Hugar Lee A, McCullough Chelsea M, Quinn Megan E, Kapadia Sameer M, Pettitt Barbara J
Department of Surgery, Emory University School of Medicine, Atlanta, Georgia.
Department of Surgery, Emory University School of Medicine, Atlanta, Georgia.
J Surg Educ. 2014 Nov-Dec;71(6):871-7. doi: 10.1016/j.jsurg.2014.04.002. Epub 2014 Jun 7.
The proportion of US medical students participating in global health has increased by 24%. These experiences are generally self-directed and lack a formal educational component. This article describes a structured, comprehensive, community-driven global surgery elective for senior-year students.
"Surgery and Global Health" is a monthlong elective during which students shadow in the university hospital, lead discussions of an assigned text, attend lectures, and participate in a clinical rotation in rural Haiti. The first week is didactic and takes place in Atlanta, GA. Weeks 2 through 4 are clinical and are conducted in Haiti. Urological and general surgery procedures are performed during weeks 2 and 3, while the final week is reserved for follow-up care. This experience was institutionally supported.
Emory University Hospital, Atlanta, GA; L'Hôpital St. Thérèse, Hinche, Centre, Haiti.
Emory University School of Medicine students, years 2 through 4, supervised by faculty from the departments of Urology, General Surgery, and Anesthesiology. Senior-year students spent 21 days in central Haiti working in a rural clinical setting.
Students participated in all facets of surgical care including preoperative clearance, postanesthesia care, discharge planning, and follow-up. Students felt a level of supervised responsibility that was not afforded at their home institution and were able to take on more advanced clinical roles.
Students planned and executed this innovative experience with multidisciplinary, departmental, and institutional support. Stateside components introduced students to Haitian culture, global surgery ethics, and humanitarian surgical trip logistics. Structured global health experiences such as this give students practical skills and incentive to pursue careers involving global surgery.
参与全球健康事务的美国医学生比例增加了24%。这些经历通常是自主安排的，缺乏正式的教育组成部分。本文描述了一项为高年级学生设计的结构化、全面的、由社区推动的全球外科选修课程。
“外科与全球健康”是一门为期一个月的选修课程，在此期间，学生在大学医院见习，主导指定文本的讨论，参加讲座，并在海地农村参与临床轮转。第一周是理论教学，在佐治亚州亚特兰大进行。第2至4周是临床实践，在海地开展。第2周和第3周进行泌尿外科和普通外科手术，最后一周用于后续护理。这一经历得到了学校的支持。
佐治亚州亚特兰大市埃默里大学医院；海地中央省欣切市圣特蕾莎医院。
埃默里大学医学院二至四年级的学生，由泌尿外科、普通外科和麻醉科的教员监督。高年级学生在海地中部农村临床环境中工作21天。
学生参与了手术护理的各个方面，包括术前检查、麻醉后护理、出院计划和随访。学生们感受到了在本校无法获得的一定程度的监督责任，并能够承担更高级的临床角色。
学生们在多学科、部门和机构的支持下策划并实施了这一创新体验。在美国本土的课程内容让学生了解了海地文化、全球外科伦理和人道主义外科旅行后勤。这样的结构化全球健康体验让学生获得了实用技能，并激发他们从事涉及全球外科的职业。
