TY - JOUR
T1 - Global Surgery Fellowship
T2 - A model for surgical care and education in resource-poor countries
AU - Aarabi, Shahram
AU - Smithers, Charles
AU - Fils, Marie May Louis
AU - Godson, Jean Louis
AU - Pierre, Jean Hamilton
AU - Mukherjee, Joia
AU - Meara, John
AU - Farmer, Paul
N1 - Publisher Copyright:
© 2015
PY - 2015/10
Y1 - 2015/10
N2 - Background/Purpose: Surgical diseases have recently been shown to be a major cause of global morbidity and mortality. Effective methods to decrease the burden of surgical disease and provide care in resource-poor settings are unknown. An opportunity to meet this need exists through collaborative efforts to train local surgeons in specialty care, such as pediatric general surgery. Methods: We present a novel model for the provision of surgical care and education in a resource-poor setting via a collaborative Global Surgery Fellowship program. Through Partners in Health in Haiti, this program placed a fully trained pediatric surgeon at an established rural hospital, both to temporarily serve that community and to teach local surgeons pediatric surgical care. Results: The Global Surgery Fellow performed the cases presented here during his term, between July 2009 and June 2010. A total of 147 operative procedures were performed on 131 patients over the course of 12 weeks in Haiti. A total of 134 of the 147 total cases performed (91.2%) were educational cases, in which the Fellow operated with and trained one or more of the following: American medical students, American residents, Haitian residents, or Haitian staff surgeons. Conclusion: The Global Surgery Fellowship model overcomes many of the traditional challenges to providing adequate surgical care in resource-poor countries. Specifically, it meets the challenge of providing a broad educational experience for many levels of local and foreign physicians, while working within an established locally run health care system. We believe that this model is generalizable to many resource-poor hospitals with permanent local staff that are open to collaboration.
AB - Background/Purpose: Surgical diseases have recently been shown to be a major cause of global morbidity and mortality. Effective methods to decrease the burden of surgical disease and provide care in resource-poor settings are unknown. An opportunity to meet this need exists through collaborative efforts to train local surgeons in specialty care, such as pediatric general surgery. Methods: We present a novel model for the provision of surgical care and education in a resource-poor setting via a collaborative Global Surgery Fellowship program. Through Partners in Health in Haiti, this program placed a fully trained pediatric surgeon at an established rural hospital, both to temporarily serve that community and to teach local surgeons pediatric surgical care. Results: The Global Surgery Fellow performed the cases presented here during his term, between July 2009 and June 2010. A total of 147 operative procedures were performed on 131 patients over the course of 12 weeks in Haiti. A total of 134 of the 147 total cases performed (91.2%) were educational cases, in which the Fellow operated with and trained one or more of the following: American medical students, American residents, Haitian residents, or Haitian staff surgeons. Conclusion: The Global Surgery Fellowship model overcomes many of the traditional challenges to providing adequate surgical care in resource-poor countries. Specifically, it meets the challenge of providing a broad educational experience for many levels of local and foreign physicians, while working within an established locally run health care system. We believe that this model is generalizable to many resource-poor hospitals with permanent local staff that are open to collaboration.
KW - Education
KW - Global health
KW - Global partnerships
KW - Pediatric surgery
KW - Public health
UR - http://www.scopus.com/inward/record.url?scp=84959098506&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84959098506&partnerID=8YFLogxK
U2 - 10.1016/j.jpedsurg.2015.06.009
DO - 10.1016/j.jpedsurg.2015.06.009
M3 - Article
C2 - 26165159
AN - SCOPUS:84959098506
SN - 0022-3468
VL - 50
SP - 1772
EP - 1775
JO - Journal of pediatric surgery
JF - Journal of pediatric surgery
IS - 10
ER -