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International Consensus on Global Surgery Learning Objectives and Competencies.
Roy Avraham Hilzenrat1, Rachel Livergant1, Catherine Joanne Binda2
1Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, Canada.
Annals of Surgery
|August 19, 2025
Summary
International experts reached consensus on 120 core learning objectives for global surgery education. This framework supports curriculum development and competency-based training in diverse surgical settings.
Area of Science:
- Global Health
- Surgical Education
- International Consensus
Background:
- Global surgery is an emerging academic field requiring standardized educational objectives.
- Current curricula lack standardization and multidisciplinary input.
Purpose of the Study:
- To establish international consensus on core learning objectives for global surgery education.
- To guide the development of standardized global surgery curricula.
Main Methods:
- Modified Delphi consensus involving 61 international experts from 26 countries.
- Scoping review to generate initial learning objectives, categorized into 14 domains.
- Three iterative survey rounds with consensus defined as ≥80% agreement.
Main Results:
- 120 learning objectives achieved consensus across key domains including disease burden, system strengthening, ethics, policy, and sustainable development.
- Participants represented diverse fields: surgery, anesthesia, obstetrics/gynecology, general practice, and allied health.
- Objectives were categorized for introductory (25), advanced (55), and both (40) learner levels.
Conclusions:
- A structured, globally relevant framework for global surgery education was established.
- The consensus supports curriculum development and competency-based training.
- Aligning education with healthcare priorities and ensuring adaptability are crucial for global surgery training.
Keywords:
capacity buildingcompetenciescurriculum developmentdelphi studyeducationglobal healthglobal surgeryhealth system strengtheninghealthy policy and advocacyinternational consensuslearning objectivestrainingworkforce developmentMore Related Videos
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