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

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

Jayaram A¹ ; Pawlak N¹ ; Kahanu A² ; Fallah P³ ; Chung H⁴ ; Valenciarojas N⁵ ; Abbaslou A⁶ ; Alseidi A⁷ ; Ameh EA⁸ ; Bekele A^{9, 36} ; Casey K¹⁰ ; Chu K¹¹ ; Dempsey R¹² ; Dodgion C¹³ Show All Authors

Jayaram A¹
Pawlak N¹
Kahanu A²
Fallah P³
Chung H⁴
Valenciarojas N⁵
Abbaslou A⁶
Alseidi A⁷
Ameh EA⁸
Bekele A^{9, 36}
Casey K¹⁰
Chu K¹¹
Dempsey R¹²
Dodgion C¹³
Jawa R¹⁴
Jimenez MF¹⁵
Johnson W¹⁶
Krishnaswami S¹⁷
Kwakye G¹⁸
Lane R¹⁹
Lakhoo K²⁰
Long K¹²
Madani K²¹
Nwariaku F²²
Nwomeh B²³
Price R²⁴
Roser S²⁵
Rees AB²⁶
Roy N²⁷
Ruzgar NM²⁸
Sacoto H²⁹
Sifri Z³⁰
Starr N⁷
Swaroop M²¹
Tarpley M³¹
Tarpley J³²
Terfera G¹²
Weiser T³³
Lipnick M³⁴
Nabukenya M³⁵
Ozgediz D⁷
Jayaraman S²⁴

Show Affiliations

1. Tufts University School of Medicine, Boston, MA, United States
2. Hackensack University Medical Center, Edison, NJ, United States
3. Department of OB/GYN, Brigham & Women's Hospital and Massachusetts General Hospital, Boston, MA, United States
4. Johns Hopkins University School of Medicine, Baltimore, MD, United States
5. Virginia Commonwealth University Department of Surgery, Richmond, VA, United States
6. Tehran University of Medical Sciences, Tehran, Iran
7. University of California San Francisco Department of Surgery, San Francisco, CA, United States
8. National Hospital Division of Paediatric Surgery, Abuja, Nigeria
9. Addis Ababa University Department of Surgery, Addis Ababa, Ethiopia
10. Physicians for Peace
11. Department of Surgery, University of Cape Town, Cape Town, South Africa
12. University of Wisconsin School of Medicine and Public Health, Madison, WI, United States
13. Medical College of Wisconsin Division of Trauma and Critical Care, Wauwatosa, WI, United States
14. Stony Brook University, Renaissance School of Medicine, Stony Brook, NY, United States
15. Hospital Universitario Mayor Mederi, Department of Surgery. Universidad del Rosario, Bogota, Colombia
16. Loma Linda University, Loma Linda, CA, United States
17. OHSU, Portland, OR, United States
18. University of Michigan Department of Surgery, Ann Arbor, MI, United States
19. International Federation of Surgical Colleges
20. University of Oxford, Oxford University Hospitals, United Kingdom
21. Northwestern University Department of Surgery, Chicago, IL, United States
22. UT Southwesterm, Dallas, TX, United States
23. Department of Pediatric Surgery, Nationwide Children's Hospital, Columbus, OH, United States
24. University of Utah Dept of Surgery, Salt Lake City, UT, United States
25. Emory University School of Medicine, Atlanta, GA, United States
26. Vanderbilt University School of Medicine, Nashville, TN, United States
27. BARC Hospital, Mumbai, India/ CARE-India, Bihar Technical Support Unit, Patna, Bihar, India
28. Yale University School of Medicine, New Haven, CT, United States
29. Universidad de Azuay, Cuenca, Ecuador
30. Rutgers New Jersey Medical School Department of Surgery, Newark, NJ, United States
31. University of Botswana Department of Medical Education, Gaborone, Botswana
32. University of Botswana Department of Surgery, Gaborone, Botswana
33. Stanford University Medical Center Department of Surgery, Stanford, CA, United States
34. University of California San Francisco Department of Anesthesia, San Francisco, CA, United States
35. Makerere University Department of Anesthesia, Kampala, Uganda
36. University Department of Surgery, Rwanda

