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Related Concept Videos

Psychosurgery01:30

Psychosurgery

127
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
127

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Academic Global Surgery Curricula: Current Status and a Call for a More Equitable Approach.

Anusha Jayaram1, Natalie Pawlak1, Alexis Kahanu2

  • 1Tufts University School of Medicine, Boston, MA.

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Summary

Global surgery curricula lack a universal competency framework, with most resources favoring high-income country trainees. Developing inclusive curricula requires input from low- and middle-income countries for global relevance.

Keywords:
Academic surgeryGlobal healthGlobal surgeryLow-and middle-income countriesResearchSurgical education

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Area of Science:

  • Global Health
  • Surgical Education
  • Competency Frameworks

Background:

  • The field of academic global surgery is emerging.
  • Existing surgical curricula and competency frameworks require evaluation for global applicability.

Purpose of the Study:

  • To search the literature for global surgical curricula.
  • To assess alignment of published resources with global health and surgical education competency frameworks.
  • To determine consensus on fundamental competencies for academic global surgery.

Main Methods:

  • Comprehensive literature search across multiple databases (e.g., PubMed, SCOPUS, LILACS).
  • Evaluation of identified curricula against established competency frameworks (e.g., CUGH, ACGME).

Main Results:

  • 18 publications were eligible, with most curricula originating from high-income countries (HICs) and designed for HIC trainees.
  • No curricula met all 17 competencies; key global health competencies like 'Health Equity' were notably absent.
  • Limited open-access resources were available (22%).

Conclusions:

  • A universally accepted set of competencies for academic global surgery is currently lacking.
  • Existing educational resources are predominantly HIC-centric and inadequate for the field's needs.
  • Future competency frameworks must incorporate input from low- and middle-income country (LMIC) experts to ensure global relevance and accessibility.