RESUMO
OBJECTIVE: To determine the feasibility of a global surgery setting for a transition to practice experience. SETTING: A rural hospital in Malawi, Africa. PARTICIPANTS: A recent graduate of a U.S. general surgery residency program. RESULTS: Fellow performed 305 cases across the surgical disciplines with demonstrated improvements in operative ability. CONCLUSION: The global surgery approach to transition to practice offers a unique opportunity to complement domestic training while providing critical assistance to communities with few surgical providers.
Assuntos
Competência Clínica , Educação de Pós-Graduação em Medicina/métodos , Cirurgia Geral/educação , Saúde Global/educação , Internato e Residência/métodos , Padrões de Prática Médica/organização & administração , Adulto , Altruísmo , Países em Desenvolvimento , Feminino , Hospitais Rurais , Humanos , Internacionalidade , Malaui , MasculinoRESUMO
Surgical care is desperately needed in low-middle income countries (LMIC). Due to small numbers of faculty in local training programs, residents have limited exposure to subspecialists. We describe a teaching activity between visiting surgeons from the U.S. and a residency program in Malawi as an example for how surgeons in high income countries can meaningfully contribute. A short-term education activity was developed where residents participated in a pre-test on pediatric surgical management, lectures, intra-operative instruction, bedside rounds and a post-test. Five residents participated and all intend to practice in sub-Saharan Africa. All residents improved their scores from the pre-test to post-test (mean 44%-91%). The residency program performs approximately 1200 major surgical cases and 800 minor surgical procedures each year, representing a broad range of general surgery. Additionally, the residents encounter a broad range of pathology. Short-term mentorship activities in partnership with an established training program can enhance surgical resident education in LMIC, particularly for subspecialty care.
Assuntos
Cirurgia Geral/educação , Cooperação Internacional , Internato e Residência/métodos , Ensino , Voluntários , Avaliação Educacional , Humanos , Malaui , Tutoria/métodos , Estados UnidosRESUMO
OBJECTIVE: To determine the nature and volume of surgical cases being performed by US general surgery residents during a global surgery elective. DESIGN: Retrospective review of case logs from 2012 to 2016. SETTING: Malamulo Mission Hospital is a rural hospital in southern Malawi. PARTICIPANTS: Rotating residents from a US-based general surgery residency program. RESULTS: Residents performed 12 cases per week from a variety of surgical disciplines. CONCLUSION: Global surgery rotations with dedicated faculty can provide excellent surgical variety and volume to enhance the training of residents.