Journal of Surgical Education
Volume 67, Issue 3 , Pages 143-148 , May 2010

Global Surgery: Thoughts on an Emerging Surgical Subspecialty for Students and Residents

  • Jeffrey J. Leow

      Affiliations

    • Surgeons OverSeas (SOS), New York, New York
    • Faculty of Medicine, Monash University, Melbourne, Victoria, Commonwealth of Australia
    • Corresponding Author InformationCorrespondence: Inquiries to Jeffrey J. Leow, Faculty of Medicine, Nursing, and Health Sciences, Monash University, Monash University Clayton VIC 3800, Melbourne, Australia; fax: +61 3 9905 4302
    • ,
  • T. Peter Kingham, MD

      Affiliations

    • Surgeons OverSeas (SOS), New York, New York
    • Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York
    • ,
  • Kathleen M. Casey, MD

      Affiliations

    • Surgeons OverSeas (SOS), New York, New York
    • Operation Giving Back, American College of Surgeons, Chicago, Illinois
    • ,
  • Adam L. Kushner, MD

      Affiliations

    • Surgeons OverSeas (SOS), New York, New York
    • Department of Surgery, Columbia University, New York, New York

References 

  1. Powell AC, Mueller C, Kingham P, Berman R, Pachter HL, Hopkins MA. International experience, electives, and volunteerism in surgical training: a survey of resident interest. J Am Coll Surg. 2007;205:162–168
  2. Powell AC, Casey K, Liewehr DJ, Hayanga A, James TA, Cherr GS. Results of a national survey of surgical resident interest in international experience, electives, and volunteerism. J Am Coll Surg. 2009;208:304–312
  3. Barton A, Williams D, Beveridge M. A survey of Canadian general surgery residents' interest in international surgery. Can J Surg. 2008;51:125–129
  4. Jamison DT. World Bank and disease control priorities project. In: Disease Control Priorities in Developing Countries. 2nd ed.. New York, NY: Oxford University Press; 2006;1401
  5. World Health Organisation. Report of WHO meeting on global initiative for emergency and essential surgical care (GIEESC). http://www.who.int/surgery/education_training/GIEESC_TanzaniaReportApril08.pdf2008;Accessed January 31, 2010
  6. Kushner AL, Cherian MN, Noel L, Spiegel DA, Groth S, Etienne C. Addressing the millennium development goals from a surgical perspective: essential surgery and anesthesia in 8 low- and middle-income countries. Arch Surg. 2010;145:154–159
  7. Mutchnick IS, Moyer CA, Stern DT. Expanding the boundaries of medical education: evidence for cross-cultural exchanges. Acad Med. 2003;78:S1–S5
  8. Shaywitz DA, Ausiello DA. Global health: a chance for Western physicians to give- and receive. Am J Med. 2002;113:354–357
  9. Chiller TM, De Mieri P, Cohen I. International health training (The Tulane experience). Infect Dis Clin North Am. 1995;9:439–443
  10. Smith JK, Weaver DB. Capturing medical students' idealism. Ann Fam Med. 2006;4:S32–S37S58-S60
  11. Bissonette R, Route C. The educational effect of clinical rotations in nonindustrialized countries. Fam Med. 1994;26:226–231
  12. Thompson MJ, Huntington MK, Hunt DD, Pinsky LE, Brodie JJ. Educational effects of international health electives on U.S. and Canadian medical students and residents: a literature review. Acad Med. 2003;78:342–347
  13. Haq C, Rothenberg D, Gjerde C, et al. New world views: preparing physicians in training for global health work. Fam Med. 2000;32:566–572
  14. Ozgediz D, Roayaie K, Debas H, Schecter W, Farmer D. Surgery in developing countries: essential training in residency. Arch Surg. 2005;140:795–800
  15. Hoxha B, Singh KP, Muzina R, Lu Y, Flaherty D. Field-improvised war surgery in Kosovo: use of kitchen utensils as surgical instruments. Mil Med. 2008;173:529–533
  16. Jacobs MJ, Young SC, Mittal VK. Benefits of surgical experience in a third-world country during residency. Curr Surg. 2002;59:330–332
  17. Schecter WP, Farmer D. Surgery and global health: a mandate for training, research, and service—a faculty perspective from the UCSF. Bull Am Coll Surg. 2006;91:36–38
  18. Casey KM. The global impact of surgical volunteerism. Surg Clin North Am. 2007;87:949–960
  19. Godkin MA, Savageau JA. The effect of a global multiculturalism track on cultural competence of preclinical medical students. Fam Med. 2001;33:178–186
  20. Niemantsverdriet S, Majoor GD, van der Vleuten CP, Scherpbier AJ. “I found myself to be a down to earth Dutch girl”: A qualitative study into learning outcomes from international traineeships. Med Educ. 2004;38:749–757
  21. Drain PK, Primack A, Hunt DD, Fawzi WW, Holmes KK, Gardner P. Global health in medical education: a call for more training and opportunities. Acad Med. 2007;82:226–230
  22. Gupta AR, Wells CK, Horwitz RI, Bia FJ, Barry M. The International Health Program: the fifteen year experience with Yale University's Internal Medicine Residency Program. Am J Trop Med Hyg. 1999;61:1019–1023
  23. Nthumba PM. Blitz surgery: redefining surgical needs, training, and practice in sub-Saharan Africa. World J Surg. 2009;34:433–437
  24. ACS. Operation giving back. http://www.operationgivingback.facs.org2010;Accessed January 31
  25. Children's Hospital Boston. Global Surgery Fellowship. http://www.childrenshospital.org/clinicalservices/Site1935/mainpageS1935P76sublevel70.html2010;Accessed January 31
