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Global Surgery Symposium
Naomi J Wright1, Niyi Ade-Ajayi2, Kokila Lakhoo3
1King's Centre for Global Health and Health Partnerships, King's College London, UK.
Insights
Global surgery is crucial for children in low- and middle-income countries, where surgical conditions cause many deaths. The article discusses trainee engagement in global surgery and its associated ethical debates.
Area of Science:
- Paediatric Surgery
- Global Health
- Surgical Education
Background:
- Children represent up to 50% of the population in low- and middle-income countries (LMICs).
- Surgical conditions contribute to one-third of childhood deaths in LMICs.
- Congenital anomalies are a leading cause of death in children globally.
Framework:
- The 65th British Association of Paediatric Surgeons (BAPS) Annual Congress hosted a Global Surgery Symposium.
- Focus on the growing interest of trainees from high-income countries (HICs) in global surgery initiatives.
- Exploration of various engagement methods: clinical placements, research, and education.
Implementation:
- Discussion of ethical considerations surrounding global surgery initiatives.
- Addressing practical challenges, including usefulness, safety, and sustainability.
- Debate on the integration of global surgery placements into paediatric surgery training pathways.
Implications:
- Highlights the critical need for improved surgical care for children in LMICs.
- Informs ongoing discussions on the responsible and effective engagement of trainees in global surgery.
- Contributes to shaping future paediatric surgery training programs to include global health perspectives.
Abstract:
This article describes the Global Surgery Symposium held within the 65th British Association of Paediatric Surgeons (BAPS) Annual Congress in 2018. Global surgery is a rapidly expanding and developing field and is of particular importance in paediatrics since children account for up to 50% of the population in low- and middle-income countries (LMICs). It is estimated that up to a third of childhood deaths in LMICs are the result of a surgical condition, and congenital anomalies have risen to become the 5th leading cause of death in children less than 5-years of age globally. Trainees in high-income countries (HICs) are increasingly interested in global surgery engagement through clinical placements, research, or education, or a combination of these. There is considerable controversy regarding the ethics, practicalities, usefulness, safety, and sustainability of these initiatives. In addition, there is debate as to whether such placements should occur within the paediatric surgery training pathway. LEVEL OF EVIDENCE: 5 (Expert Opinion).
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