The Role of Academic Plastic Surgery Institutions in Addressing the Global Burden of Surgical Disease

Patel, Anup; Sinha, Indranil; McRae, Mark; Broer, Niclas; Watkins, J.; Persing, John A.

doi:10.1097/prs.0b013e318200acf2

Cited by 13 publications

(10 citation statements)

References 3 publications

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“…Authors from varying surgical subspecialties, ranging from orthopedic surgery to oral maxillofacial surgery and plastic surgery, have previously argued for incorporating international surgical missions as regular rotations in residency training programs [ 2 , 4 , 5 , 8 , 13 , 16 ]. International missions have significant intrinsic value both to the trainee and the international communities served, and this opportunity should be readily and easily accessible to all plastic surgery residents nationwide.…”

Section: Discussionmentioning

confidence: 99%

“…Increased awareness and interest have translated into improved education, as both the electives and international missions fulfill the six core competencies of the Accreditation Council for Graduate Medical Education and the Residency Review Committee [ 4 , 5 , 6 , 7 ]. The multiple benefits to the trainees and the communities served have been previously reported [ 3 , 4 , 5 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 ], but controversy still persists [ 17 ]. Specifically, critics of international surgical missions have pointed out the perils that result from visiting surgeons performing complex procedures or procedures they are unqualified to perform, and then leaving the patients with local physicians to manage pursuant complications [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

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Resident Participation in International Surgical Missions is Predictive of Future Volunteerism in Practice

Tannan

Gampper

2015

Arch Plast Surg

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BackgroundInterest in global health and international mission trips among medical student and resident trainees is growing rapidly. How these electives and international mission experiences affect future practice is still being elucidated. No study has identified if participation in international surgical missions during residency is a predictor of participation in international surgical missions in practice after training completion.MethodsAll trainees of our plastic surgery residency program from 1990 to 2011, during the implementation of optional annual international surgical missions, were surveyed to determine if the graduate had gone on a mission as a resident and as a plastic surgeon. Data were compared between graduates who participated in missions as residents and graduates who did not, from 1990 to 2011 and 1990 to 2007.ResultsOf Plastic Surgery graduates from 1990 to 2011 who participated in international missions as residents, 60% participated in missions when in practice, versus 5.9% of graduates participating in missions in practice but not residency (P<0.0001). When excluding last 5 years, graduates participating in international missions in practice after doing so as residents increases to 85.7%, versus 7.41% who participate in practice but not residency P<0.002.ConclusionsResults reveal plastic surgeons who participate in international surgical missions as residents participate in international surgical missions in practice at higher rates than graduates who did not participate in missions during residency. International missions have significant intrinsic value both to trainee and international communities served, and this opportunity should be readily and easily accessible to all plastic surgery residents nationwide.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Resident Participation in International Surgical Missions is Predictive of Future Volunteerism in Practice

Tannan

Gampper

2015

Arch Plast Surg

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“…Vertical interventions are relatively scalable and are thus ideal for urgent humanitarian responses to disasters or epidemics, which have traditionally garnered significant attention from donors [27]. Additionally, vertical programs efficiently deliver necessary surgical supplies and equipment for disease-specific use in LMICs [28]. …”

Section: Horizontal and Vertical Approaches: Benefits And Limitationsmentioning

confidence: 99%

An Opportunity for Diagonal Development in Global Surgery: Cleft Lip and Palate Care in Resource-Limited Settings

Patel

Hoyler

Maine

et al. 2012

Plastic Surgery International

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Global cleft surgery missions have provided much-needed care to millions of poor patients worldwide. Still, surgical capacity in low- and middle-income countries is generally inadequate. Through surgical missions, global cleft care has largely ascribed to a vertical model of healthcare delivery, which is disease specific, and tends to deliver services parallel to, but not necessarily within, the local healthcare system. The vertical model has been used to address infectious diseases as well as humanitarian emergencies. By contrast, a horizontal model for healthcare delivery tends to focus on long-term investments in public health infrastructure and human capital and has less often been implemented by humanitarian groups for a variety of reasons. As surgical care is an integral component of basic healthcare, the plastic surgery community must challenge itself to address the burden of specific disease entities, such as cleft lip and palate, in a way that sustainably expands and enriches global surgical care as a whole. In this paper, we describe a diagonal care delivery model, whereby cleft missions can enrich surgical capacity through integration into sustainable, local care delivery systems. Furthermore, we examine the applications of diagonal development to cleft care specifically and global surgical care more broadly.

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“…When they understood the potential of microsurgery in their hospital setting, it was easier to teach essential knowledge about it and count on their collaboration. In addition, resident participation provides an educational opportunity for intensive instruction, application of knowledge, and a unique opportunity for teaching by doing, within different cultural settings [16].…”

Section: Discussionmentioning

confidence: 99%

Achieving microsurgery missions in Kenya—a 6-year experience of a non-governmental organization

et al. 2021

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Background Microsurgery has enormously expanded the possibilities of reconstructive plastic surgery in the modern era. However, there is a vast difference in its spreading and utilization between developed and developing countries. Microsurgery missions can play a significant role in the evolution of reconstructive microsurgery in developing countries. We present our 6-year experience in a rural hospital in Kenya. Methods The humanitarian missions consisted of 19 consecutive visits to North Kinangop Catholic Hospital (Kenya) between 2014 and 2020. Every mission team consisted of a plastic surgery specialist with more than 10 years of experience and a final-year plastic surgery resident. All missions were organized and coordinated by a nonprofit organization alongside the Clinic of Plastic and Reconstructive Surgery of the University of Padova, Italy. Results During all missions, our plastic surgery teams evaluated a total of 749 patients, performed a total of 595 outpatient visits, and gave a total of 83 inpatient consultations. Among all surgical procedures performed, 17 were microsurgeries: six free flaps, one hand replantation, and ten propeller flaps. We experienced few complications and a success rate of 82%. Conclusions Our 6-year experience demonstrates that it is possible to safely carry out microsurgery procedures with local staff help and coordination. We believe that our missions are a real practical example of how foreign expertise can make local surgery evolve to perform safe microsurgery, even in a low-experience setting such as that of most developing countries. The education of local staff is crucial for the outcome of such missions. Level of Evidence: Level IV, risk / prognostic study Keywords Microsurgery • Free tissue flaps • Medical mission • Nonprofit organization • Eastern Africa

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The Role of Academic Plastic Surgery Institutions in Addressing the Global Burden of Surgical Disease

Cited by 13 publications

References 3 publications

Resident Participation in International Surgical Missions is Predictive of Future Volunteerism in Practice

Resident Participation in International Surgical Missions is Predictive of Future Volunteerism in Practice

An Opportunity for Diagonal Development in Global Surgery: Cleft Lip and Palate Care in Resource-Limited Settings

Achieving microsurgery missions in Kenya—a 6-year experience of a non-governmental organization

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