Ozgediz Doruk, Wang Jennifer, Jayaraman Sudha, Ayzengart Alex, Jamshidi Ramin, Lipnick Michael, Mabweijano Jacqueline, Kaggwa Sam, Knudson Margaret, Schecter William, Farmer Diana
Department of Surgery, University of California, San Francisco, CA 94143-0570, USA.
Arch Surg. 2008 Sep;143(9):860-5; discussion 865. doi: 10.1001/archsurg.143.9.860.
Surgical trainees in the United States have a growing interest in both clinical experiences and structured training opportunities in global health. Global health training and exposure can be integrated into a surgical residency program.
The global health activities of surgical residents and faculty in 1 department were evaluated from January 1, 1998, to June 1, 2008, using a survey and personal interviews.
From January 1, 1998, to December 31, 2002, 4 faculty members made more than 20 overseas volunteer medical expeditions, but only 1 resident participated in global health activities. In 2003, a relationship with a surgical training program in a developing country was established. Ten residents and 12 faculty members have made overseas trips during the last 5 years, and 1 international surgeon has visited the United States. During their research block, 4 residents completed 1- to 3-month clinical rotations and contributed to mentored research projects. Three residents completed a university-based Global Health Clinical Scholars Program, and 3 obtained master's degrees in public health. A joint conference in injury-trauma research was also conducted. A faculty member is based overseas with clinical and research responsibilities, and another is completing a master's degree in public health.
Global health training and exposure for residents can be effectively integrated into an academic surgical residency program through relationships with training programs in low-income countries. Legitimate academic experiences improve the success of these programs. Reciprocity with collaborative partners must be ensured, and sustained commitment and funding remain a great challenge to such programs. The long-term effect on the development of global health careers is yet to be determined.
美国外科住院医师对全球健康领域的临床经验和结构化培训机会兴趣日益浓厚。全球健康培训与实践可融入外科住院医师培训项目。
采用问卷调查和个人访谈的方式，对1998年1月1日至2008年6月1日期间某科室外科住院医师和教员的全球健康活动进行评估。
1998年1月1日至2002年12月31日，4名教员进行了20多次海外志愿医疗考察，但只有1名住院医师参与了全球健康活动。2003年，与一个发展中国家的外科培训项目建立了合作关系。在过去5年中，10名住院医师和12名教员进行了海外访问，1名国际外科医生访问了美国。在研究阶段，4名住院医师完成了1至3个月的临床轮转，并参与了指导研究项目。3名住院医师完成了大学的全球健康临床学者项目，3人获得了公共卫生硕士学位。还举办了一次创伤研究联合会议。一名教员驻在海外，负责临床和研究工作，另一名教员正在攻读公共卫生硕士学位。
通过与低收入国家的培训项目合作，可为住院医师提供有效的全球健康培训与实践，并融入学术性外科住院医师培训项目。合理的学术经历有助于这些项目的成功实施。必须确保与合作伙伴的互惠互利，持续的投入和资金支持仍是此类项目面临的巨大挑战。对全球健康职业发展的长期影响尚待确定。
