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A novel global safe surgery mentorship program using a multidisciplinary team approach.

Samuel Negash1,2, Nichole Starr2,3, Samuel Mesfin4

  • 1Menelik II Hospital, Addis Ababa, Ethiopia.

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|May 30, 2024
PubMed
Summary

The McCaskey Safe Surgery Fellowship in Ethiopia enhanced teamwork and leadership skills among healthcare professionals, positively impacting surgical care quality in low- and middle-income countries (LMICs) despite implementation challenges.

Keywords:
global surgerypatient safetyruraltraining

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Area of Science:

  • Global Health
  • Surgical Education
  • Healthcare Quality Improvement

Background:

  • The global surgery movement addresses disparities in surgical care access and quality in low- and middle-income countries (LMICs).
  • The Lifebox McCaskey Safe Surgery Fellowship was established in Ethiopia to train multidisciplinary healthcare teams.

Purpose of the Study:

  • To evaluate the implementation and outcomes of the McCaskey Safe Surgery Fellowship program.
  • To identify strengths, challenges, and the impact of the fellowship on participants and surgical practices.

Main Methods:

  • A qualitative study design was employed.
  • Interviews were conducted with fellows, mentors, and program staff from the first three fellowship cohorts.

Main Results:

  • The fellowship curriculum received positive feedback for its multidisciplinary approach.
  • Participants reported enhanced teamwork, research, and leadership skills, leading to quality improvement projects.
  • Challenges included scheduling, communication with facilities, budget constraints, hospital resistance, and the COVID-19 pandemic.

Conclusions:

  • The fellowship's model of multidisciplinary training and local mentorship shows promise for improving surgical care in LMICs.
  • The program fosters a culture of teamwork and equips participants to advocate for safe surgery.
  • Emerging surgical quality champions are expected to create lasting positive impacts on surgical practices.