Globalization in Pediatric Surgical Training: The Benefit of an International Fellowship in a Low-to-Middle-Income Country Academic Hospital.
Eur J Pediatr Surg
; 32(4): 363-369, 2022 Aug.
Article
em En
| MEDLINE
| ID: mdl-34407553
ABSTRACT
OBJECTIVE:
A relative oversupply of pediatric surgeons led to increasing difficulties in surgical training in high-income countries (HIC), popularizing international fellowships in low-to-middle-income countries (LMIC). The aim of this study was to evaluate the benefit of an international fellowship in an LMIC for the training of pediatric surgery trainees from HICs.METHODS:
We retrospectively reviewed and compared the prospectively maintained surgical logbooks of international pediatric surgical trainees who completed a fellowship at Chris Hani Baragwanath Academic Hospital in the last 10 years. We analyzed the number of surgeries, type of involvement, and level of supervision in the operations. Data are provided in mean differences between South Africa and the respective home country.RESULTS:
Seven fellows were included. Operative experience was higher in South Africa in general (ΔxÌ = 381; 95% confidence interval [CI] 236-656; p < 0.0001) and index cases (ΔxÌ = 178; 95% CI 109-279; p < 0.0001). In South Africa, fellows performed more index cases unsupervised (ΔxÌ = 71; 95% CI 42-111; p < 0.0001), but a similar number under supervision (ΔxÌ = -1; 95% CI -25-24; p = 0.901). Fellows were exposed to more surgical procedures in each pediatric surgical subspecialty.CONCLUSION:
An international fellowship in a high-volume subspecialized unit in an LMIC can be highly beneficial for HIC trainees, allowing exposure to higher caseload, opportunity to operate independently, and to receive a wider exposure to the different fields of pediatric surgery. The associated benefit for the local trainees is some reduction in their clinical responsibilities due to the additional workforce, providing them with the opportunity for protected academic and research time.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Especialidades Cirúrgicas
/
Bolsas de Estudo
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Child
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Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article