mohan, Helen; Monaghan, Eimear; Nair, H.; Padickakudi, J; Petralia, C.; Raza, Mohsen; Rigby, S.; Ruparelia, Jigish; Santoro, Giulio Aniello; Scholfield, Daniel W.; Seager, Andrew; Shawaf, Shucri; Solari, Mario G.; Sorial, Antony K.; Straight, S.; Vedage, Dave; Vejsberg, K.; Wadsworth, Pamela; Whitaker, John K.

doi:10.1016/j.ijsu.2017.10.033

Cited by 25 publications

(13 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…International surgeons handling the workload and local surgeons ready for private practice will result in a temporary management of hospital capacities only. NGO have surely understood this point, but the implementation was not successful everywhere [23,24]. A well-equipped hospital with low surgical expertise probably is not as effective as a low equipped hospital with well trained staff.…”

Section: Discussionmentioning

confidence: 99%

No implant, no solution, lost cases to surgery: orthopedic trauma triage for surgery in an NGO hospital in Sierra Leone

Wichlas

Hofmann

Moursy

et al. 2021

Arch Orthop Trauma Surg

View full text Add to dashboard Cite

Introduction In low-income countries (LIC), international surgeons face the fact that there are patients they cannot treat. The goal of this study was to identify and analyze patients lost to treatment. Material and methods We analyzed retrospectively the data of 282 trauma victims from a non-governmental organizational (NGO) hospital in Sierra Leone, Africa. During a 3-month period (10.10.2015–08.01.2016), these patients had 367 injuries and underwent 263 orthopedic surgeries. Despite a clear indication, some patients did not receive surgical treatment. We identified these injuries and the reason why they could not be operated. The anatomic region of the injury was evaluated and if they had a bone or soft tissue defect or were infected. Results We identified 95 (25.89%) injuries in 70 patients (47 males; 23 females) that were not be operated. The reasons were lack of specific implants (no implant group; N = 33), no treatment strategy for the injury (no solution group; N = 29), and patients that were lost (lost patient group; N = 33), almost equally distributed by 1/3. In the no implant group were mainly closed fractures and fractures of the pelvis and the proximal femur. The implants needed were locking plates (N = 19), proximal femoral nails (N = 8), and implants for pelvic surgery (N = 6). In the no solution group were nearly all bone (P < 0.0000), soft tissue defects (P < 0.00001) and infections (P = 0.00003) compared to the rest and more open fractures (P < 0.00001). In the lost patients group, most fractures were closed (24 out of 33, P = 0.033). These fractures were mostly not urgent and were postponed repeatedly. Conclusion One quarter of the patients did not receive the surgical treatment needed. Besides acquisition of implants, surgical skills and expertise could be a solution for this issue. Nevertheless, these skills must be passed to local surgeons.

show abstract

Section: Discussionmentioning

confidence: 99%

No implant, no solution, lost cases to surgery: orthopedic trauma triage for surgery in an NGO hospital in Sierra Leone

Wichlas

Hofmann

Moursy

et al. 2021

Arch Orthop Trauma Surg

View full text Add to dashboard Cite

show abstract

“…Interest among HIC trainees wanting increased exposure to global surgery is high104–107; however, several barriers limit the development of any formalised training pathway, such as logistical and time constraints or limited funding opportunities 104 107. Such formalised training could, however, prove feasible within current training models108 and may even benefit home health organisations 109. Ensuring that institutional partnerships are developed is essential to allow for bidirectional international exchanges93; however, sustainability and high ethical standards must be ensured.…”

Section: Volunteering and Charitable Supportmentioning

confidence: 99%

What is ‘global surgery’? Defining the multidisciplinary interface between surgery, anaesthesia and public health

Bath

Bashford

Fitzgerald³

2019

BMJ Glob Health

View full text Add to dashboard Cite

‘Global surgery’ is the term adopted to describe a rapidly developing multidisciplinary field aiming to provide improved and equitable surgical care across international health systems. Sitting at the interface between numerous clinical and non-clinical specialisms, it encompasses multiple aspects that surround the treatment of surgical disease and its equitable provision across health systems globally. From defining the role of, and need for, optimal surgical care through to identifying barriers and implementing improvement, global surgery has an expansive remit. Advocacy, education, research and clinical components can all involve surgeons, anaesthetists, nurses and allied healthcare professionals working together with non-clinicians, including policy makers, epidemiologists and economists. Long neglected as a topic within the global and public health arenas, an increasing awareness of the extreme disparities internationally has driven greater engagement. Not necessarily restricted to specific diseases, populations or geographical regions, these disparities have led to a particular focus on surgical care in low-income and middle-income countries with the greatest burden and needs. This review considers the major factors defining the interface between surgery, anaesthesia and public health in these settings.

show abstract

“…2 , 3 The complexities and ethical issues of working in LMICs were acknowledged during a consensus meeting at the Association of Surgeons in Training (ASiT) Conference in 2016 and it was suggested that offering what the local countries actually need and not what we think they need is key in global surgery. 4 As trainees' interest in Global Reconstructive Surgery (GRS) grows, so must the availability of educational resources, opportunity and guidance. This manuscript explores trainees' attitudes towards GRS and introduces the British Foundation for International Reconstructive Surgery and Training (BFIRST) Trainees Group which aims to act as a platform to promote trainees' involvement.…”

Section: Addressing An Unmet Need For Global Reconstructive Surgical mentioning

confidence: 99%

“…Even though the role of trainees in overseas projects has been debated, there is evidence that trainees' involvement can boost the success and sustainability of global surgical collaborations. 4 Arguably the establishment of educational standards, best-practice guidelines and accreditation of curricula are essential to legitimise the field of global surgery in the UK post-graduate medical education.…”

Section: Addressing An Unmet Need For Global Reconstructive Surgical mentioning

confidence: 99%

Addressing an unmet need for global reconstructive surgical training: Introducing BFIRST trainees

Chin

Harrison

Fell

et al. 2020

Journal of Plastic, Reconstructive & Aesthetic Surgery

View full text Add to dashboard Cite

Engagement and role of surgical trainees in global surgery: Consensus statement and recommendations from the Association of Surgeons in Training

Cited by 25 publications

References 7 publications

No implant, no solution, lost cases to surgery: orthopedic trauma triage for surgery in an NGO hospital in Sierra Leone

No implant, no solution, lost cases to surgery: orthopedic trauma triage for surgery in an NGO hospital in Sierra Leone

What is ‘global surgery’? Defining the multidisciplinary interface between surgery, anaesthesia and public health

Addressing an unmet need for global reconstructive surgical training: Introducing BFIRST trainees

Contact Info

Product

Resources

About