Division of Neurosurgery, City of Hope National Medical Center, Duarte, CA 91010, USA.
J Surg Educ. 2012 Sep-Oct;69(5):611-6. doi: 10.1016/j.jsurg.2012.05.016. Epub 2012 Jul 11.
This study evaluates the efficacy of operative skill transfer in the context of targeted pediatric outreach missions completed in Kiev, Ukraine. In addition the ability to create sustainable surgical care improvement is investigated as an efficient method to improve global surgical care.
Three 1-week targeted neurosurgical missions were performed (2005-2007) to teach neuroendoscopy, which included donation of the necessary surgical equipment, so the host team can deliver newly acquired surgical skills to their citizens after the visiting mission team departs. The neuroendoscopy data for the 4 years after the final mission in 2007 was obtained.
After performing pediatric neurosurgery missions in 2005-2007, with a focus on teaching neuroendoscopy, the host team demonstrated the sustainability of our educational efforts in the subsequent 4 years by performing cases independently for their citizens. Since the last targeted mission of 2007, neuroendoscopic procedures have continued to be performed by the trained host surgeons. In 2008, 33 cases were performed. In 2009 and 2010, 29 and 22 cases were completed, respectively. In 2011, local neurosurgeons accomplished 27 cases. To date, a total of 111 operations have been performed over the past 4 years independent of any visiting team, illustrating the sustainability of educational efforts of the missions in 2005-2007.
Effective operative skill transfer to host neurosurgeons can be accomplished with limited international team visits using a targeted approach that minimizes expenditures on personnel and capital. With the priority being teaching of an operative technique, as opposed to perennially performing operations by a visiting mission team, sustainable surgical care was achieved and perpetuated after missions officially concluded.
本研究评估了在乌克兰基辅完成的有针对性儿科外展任务背景下的手术技能转移的效果。此外，还研究了创建可持续的外科护理改进的能力，将其作为改善全球外科护理的有效方法。
在 2005 年至 2007 年期间进行了三次为期一周的有针对性的神经外科任务，以教授神经内镜技术，包括捐赠必要的手术设备，以便在访问任务团队离开后，宿主团队可以将新获得的手术技能传授给他们的公民。获得了 2007 年最后一次任务后的 4 年的神经内镜数据。
在 2005 年至 2007 年进行小儿神经外科任务后，专注于神经内镜教学，宿主团队在随后的 4 年中独立为其公民进行手术，展示了我们教育工作的可持续性。自 2007 年最后一次有针对性的任务以来，经过培训的宿主外科医生继续进行神经内镜手术。2008 年完成 33 例手术。2009 年和 2010 年分别完成 29 例和 22 例。2011 年，当地神经外科医生完成了 27 例手术。迄今为止，在过去的 4 年中，在没有任何访问团队的情况下，独立完成了总共 111 例手术，这说明了 2005 年至 2007 年任务的教育工作的可持续性。
通过有针对性的方法，可以使用有限的国际团队访问来完成有效的手术技能转移，最大限度地减少人员和资本支出。由于重点是教授手术技术，而不是由访问任务团队常年进行手术，因此在任务正式结束后，可持续的外科护理得以实现并得以延续。
