Small community hospitals programs affiliation with university programs; "lessons Learned" in 28-year successful affiliation

OBJECTIVE Community Hospitals Affiliation with University Hospitals in post graduate surgical education is essential for the 2 types of training programs. Many factors affect the success of the affiliation process. Additionally, various pitfalls and challenges are encountered. The goal of this work is to study the lessons learned in 28 years successful affiliation. DESIGN/SETTING small community hospital affiliation with university program for 28 years. PARTICIPANTS surgery residency programs in small community hospital and university hospital. RESULTS successful affiliation for 28 years between community hospital and university program.