  26. Silverberg D, Wellner R, Arora S, et al. Establishing an international training program for surgical residents. J Surg Educ. 2007;64:143–149
  27. Fader JP, Wolk SW. Training general surgeons to practice in developing world nations and rural areas of the United States—one residency program's model. J Surg Educ. 2009;66:225–227
  28. Jarman BT, Cogbill TH, Kitowski NJ. Development of an international elective in a general surgery residency. J Surg Educ. 2009;66:222–224
  29. SURG. 510-99A: Surgical care in international health. http://www.internationalsurgery.ubc.ca/course_surg510.htmlAccessed January 31, 2010
  30. Certificate in Global Health at University of Michigan School of Public Health. http://www.sph.umich.edu/global/certificate.htmlAccessed February 15, 2010
  31. Klaristenfeld DD, Chupp M, Cioffi WG, White RE. An international volunteer program for general surgery residents at Brown Medical School: the Tenwek Hospital Africa experience. J Am Coll Surg. 2008;207:125–128
  32. Ozgediz D, Roayaie K, Wang J. Surgery and global health: the perspective of UCSF residents on training, research, and service. Bull Am Coll Surg. 2006;91:26–35
  33. Ozgediz D, Wang J, Jayaraman S, et al. Surgical training and global health: initial results of a 5-year partnership with a surgical training program in a low-income country. Arch Surg. 2008;143:860–865
  34. Columbia University. Columbia University General Surgical Residency International Health Elective. http://www.columbiasurgery.org/residency/international.htmlAccessed January 31, 2010
  35. Yale-Stanford/Johnson & Johnson. Physician scholars in international health. http://info.med.yale.edu/intmed/ischolar/index.htmlAccessed January 31, 2010
  36. Alterman DM, Goldman MH. International volunteerism during general surgical residency: a resident's experience. J Surg Educ. 2008;65:378–383
  37. Ozgediz D, Dunbar P, Mock C, et al. Bridging the gap between public health and surgery: access to surgical care in low- and middle-income countries. Bull Am Coll Surg. 2009;94:14–20
  38. Ohio University College Of Osteopathic Medicine. Honduras International Surgical Rotation. http://www.oucom.ohiou.edu/International/Forms/ExperienceHonduras/index.htmAccessed January 31, 2010
  39. University of Toronto. Office of International Surgery. http://www.utoronto.ca/ois/student_electives.htmAccessed January 31, 2010
  40. Niemantsverdriet S, Majoor GD, van der Vleuten CP, Scherpbier AJ. Internationalization of medical education in the Netherlands: state of affairs. Med Teach. 2006;28:187–189
  41. Cals J, Joyner P, Tuffley RJ, Dinant GJ. Vegemite and chocolate sprinkles: Dutch medical students in rural Australia. Med J Aust. 2006;185:661–663
  42. The Cinterandes Foundation. http://cinterandes.org/index.phpAccessed January 31, 2010
  43. Chelala C. Bringing surgery to the rural areas of Ecuador. Lancet. 1998;352:715
  44. Margolis CZ, Deckelbaum RJ, Henkin Y, Alkan M. Bringing global issues to medical teaching. Lancet. 2002;359:1253–1254
  45. Bateman C, Baker T, Hoornenborg E, Ericsson U. Bringing global issues to medical teaching. Lancet. 2001;358:1539–1542
  46. Hardcastle TC. Ethics of surgical training in developing countries. World J Surg. 2008;32:1562
  47. Ramsey KM, Weijer C. Ethics of surgical training in developing countries. World J Surg. 2007;31:2067–2071
  48. Raja AJ, Levin AV. Challenges of teaching surgery: ethical framework. World J Surg. 2003;27:948–951
  49. Bernstein M. Ethical dilemmas encountered while operating and teaching in a developing country. Can J Surg. 2004;47:170–172
  50. Kingham TP, Muyco A, Kushner A. Surgical elective in a developing country: ethics and utility. J Surg Educ. 2009;66:59–62
  51. Chu K. Open Letter to young surgeons interested in humanitarian surgery. Arch Surg. 2010;145:123–124
  52. Einterz EM. The medical student elective in Africa: advice from the field. CMAJ. 2008;178:1461–1463
  53. Médecins Sans Frontières. What is it like in the field?. http://doctorswithoutborders.org/work/field/profiles.cfm?id=2532Accessed January 31, 2010
  54. Moorhouse K, Cheng W. No One Can Stop the Rain: A Chronicle of Two Foreign Aid Workers During the Angolan Civil War. vol. 288. Toronto, Canada: Insomniac Press; 2005;
  55. In:  Kaplan J editors. Contact Wounds: A War Surgeon's Education. Santa Barbara, CA: Grove; 2005;
  56. In:  Kaplan J editors. The Dressing Station: A Surgeon's Chronicle of War and Medicine. Santa Barbara, CA: Grove; 2003;
  57. In:  Baiev K editors. The Oath: A Surgeon Under Fire. Lisle, IL: Walker; 2004;
  58. In:  Baiev K editors. Grief of My Heart: Memoirs of a Chechen Surgeon. Lisle, IL: Walker; 2005;
  59. Farmer PE, Kim JY. Surgery and global health: a view from beyond the OR. World J Surg. 2008;32:533–536

 All authors are members of Surgeons OverSeas (SOS), an organization whose mission is to save lives in developing countries by improving surgical care. T.P.K. and A.L.K. are the founders and codirectors of Surgeons OverSeas (SOS). K.M.C. is Director of Operation Giving Back, American College of Surgeons.

PII: S1931-7204(10)00042-5

doi: 10.1016/j.jsurg.2010.03.002

Journal of Surgical Education
Volume 67, Issue 3 , Pages 143-148 , May 2010

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