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Surgical training in Guyana: the next generation.

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Summary

The Canadian Association of General Surgeons (CAGS) surgical training program in Guyana has graduated 14 surgeons since 2006. While successful, retaining these surgeons in regional hospitals requires broader health system support.

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Area of Science:

  • Global Health
  • Surgical Education
  • International Collaboration

Background:

  • The Canadian Association of General Surgeons (CAGS) established a surgical training program in Guyana in 2006.
  • This initiative aimed to enhance surgical capacity and care standards within the country.

Purpose of the Study:

  • To evaluate the outcomes and impact of the CAGS-University of Guyana surgical training partnership.
  • To identify challenges and opportunities for the program's sustainability and effectiveness.

Main Methods:

  • The program involved 29 recruited surgeons completing 75 teaching visits to Guyana.
  • CAGS provided essential support in local credibility, curriculum development, and examination rigor.
  • The program's local sustainability and graduate deployment were assessed.

Main Results:

  • Fourteen surgeons have graduated from the program since its inception.
  • Graduates are now leading clinical programs, and the program is locally sustained.
  • Most remaining graduates practice at the tertiary center, with fewer in regional hospitals.

Conclusions:

  • The partnership has successfully trained surgeons and improved surgical care standards in Guyana.
  • The program's initial diploma is under review with the introduction of Master of Medicine programs.
  • Improved health system strategies are needed to ensure surgeon retention in regional hospitals.