Surgery in developing countries. Essential training in residency

Doruk Ozgediz, Kayvan Roayaie, Haile Debas, William Schecter, Diana L Farmer

Research output: Contribution to journalArticle

84 Citations (Scopus)

Abstract

Hypothesis: A surgical elective in a developing country setting is an essential new component of academic residency training. Design: A survey of residents and faculty within the Department of Surgery at the University of California, San Francisco, and a collaborative program piloted between the Department of Surgery at the University of California, San Francisco, and Makerere University in Kampala, Uganda, including a 6-week clinical elective. Setting: Mulago and Nsambya hospitals in Kampala, Uganda. Participants: Two residents and 3 faculty advisors at the University of California, San Francisco. Intervention: Development of a 6-week pilot clinical surgical elective. Main Outcome Measures: Assessment of the level of interest in international health in an academic surgery program; pathology and case variety, diagnostic methods, and surgical and anesthetic resources and techniques in a pilot developing country. Results: Forty percent of residents enter residency with prior international health experience whereas 90% express interest in a developing country elective. Twentyfive percent of faculty participate in voluntary international surgical service and research projects. As a result of the survey and the level of interest in our program, 2 visits to Uganda were made and a residency elective rotation was successfully created. This resulted in exposure of residents to the educational benefits of learning in a resource-constrained setting: a broader scope of surgical conditions and pathology, greater reliance on history-taking and physical examination skills in a lowtechnology environment, and sociocultural aspects of care provision. Greater questions about global health equity, access to information, and the role of surgery in public health are raised along with potential challenges in international collaboration. Conclusions: A developing country surgical experience complements the academic mission of service, training, and research and should be an essential component of surgical training programs. There is interest among residents and faculty in such a program as well as a need for greater commitment to north-south collaborations among academic surgical institutions and societies, as has been successfully implemented abroad. More generally, surgery is an integral part of public health and health systems development worldwide.

Original languageEnglish (US)
Pages (from-to)795-800
Number of pages6
JournalArchives of Surgery
Volume140
Issue number8
DOIs
StatePublished - Aug 2005

Fingerprint

Internship and Residency
Developing Countries
Uganda
San Francisco
Health
Public Health
Outcome Assessment (Health Care)
Surgical Pathology
Access to Information
Research
Physical Examination
Anesthetics
Teaching
History
Learning
Pathology
Education
Surveys and Questionnaires

ASJC Scopus subject areas

  • Surgery

Cite this

Surgery in developing countries. Essential training in residency. / Ozgediz, Doruk; Roayaie, Kayvan; Debas, Haile; Schecter, William; Farmer, Diana L.

In: Archives of Surgery, Vol. 140, No. 8, 08.2005, p. 795-800.

Research output: Contribution to journalArticle

Ozgediz, Doruk ; Roayaie, Kayvan ; Debas, Haile ; Schecter, William ; Farmer, Diana L. / Surgery in developing countries. Essential training in residency. In: Archives of Surgery. 2005 ; Vol. 140, No. 8. pp. 795-800.
@article{87727e89d879474699aacb1ae07c127a,
title = "Surgery in developing countries. Essential training in residency",
abstract = "Hypothesis: A surgical elective in a developing country setting is an essential new component of academic residency training. Design: A survey of residents and faculty within the Department of Surgery at the University of California, San Francisco, and a collaborative program piloted between the Department of Surgery at the University of California, San Francisco, and Makerere University in Kampala, Uganda, including a 6-week clinical elective. Setting: Mulago and Nsambya hospitals in Kampala, Uganda. Participants: Two residents and 3 faculty advisors at the University of California, San Francisco. Intervention: Development of a 6-week pilot clinical surgical elective. Main Outcome Measures: Assessment of the level of interest in international health in an academic surgery program; pathology and case variety, diagnostic methods, and surgical and anesthetic resources and techniques in a pilot developing country. Results: Forty percent of residents enter residency with prior international health experience whereas 90{\%} express interest in a developing country elective. Twentyfive percent of faculty participate in voluntary international surgical service and research projects. As a result of the survey and the level of interest in our program, 2 visits to Uganda were made and a residency elective rotation was successfully created. This resulted in exposure of residents to the educational benefits of learning in a resource-constrained setting: a broader scope of surgical conditions and pathology, greater reliance on history-taking and physical examination skills in a lowtechnology environment, and sociocultural aspects of care provision. Greater questions about global health equity, access to information, and the role of surgery in public health are raised along with potential challenges in international collaboration. Conclusions: A developing country surgical experience complements the academic mission of service, training, and research and should be an essential component of surgical training programs. There is interest among residents and faculty in such a program as well as a need for greater commitment to north-south collaborations among academic surgical institutions and societies, as has been successfully implemented abroad. More generally, surgery is an integral part of public health and health systems development worldwide.",
author = "Doruk Ozgediz and Kayvan Roayaie and Haile Debas and William Schecter and Farmer, {Diana L}",
year = "2005",
month = "8",
doi = "10.1001/archsurg.140.8.795",
language = "English (US)",
volume = "140",
pages = "795--800",
journal = "JAMA Surgery",
issn = "2168-6254",
publisher = "American Medical Association",
number = "8",

