Hoehn Richard S, Davis Bradley R, Huber Nathan L, Edwards Michael J, Lungu Douglas, Logan Jocelyn M
Department of Surgery, University of Cincinnati, Cincinnati, Ohio.
Lafayette Surgical Clinic, Lafayette, Indiana.
J Surg Educ. 2015 Jul-Aug;72(4):e15-20. doi: 10.1016/j.jsurg.2015.01.011. Epub 2015 Mar 26.
Interest in global health has been increasing for years among American residents and medical students. Many residency programs have developed global health tracks or electives in response to this need.
Our goal was to create a global surgery elective based on a synergistic partnership between our institution and a hospital in the developing world.
We created a business plan and 1-year schedule for researching potential sites and completing a pilot rotation at our selected hospital.
We administered a survey to general surgery residents at the University of Cincinnati and visited medical facilities in Sierra Leone, Cameroon, and Malawi.
The survey was given to all general surgery residents. A resident and a faculty member executed the fact-finding trip as well as the pilot rotation.
Our general surgery residents view an international elective as integral to residency training and would participate in such an elective. After investigating 6 hospitals in sub-Saharan Africa, we conducted a pilot rotation at our selected hospital and gained the necessary information to organize a curriculum. We will begin sending senior residents for 8-week rotations in the coming academic year.
By systematically approaching the process of creating a global surgery elective, we were able to gain considerable insight into choosing a location and organizing the elective.
多年来，美国居民和医学生对全球健康的兴趣一直在增加。许多住院医师培训项目已针对这一需求开设了全球健康方向或选修课程。
我们的目标是基于我们机构与发展中世界一家医院的协同合作关系，创建一门全球外科选修课程。
我们制定了一份商业计划和为期一年的时间表，用于研究潜在地点并在我们选定的医院完成试点轮转。
我们对辛辛那提大学普通外科住院医师进行了一项调查，并走访了塞拉利昂、喀麦隆和马拉维的医疗机构。
该调查面向所有普通外科住院医师。一名住院医师和一名教员执行了实情调查之旅以及试点轮转。
我们的普通外科住院医师认为国际选修课程是住院医师培训不可或缺的一部分，并愿意参加这样的选修课程。在对撒哈拉以南非洲的6家医院进行调查后，我们在选定的医院进行了试点轮转，并获得了组织课程所需的信息。我们将在即将到来的学年开始派遣高年级住院医师进行为期8周的轮转。
通过系统地开展创建全球外科选修课程的过程，我们能够在选择地点和组织选修课程方面获得相当多的见解。
