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

3 Scopus citations

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)
Pages (from-to)688-696
Number of pages9
JournalJournal of Surgical Education
Volume75
Issue number3
DOIs
StatePublished - May 1 2018

Keywords

  • Interpersonal and Communication Skills
  • Medical Knowledge
  • Patient Care
  • Practice-Based Learning and Improvement
  • Professionalism
  • Systems-Based Practice
  • education
  • global surgery
  • training

ASJC Scopus subject areas

  • Surgery
  • Education

Fingerprint Dive into the research topics of 'Coalition for Global Clinical Surgical Education: The Alliance for Global Clinical Training'. Together they form a unique fingerprint.

  • Cite this

    Graf, J., Cook, M., Schecter, S., Deveney, K., Hofmann, P., Grey, D., Akoko, L., Mwanga, A., Salum, K., & Schecter, W. (2018). Coalition for Global Clinical Surgical Education: The Alliance for Global Clinical Training. Journal of Surgical Education, 75(3), 688-696. https://doi.org/10.1016/j.jsurg.2017.08.019