African head and neck fellowships: A model for a sustainable impact on head and neck cancer care in developing countries

Johannes J. Fagan; Jeffrey Otiti; Joyce Aswani; Anna Konney; Evelyne S. Diom; Kenneth Baidoo; Paul A. Onakoya; Rajab M. Mugabo; Patrick Noah; Victor Mashamba; Innocent Kundiona; Mainasara Garba; Melesse G. Biadgelign; Chege Macharia; Mesele Bogale; Wayne M. Koch

doi:10.1002/hed.25615

African head and neck fellowships: A model for a sustainable impact on head and neck cancer care in developing countries

Johannes J. Fagan, Jeffrey Otiti, Joyce Aswani, Anna Konney, Evelyne S. Diom, Kenneth Baidoo, Paul A. Onakoya, Rajab M. Mugabo, Patrick Noah, Victor Mashamba, Innocent Kundiona, Mainasara Garba, Melesse G. Biadgelign, Chege Macharia, Mesele Bogale, Wayne M. Koch

School of Medicine

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Background: There is an extreme shortage of head and neck surgeons in Africa. Fourteen head and neck surgeons have completed fellowships in Cape Town and Cameroon. This study determines whether such Africa-based fellowships are a good model for developing countries by making a sustainable impact on head and neck cancer care. Methods: An observational study was conducted by emailing questionnaires to past fellows. Results: All fellows had returned to teaching hospitals in their counties. Seven established new multidisciplinary cancer teams. Head and neck operations had increased by >335%, as had complexity of the surgery. There was effective transfer of surgical skills to trainees. All considered head and neck fellowships to be the best model to grow head and neck care. Conclusion: Head and neck fellowships in developing countries are effective models for establishing training programs and for increasing provision of specialized surgical services in a sustainable fashion.

Original language	English (US)
Pages (from-to)	1824-1829
Number of pages	6
Journal	Head and Neck
Volume	41
Issue number	6
DOIs	https://doi.org/10.1002/hed.25615
State	Published - Jun 2019

Keywords

Africa
developing countries
fellowship training
head and neck surgery

ASJC Scopus subject areas

Otorhinolaryngology

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10.1002/hed.25615

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Fagan, J. J., Otiti, J., Aswani, J., Konney, A., Diom, E. S., Baidoo, K., Onakoya, P. A., Mugabo, R. M., Noah, P., Mashamba, V., Kundiona, I., Garba, M., Biadgelign, M. G., Macharia, C., Bogale, M., & Koch, W. M. (2019). African head and neck fellowships: A model for a sustainable impact on head and neck cancer care in developing countries. Head and Neck, 41(6), 1824-1829. https://doi.org/10.1002/hed.25615

Fagan, JJ, Otiti, J, Aswani, J, Konney, A, Diom, ES, Baidoo, K, Onakoya, PA, Mugabo, RM, Noah, P, Mashamba, V, Kundiona, I, Garba, M, Biadgelign, MG, Macharia, C, Bogale, M & Koch, WM 2019, 'African head and neck fellowships: A model for a sustainable impact on head and neck cancer care in developing countries', Head and Neck, vol. 41, no. 6, pp. 1824-1829. https://doi.org/10.1002/hed.25615

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title = "African head and neck fellowships: A model for a sustainable impact on head and neck cancer care in developing countries",

abstract = "Background: There is an extreme shortage of head and neck surgeons in Africa. Fourteen head and neck surgeons have completed fellowships in Cape Town and Cameroon. This study determines whether such Africa-based fellowships are a good model for developing countries by making a sustainable impact on head and neck cancer care. Methods: An observational study was conducted by emailing questionnaires to past fellows. Results: All fellows had returned to teaching hospitals in their counties. Seven established new multidisciplinary cancer teams. Head and neck operations had increased by >335%, as had complexity of the surgery. There was effective transfer of surgical skills to trainees. All considered head and neck fellowships to be the best model to grow head and neck care. Conclusion: Head and neck fellowships in developing countries are effective models for establishing training programs and for increasing provision of specialized surgical services in a sustainable fashion.",

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author = "Fagan, {Johannes J.} and Jeffrey Otiti and Joyce Aswani and Anna Konney and Diom, {Evelyne S.} and Kenneth Baidoo and Onakoya, {Paul A.} and Mugabo, {Rajab M.} and Patrick Noah and Victor Mashamba and Innocent Kundiona and Mainasara Garba and Biadgelign, {Melesse G.} and Chege Macharia and Mesele Bogale and Koch, {Wayne M.}",

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year = "2019",

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doi = "10.1002/hed.25615",

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T2 - A model for a sustainable impact on head and neck cancer care in developing countries

AU - Fagan, Johannes J.

AU - Otiti, Jeffrey

AU - Aswani, Joyce

AU - Konney, Anna

AU - Diom, Evelyne S.

AU - Baidoo, Kenneth

AU - Onakoya, Paul A.

AU - Mugabo, Rajab M.

AU - Noah, Patrick

AU - Mashamba, Victor

AU - Kundiona, Innocent

AU - Garba, Mainasara

AU - Biadgelign, Melesse G.

AU - Macharia, Chege

AU - Bogale, Mesele

AU - Koch, Wayne M.

PY - 2019/6

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N2 - Background: There is an extreme shortage of head and neck surgeons in Africa. Fourteen head and neck surgeons have completed fellowships in Cape Town and Cameroon. This study determines whether such Africa-based fellowships are a good model for developing countries by making a sustainable impact on head and neck cancer care. Methods: An observational study was conducted by emailing questionnaires to past fellows. Results: All fellows had returned to teaching hospitals in their counties. Seven established new multidisciplinary cancer teams. Head and neck operations had increased by >335%, as had complexity of the surgery. There was effective transfer of surgical skills to trainees. All considered head and neck fellowships to be the best model to grow head and neck care. Conclusion: Head and neck fellowships in developing countries are effective models for establishing training programs and for increasing provision of specialized surgical services in a sustainable fashion.

AB - Background: There is an extreme shortage of head and neck surgeons in Africa. Fourteen head and neck surgeons have completed fellowships in Cape Town and Cameroon. This study determines whether such Africa-based fellowships are a good model for developing countries by making a sustainable impact on head and neck cancer care. Methods: An observational study was conducted by emailing questionnaires to past fellows. Results: All fellows had returned to teaching hospitals in their counties. Seven established new multidisciplinary cancer teams. Head and neck operations had increased by >335%, as had complexity of the surgery. There was effective transfer of surgical skills to trainees. All considered head and neck fellowships to be the best model to grow head and neck care. Conclusion: Head and neck fellowships in developing countries are effective models for establishing training programs and for increasing provision of specialized surgical services in a sustainable fashion.

KW - Africa

KW - developing countries

KW - fellowship training

KW - head and neck surgery

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African head and neck fellowships: A model for a sustainable impact on head and neck cancer care in developing countries

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