Development of a Novel Global Surgery Course for Medical Schools.

Curriculum General Surgery / education Global Health / education International Educational Exchange Schools, Medical Sweden United States Zimbabwe
Interpersonal and Communication Skills Professionalism Sweden Systems-Based Practice Zimbabwe curriculum development global surgery low- and middle-income countries (LMIC's)

Journal

Journal of surgical education
ISSN: 1878-7452
Titre abrégé: J Surg Educ
Pays: United States
ID NLM: 101303204

Informations de publication

Date de publication:
Historique:
received: 16 02 2018
revised: 16 07 2018
accepted: 30 07 2018
pubmed: 7 9 2018
medline: 4 9 2020
entrez: 7 9 2018
Statut: ppublish

Résumé

We endeavored to create a comprehensive course in global surgery involving multinational exchange. The course involved 2 weeks of didactics, 2 weeks of clinical rotations in a low-resource setting and 1 week for a capstone project. We evaluated our success through knowledge tests, surveys of the students, and surveys of our Zimbabwean hosts. The didactic portions were held in Sweden, and the clinical portion was primarily in Harare with hospitals affiliated with the University of Zimbabwe. Final year medical students from Lund University in Sweden, Harvard Medical School in the USA and the University of Zimbabwe all participated in didactics in Sweden. The Swedish and American students then traveled to Zimbabwe for clinical work. The Zimbabwean students remained in Sweden for a clinical experience. The course has been taught for 3 consecutive years and is an established part of the curriculum at Lund University, with regular participation from Harvard Medical School and the University of Zimbabwe. Participants report significant improvements in their physical exam skills and their appreciation of the needs of underserved populations, as well as confidence with global surgical concepts. Our Zimbabwean hosts thought the visitors integrated well into the clinical teams, added value to their own students' experience and believe that the exchange should continue despite the burden associated with hosting visiting students. Here we detail the development of a course in global surgery for medical students that integrates didactic as well as clinical experiences in a low-resource setting. The course includes a true multilateral exchange with students from Sweden, the United States and Zimbabwe participating regularly. We hope that this course might serve as a model for other medical schools looking to establish courses in this burgeoning field.

Identifiants

DOI: 10.1016/j.jsurg.2018.07.026 PMID: 30185383
pubmed: 30185383
pii: S1931-7204(18)30037-0
doi: 10.1016/j.jsurg.2018.07.026
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

469-479

Informations de copyright

Copyright © 2018 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Auteurs

Geoffrey A Anderson (GA)

Massachusetts General Hospital, Department of Surgery, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts. Electronic address: Geoffrey.Anderson@mail.harvard.edu.

Katherine Albutt (K)

Massachusetts General Hospital, Department of Surgery, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.

Hampus Holmer (H)

WHO Collaborating Centre for Surgery and Public Health, Lund University, Skane University Hospital, Department of Clinical Sciences, Lund, Sweden; Karolinska University Hospital, Solna, Sweden.

Godfrey Muguti (G)

University of Zimbabwe, Department of Surgery, Harare, Zimbabwe.

Bothwell Mbuwayesango (B)

University of Zimbabwe, Department of Surgery, Harare, Zimbabwe.

David Muchuweti (D)

University of Zimbabwe, Department of Surgery, Harare, Zimbabwe.

Muchabayiwa F Gidiri (MF)

University of Zimbabwe, Department of Obstetrics and Gynecology, Harare, Zimbabwe.

Swagoto Mugapathyay (S)

Harvard Medical School, Boston, Massachusetts.

Katie Iverson (K)

Harvard Medical School, Boston, Massachusetts.

Lina Roa (L)

Harvard Medical School, Boston, Massachusetts; University of Alberta, Department of Obstetrics and Gynecology, Edmonton, Alberta, Canada.

Sristi Sharma (S)

Harvard Medical School, Boston, Massachusetts.

Bengt Jeppson (B)

WHO Collaborating Centre for Surgery and Public Health, Lund University, Skane University Hospital, Department of Clinical Sciences, Lund, Sweden.

Kent Jönsson (K)

Bokamoso Hospital Gaborone, Gaborone, Botswana; WHO Collaborating Centre for Surgery and Public Health, Lund University, Helsingborg Hospital, Department of Orthopedics, Lund, Sweden.

Adam Lantz (A)

WHO Collaborating Centre for Surgery and Public Health, Lund University, Helsingborg Hospital, Department of Orthopedics, Lund, Sweden.

Saurabh Saluja (S)

Harvard Medical School, Boston, Massachusetts; Weill Cornell Medicine, Department of Surgery, New York, New York.

Yihan Lin (Y)

Harvard Medical School, Boston, Massachusetts.

Isabelle Citron (I)

Harvard Medical School, Boston, Massachusetts.

John G Meara (JG)

Harvard Medical School, Boston, Massachusetts.

Lars Hagander (L)

WHO Collaborating Centre for Surgery and Public Health, Lund University, Skane University Hospital, Department of Clinical Sciences, Lund, Sweden.

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Classifications MeSH

questionsmedicales.fr › Éducation › Programme d'études › Development of a Novel Global Surgery Course...
questionsmedicales.fr › Professions de santé › Médecine › Spécialités chirurgicales › Chirurgie générale › Development of a Novel Global Surgery Course...
questionsmedicales.fr › Caractéristiques de la population › Santé › Santé mondiale › Development of a Novel Global Surgery Course...
questionsmedicales.fr › Éducation › Échanges internationaux d'étudiants et de professionnels › Development of a Novel Global Surgery Course...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Centres hospitaliers universitaires › Écoles de médecine › Development of a Novel Global Surgery Course...
questionsmedicales.fr › Régions géographiques › Europe › Pays nordiques et scandinaves › Suède › Development of a Novel Global Surgery Course...
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › États-Unis › Development of a Novel Global Surgery Course...
questionsmedicales.fr › Régions géographiques › Afrique › Afrique subsaharienne › Afrique australe › Zimbabwe › Development of a Novel Global Surgery Course...