Coalition for Global Clinical Surgical Education: The Alliance for Global Clinical Training

Jahanara Graf, Mackenzie Cook, Samuel Schecter, Karen Deveney, Paul Hofmann, Douglas Grey, Larry Akoko, Ali Mwanga, Kitembo Salum, William Schecter

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: Assessment of the effect of the collaborative relationship between the high-income country (HIC) surgical educators of the Alliance for Global Clinical Training (Alliance) and the low-income country surgical educators at the Muhimbili University of Health and Allied Sciences/Muhimbili National Hospital (MUHAS/MNH), Dar Es Salaam, Tanzania, on the clinical global surgery training of the HIC surgical residents participating in the program. Design: A retrospective qualitative analysis of Alliance volunteer HIC faculty and residents' reports, volunteer case lists and the reports of Alliance academic contributions to MUHAS/MNH from 2012 to 2017. In addition, a survey was circulated in late 2016 to all the residents who participated in the program since its inception. Results: Twelve HIC surgical educators provided rotating 1-month teaching coverage at MUHAS/MNH between academic years 2012 and 2017 for a total of 21 months. During the same time period 11 HIC residents accompanied the HIC faculty for 1-month rotations. HIC surgery residents joined the MUHAS/MNH Department of Surgery, made significant teaching contributions, performed a wide spectrum of "open procedures" including hand-sewn intestinal anastomoses. Most had had either no or limited previous exposure to hand-sewn anastomoses. All of the residents commented that this was a maturing and challenging clinical rotation due to the complexity of the cases, the limited resources available and the ethical and emotional challenges of dealing with preventable complications and death in a resource constrained environment. Conclusions: The Alliance provides an effective clinical global surgery rotation at MUHAS/MNH for HIC Surgery Departments wishing to provide such an opportunity for their residents and faculty.

Original languageEnglish (US)
JournalJournal of Surgical Education
DOIs
StateAccepted/In press - 2017

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coalition
Education
income
resident
surgery
education
science
health
Health
educator
Volunteers
Teaching
Hospital Surgery Department
Hand
Tanzania
resources
low income
coverage
death

Keywords

  • Education
  • Global surgery
  • Interpersonal and Communication Skills
  • Medical Knowledge
  • Patient Care
  • Practice-Based Learning and Improvement
  • Professionalism
  • System-Based Practice
  • Training

ASJC Scopus subject areas

  • Surgery
  • Education

Cite this

Coalition for Global Clinical Surgical Education : The Alliance for Global Clinical Training. / Graf, Jahanara; Cook, Mackenzie; Schecter, Samuel; Deveney, Karen; Hofmann, Paul; Grey, Douglas; Akoko, Larry; Mwanga, Ali; Salum, Kitembo; Schecter, William.

In: Journal of Surgical Education, 2017.

Research output: Contribution to journalArticle

Graf, Jahanara ; Cook, Mackenzie ; Schecter, Samuel ; Deveney, Karen ; Hofmann, Paul ; Grey, Douglas ; Akoko, Larry ; Mwanga, Ali ; Salum, Kitembo ; Schecter, William. / Coalition for Global Clinical Surgical Education : The Alliance for Global Clinical Training. In: Journal of Surgical Education. 2017.
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