A Consortium Approach to Surgical Education in a Developing Country: Educational Needs Assessment
Mackenzie Cook1, Benjamin M Howard2, Angela Yu3
1Department of Surgery, Oregon Health & Science University, Portland.
JAMA Surgery
|August 13, 2015
Summary
A multi-institutional surgical partnership improved patient care and resident education in Tanzania. Continuous collaboration and addressing specific needs like language skills are key for sustainable global surgical training.
Area of Science:
- Global health
- Surgical education
- International medical partnerships
Background:
- Surgical disease is a global health priority requiring local capacity building.
- Single-institution partnerships and missions have logistical limitations.
- The Alliance for Global Clinical Training (Alliance) is a multi-institutional consortium providing educational support to Muhimbili University of Health and Allied Sciences (MUHAS) in Tanzania.
Purpose of the Study:
- To assess the effectiveness of the Alliance in meeting the educational needs of surgeons at MUHAS and Muhimbili National Hospital.
- To evaluate the impact of the Alliance's initial 13-month program on surgical training and patient care.
Main Methods:
- Faculty and resident teams from three US academic surgical programs rotated at MUHAS for one month each over 13 months.
- Anonymous surveys using a 5-point Likert scale were administered to assess program value.
- Free-text survey responses were analyzed for common themes to identify specific educational needs.
Main Results:
- 15 MUHAS faculty and 22 MUHAS residents completed the survey.
- Identified needs included formal didactics, mentorship, longer-term presence, equitable teaching time, improved coordination/language, and reciprocal exchange rotations.
- MUHAS faculty and residents perceived improvements in patient care and resident education due to Alliance involvement.
Conclusions:
- Multi-institutional international surgical partnerships are feasible and can enhance patient care and resident learning.
- Focusing on training Tanzanian surgeons and improving volunteer Swahili language skills are crucial.
- Future efforts should increase teaching coverage, ensure equitable support distribution, and collaboratively develop a formal surgical curriculum.
More Related Videos
Related Concept Videos
01:26Methods Of Healthcare Delivery System
4.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
4.3K
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
1.2K
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
1.2K