Practical Bioethics for the Humanitarian Surgeon: The Development, Implementation and Assessment of an Ethics Curriculum for Residents Participating in Humanitarian Missions

McDonald, Victoria S.; Ignacio, Romeo C.; Kuettel, Matthew A.; Schlitzkus, Lisa L.; Sullivan, Maura E.; Tadlock, Matthew D.

doi:10.1016/j.jsurg.2019.11.015

Cited by 9 publications

(15 citation statements)

References 51 publications

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“…23 Published studies suggest that pretrip ethics courses can make participants more aware of possible ethical dilemmas and more adept at handling such situations as they arise. 14 The differences in perception by local and visiting surgeons in this study indicates there is an opportunity to strengthen surgical capacity by more effectively considering all stakeholders. One of our international coauthors (P.N.)…”

Section: Future Workmentioning

confidence: 77%

“…23 Published studies suggest that pretrip ethics courses can make participants more aware of possible ethical dilemmas and more adept at handling such situations as they arise. 14…”

Section: Discussionmentioning

confidence: 99%

“…McDonald et al in 2019 found that among U.S. Navy resident trainees deployed on a humanitarian mission abroad, 61 percent of ethical dilemmas they encountered were surgical, 17 percent medical, and 22 percent involved both areas of medicine. 14 Global plastic surgery bears a near infinite number of ethical dilemmas, including challenges related to scope of practice, standards of care, impact on local health care systems, and informed consent. We hypothesize that visiting surgeons and in-country, local surgeons have divergent perspectives on ethical dilemmas regarding the provision of surgical care through global health collaborations.…”

mentioning

confidence: 99%

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Ethical Dilemmas in Global Plastic Surgery: Divergent Perspectives of Local and Visiting Surgeons

Schoenbrunner

McIntyre

Nthumba

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Background: As more of the world’s resources are directed toward improving patient access to safe surgical and anesthesia care, there is a growing concern that volunteer surgeons’ “desire to help” has numerous unintended consequences. The purpose of this study was to ask in-country, local surgeons and visiting volunteer plastic surgeons about the frequency of ethical dilemmas for different types of global surgery collaborations and to assess their perception of compliance with the concepts of autonomy, beneficence, nonmaleficence, and justice. Methods: A cross-sectional email survey tool was sent to a representative sample of domestic American Society of Plastic Surgeons members, all international members of the American Society of Plastic Surgeons, and international partners of the Volunteers in Plastic Surgery committee of the Plastic Surgery Foundation. The survey response rate was 7.7 percent, with 356 respondents from 65 countries. Results: This survey data showed a statistically significant divergence of perspectives between local and visiting surgeons in regard to scope of practice, quality of patient care, impact on local health care systems, perception of the quality of care by local providers, the integrity of the informed consent process, and photography in global plastic surgery collaborations. Though the short-term mission trip model was particularly polarizing when comparing the responses of local and visiting surgeons, educational and research exchanges may also significantly interrupt local health care and incite ethical lapses. Conclusion: This survey provides quantitative insight into the impact of current global plastic surgery collaborations and highlights ethical areas of disagreement between local and visiting surgeons.

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Section: Future Workmentioning

confidence: 77%

“…23 Published studies suggest that pretrip ethics courses can make participants more aware of possible ethical dilemmas and more adept at handling such situations as they arise. 14…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Ethical Dilemmas in Global Plastic Surgery: Divergent Perspectives of Local and Visiting Surgeons

Schoenbrunner

McIntyre

Nthumba

et al. 2022

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…Often, complex pathology that would be too risky to attempt during an elective HCA mission will be appropriate to attempt in a disaster, because no alternatives are available. However, every effort needs to be made before leaving to ensure long-term follow-up is taken into account [ 12 , 31 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

“…In addition to the provision of dignified end-of-life care, surgical teams may also be faced with challenging ethical dilemmas during all phases of disaster response [ 12 , 31 , 32 ]. While it is beyond the scope of this article to review the principles of bioethics during a disaster response, US Navy surgical teams must be prepared [ 12 , 31 , 32 ]. In the initial phases, the goal of triage is to do the most-good for the most number of patients.…”

Section: Discussionmentioning

confidence: 99%