Source: Journal of Surgical Research Published:2021

Abstract

Introduction: We aimed to search the literature for global surgical curricula, assess if published resources align with existing competency frameworks in global health and surgical education, and determine if there is consensus around a fundamental set of competencies for the developing field of academic global surgery. Methods: We reviewed SciVerse SCOPUS, PubMed, African Medicus Index, African Journals Online (AJOL), SciELO, Latin American and Caribbean Health Sciences Literature (LILACS) and Bioline for manuscripts on global surgery curricula and evaluated the results using existing competency frameworks in global health and surgical education from Consortium of the Universities for Global Health (CUGH) and Accreditation Council for Graduate Medical Education (ACGME) professional competencies. Results: Our search generated 250 publications, of which 18 were eligible: (1) a total of 10 reported existing competency-based curricula that were concurrent with international experiences, (2) two reported existing pre-departure competency-based curricula, (3) six proposed theoretical competency-based curricula for future global surgery education. All, but one, were based in high-income countries (HICs) and focused on the needs of HIC trainees. None met all 17 competencies, none cited the CUGH competency on “Health Equity and Social Justice” and only one mentioned “Social and Environmental Determinants of Health.” Only 22% (n = 4) were available as open-access. Conclusion: Currently, there is no universally accepted set of competencies on the fundamentals of academic global surgery. Existing literature are predominantly by and for HIC institutions and trainees. Current frameworks are inadequate for this emerging academic field. The field needs competencies with explicit input from LMIC experts to ensure creation of educational resources that are accessible and relevant to trainees from around the world. © 2021 Elsevier Inc.

2. Effect of Dual Practice on Service Delivery Time by Surgeons in the Islamic Republic of Iran: Multi-Level Analysis of a National Survey, 2016; [Repercussions De La Double Pratique Sur Les Delais De Prestation De Services Par Les Chirurgiens En Republique Islamique D’Iran: Analyse Pluri-Niveau D’Une Enquete Nationale, 2016], Eastern Mediterranean Health Journal (2018)

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Style	Citing Format
MLA	Jayaram A, et al.. "Academic Global Surgery Curricula: Current Status and a Call for a More Equitable Approach." Journal of Surgical Research, vol. 267, no. , 2021, pp. 732-744.
APA	Jayaram A, Pawlak N, Kahanu A, Fallah P, Chung H, Valenciarojas N, Abbaslou A, Alseidi A, Ameh EA, Bekele A, Casey K, Chu K, Dempsey R, Dodgion C, Jawa R, Jimenez MF, Johnson W, Krishnaswami S, Kwakye G, ... Jayaraman S (2021). Academic Global Surgery Curricula: Current Status and a Call for a More Equitable Approach. Journal of Surgical Research, 267(), 732-744.
Chicago	Jayaram A, Pawlak N, Kahanu A, Fallah P, Chung H, Valenciarojas N, Abbaslou A, et al.. "Academic Global Surgery Curricula: Current Status and a Call for a More Equitable Approach." Journal of Surgical Research 267, no. (2021): 732-744.
Harvard	Jayaram A et al. (2021) 'Academic Global Surgery Curricula: Current Status and a Call for a More Equitable Approach', Journal of Surgical Research, 267(), pp. 732-744.
Vancouver	Jayaram A, Pawlak N, Kahanu A, Fallah P, Chung H, Valenciarojas N, et al.. Academic Global Surgery Curricula: Current Status and a Call for a More Equitable Approach. Journal of Surgical Research. 2021;267():732-744.
BibTex	@article{ author = {Jayaram A and Pawlak N and Kahanu A and Fallah P and Chung H and Valenciarojas N and Abbaslou A and Alseidi A and Ameh EA and Bekele A and Casey K and Chu K and Dempsey R and Dodgion C and Jawa R and Jimenez MF and Johnson W and Krishnaswami S and Kwakye G and Lane R and Lakhoo K and Long K and Madani K and Nwariaku F and Nwomeh B and Price R and Roser S and Rees AB and Roy N and Ruzgar NM and Sacoto H and Sifri Z and Starr N and Swaroop M and Tarpley M and Tarpley J and Terfera G and Weiser T and Lipnick M and Nabukenya M and Ozgediz D and Jayaraman S}, title = {Academic Global Surgery Curricula: Current Status and a Call for a More Equitable Approach}, journal = {Journal of Surgical Research}, volume = {267}, number = {}, pages = {732-744}, year = {2021} }
RIS	TY - JOUR AU - Jayaram A AU - Pawlak N AU - Kahanu A AU - Fallah P AU - Chung H AU - Valenciarojas N AU - Abbaslou A AU - Alseidi A AU - Ameh EA AU - Bekele A AU - Casey K AU - Chu K AU - Dempsey R AU - Dodgion C AU - Jawa R AU - Jimenez MF AU - Johnson W AU - Krishnaswami S AU - Kwakye G AU - Lane R AU - Lakhoo K AU - Long K AU - Madani K AU - Nwariaku F AU - Nwomeh B AU - Price R AU - Roser S AU - Rees AB AU - Roy N AU - Ruzgar NM AU - Sacoto H AU - Sifri Z AU - Starr N AU - Swaroop M AU - Tarpley M AU - Tarpley J AU - Terfera G AU - Weiser T AU - Lipnick M AU - Nabukenya M AU - Ozgediz D AU - Jayaraman S TI - Academic Global Surgery Curricula: Current Status and a Call for a More Equitable Approach JO - Journal of Surgical Research VL - 267 IS - SP - 732 EP - 744 PY - 2021 ER -

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