Global surgery interest and engagement in Canadian thoracic surgery practice

Thoracic pathologies pose a substantial health burden in low- and middle-income countries. Compounding the high incidence of these conditions, a global shortage and unequal distribution of surgical professionals exacerbate morbidity, mortality, and disability-adjusted life years in these regions. Global thoracic surgery aims to address these disparities. This study explores the interest, engagement, and perceived importance of global surgical care among Canadian thoracic surgeons.

A self-administered electronic survey was distributed to members of the Canadian Association of Thoracic Surgery. The survey assessed perceptions of global surgery, willingness to engage in international collaborations, institutional resources, and barriers to participation.

Thirty-three practicing thoracic surgeons participated, most of whom worked in academic centers (23 out of 33 [69.7%]). A majority (30 out of 33 [90.9%]) believed international collaboration enhances thoracic surgery. Although 48.5% (16 out of 33) were willing to travel abroad to support surgical capacity in low- and middle-income countries, and an equal percentage expressed interest in research addressing low- and middle-income countries' needs, only 21.2% (7 out of 33) had prior involvement in global thoracic surgery. Key barriers included a lack of institutional support (26 out of 33 [78.8%]), limited formal collaborative opportunities (26 out of 33 [78.8%]), inadequate funding (30 out of 33 [90.9%]), and an absence of recognized pathways for career development in global surgery (29 out of 33 [87.9%]).

Canadian thoracic surgeons have a keen interest in global surgical initiatives; however, they face significant barriers in institutional support, resources, and accessibility of collaborative opportunities. Tackling these challenges through strengthened institutional policies, directed funding, and the establishment of a dedicated national network may enhance engagement in global thoracic surgical care.