}

TY - JOUR

T1 - Surgery in developing countries. Essential training in residency

AU - Ozgediz, Doruk

AU - Roayaie, Kayvan

AU - Debas, Haile

AU - Schecter, William

AU - Farmer, Diana L

PY - 2005/8

Y1 - 2005/8

N2 - Hypothesis: A surgical elective in a developing country setting is an essential new component of academic residency training. Design: A survey of residents and faculty within the Department of Surgery at the University of California, San Francisco, and a collaborative program piloted between the Department of Surgery at the University of California, San Francisco, and Makerere University in Kampala, Uganda, including a 6-week clinical elective. Setting: Mulago and Nsambya hospitals in Kampala, Uganda. Participants: Two residents and 3 faculty advisors at the University of California, San Francisco. Intervention: Development of a 6-week pilot clinical surgical elective. Main Outcome Measures: Assessment of the level of interest in international health in an academic surgery program; pathology and case variety, diagnostic methods, and surgical and anesthetic resources and techniques in a pilot developing country. Results: Forty percent of residents enter residency with prior international health experience whereas 90% express interest in a developing country elective. Twentyfive percent of faculty participate in voluntary international surgical service and research projects. As a result of the survey and the level of interest in our program, 2 visits to Uganda were made and a residency elective rotation was successfully created. This resulted in exposure of residents to the educational benefits of learning in a resource-constrained setting: a broader scope of surgical conditions and pathology, greater reliance on history-taking and physical examination skills in a lowtechnology environment, and sociocultural aspects of care provision. Greater questions about global health equity, access to information, and the role of surgery in public health are raised along with potential challenges in international collaboration. Conclusions: A developing country surgical experience complements the academic mission of service, training, and research and should be an essential component of surgical training programs. There is interest among residents and faculty in such a program as well as a need for greater commitment to north-south collaborations among academic surgical institutions and societies, as has been successfully implemented abroad. More generally, surgery is an integral part of public health and health systems development worldwide.

AB - Hypothesis: A surgical elective in a developing country setting is an essential new component of academic residency training. Design: A survey of residents and faculty within the Department of Surgery at the University of California, San Francisco, and a collaborative program piloted between the Department of Surgery at the University of California, San Francisco, and Makerere University in Kampala, Uganda, including a 6-week clinical elective. Setting: Mulago and Nsambya hospitals in Kampala, Uganda. Participants: Two residents and 3 faculty advisors at the University of California, San Francisco. Intervention: Development of a 6-week pilot clinical surgical elective. Main Outcome Measures: Assessment of the level of interest in international health in an academic surgery program; pathology and case variety, diagnostic methods, and surgical and anesthetic resources and techniques in a pilot developing country. Results: Forty percent of residents enter residency with prior international health experience whereas 90% express interest in a developing country elective. Twentyfive percent of faculty participate in voluntary international surgical service and research projects. As a result of the survey and the level of interest in our program, 2 visits to Uganda were made and a residency elective rotation was successfully created. This resulted in exposure of residents to the educational benefits of learning in a resource-constrained setting: a broader scope of surgical conditions and pathology, greater reliance on history-taking and physical examination skills in a lowtechnology environment, and sociocultural aspects of care provision. Greater questions about global health equity, access to information, and the role of surgery in public health are raised along with potential challenges in international collaboration. Conclusions: A developing country surgical experience complements the academic mission of service, training, and research and should be an essential component of surgical training programs. There is interest among residents and faculty in such a program as well as a need for greater commitment to north-south collaborations among academic surgical institutions and societies, as has been successfully implemented abroad. More generally, surgery is an integral part of public health and health systems development worldwide.

UR - http://www.scopus.com/inward/record.url?scp=23844498888&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=23844498888&partnerID=8YFLogxK

U2 - 10.1001/archsurg.140.8.795

DO - 10.1001/archsurg.140.8.795

M3 - Article

C2 - 16106579

AN - SCOPUS:23844498888

VL - 140

SP - 795

EP - 800

JO - JAMA Surgery

JF - JAMA Surgery

SN - 2168-6254

IS - 8

ER -