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. 2015 Dec;136(6):830e-837e.
doi: 10.1097/PRS.0000000000001817.

The Current State of Global Surgery Training in Plastic Surgery Residency

Harry S Nayar  1 , A Neil Salyapongse, Delora L Mount, Michael L Bentz
Affiliations

The Current State of Global Surgery Training in Plastic Surgery Residency

Harry S Nayar et al. Plast Reconstr Surg. 2015 Dec.

Abstract

Background: The current state of global surgery training in U.S. plastic surgery residency programs remains largely undefined.

Methods: An electronic survey was distributed to Accreditation Council for Graduate Medical Education-certified plastic surgery residency programs. Programs with global health curricula were queried regarding classification, collaboration details, regions visited, conditions/procedures encountered, costs, accreditation, and personal sentiment. Residencies without global health curricula were asked to select barriers.

Results: Sixty-four of 81 residency programs returned questionnaires (response rate, 79 percent). Twenty-six programs (41 percent) reported including a formal global health curriculum; 38 did not (59 percent). When asked to classify this curriculum, most selected clinical care experience [n = 24 (92 percent)], followed by educational experience [n = 19 (73 percent)]. Personal reference was the most common means of establishing the international collaboration [n = 19 (73 percent)]. The most commonly encountered conditions were cleft lip-cleft palate [n = 26 (100 percent)], thermal injury [n = 17 (65 percent)], and posttraumatic reconstruction [n = 15 (57 percent)]. Dominant funding sources were primarily nonprofit organizations [n = 14 (53 percent)]. Although the majority of programs had not applied for residency review committee accreditation [n = 23 (88 percent)], many considered applying [n = 16 (62 percent)]. Overall, 96 percent of programs (n = 25) supported global health training in residency, choosing exposure to different health systems [n = 22 (88 percent)] and surgical education [n = 17 (68 percent)] as reasons. Programs not offering a global health experience most commonly reported lack of residency review committee/plastic surgery operative log recognition of cases performed abroad [n = 27 (71 percent)], funding for trip expenses [n = 25 (66 percent)], and salary support [n = 24 (63 percent)] as barriers.

Conclusions: Residencies incorporating global health training describe the experience positively. Funding and case accreditation are the major obstacles to implementing these curricula.

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References

    1. Weiser TG, Makary MA, Haynes AB, et al. Standardised metrics for global surgical surveillance. Lancet. 2009;374:1113–1117
    1. Funk LM, Weiser TG, Berry WR, et al. Global operating theatre distribution and pulse oximetry supply: An estimation from reported data. Lancet. 2010;376:1055–1061
    1. Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360:491–499
    1. Weiser TG, Regenbogen SE, Thompson KD, et al. An estimation of the global volume of surgery: A modelling strategy based on available data. Lancet. 2008;372:139–144
    1. Haynes AB, Regenbogen SE, Weiser TG, et al. Surgical outcome measurement for a global patient population: Validation of the Surgical Apgar Score in 8 countries. Surgery. 2011;149:519–524

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