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Transition to Practice: A Global Surgery Approach.

Dustin K Donley1, Cassandra K Graybill2, Arega Fekadu1

  • 1Department of Surgery, Malamulo Mission Hospital, Thyolo, Malawi.

Journal of Surgical Education
|August 14, 2017
PubMed
Summary
This summary is machine-generated.

A global surgery transition to practice experience in Malawi proved feasible for a recent US surgery graduate. The program provided critical surgical assistance to a rural community while enhancing the fellow's operative skills.

Keywords:
Patient CarePractice-Based Learning and Improvementglobal surgeryhumanitarianismrange of skillssurgical education

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Area of Science:

  • Global Health
  • Surgical Education
  • International Surgery

Background:

  • Transition to practice (TTP) programs are crucial for newly qualified surgeons.
  • Global surgery settings offer unique training opportunities and address healthcare disparities.
  • Limited data exists on the feasibility of TTP experiences in low-resource countries.

Purpose of the Study:

  • To assess the feasibility of a global surgery setting for a surgical transition to practice.
  • To evaluate the impact of such an experience on a recent U.S. general surgery residency graduate.

Main Methods:

  • A fellowship program was established at a rural hospital in Malawi, Africa.
  • A recent graduate from a U.S. general surgery residency program participated.
  • Data on case volume, types of procedures, and skill development were collected.

Main Results:

  • The fellow performed 305 surgical cases across various disciplines.
  • Significant improvements in operative ability were demonstrated.
  • The experience provided essential surgical care to the underserved population.

Conclusions:

  • A global surgery approach to transition to practice is feasible and beneficial.
  • This model complements domestic surgical training.
  • It offers vital support to communities with limited access to surgical expertise.