Badlani Gopal
Wake Forest School of Medicine, Winston-Salem, NC, USA.
Transl Androl Urol. 2017 Apr;6(2):258-263. doi: 10.21037/tau.2017.04.21.
To review the current status of volunteerism in the field of urology as a global responsibility, a PubMed search was done with keywords: international volunteer, urology, global health, international resident education. Furthermore, internet search using Google and Bing as search engines for the same key words was done. Websites of multinational urological organizations was researched for available information. Expert opinions of key individuals in the arena were obtained. There is a paucity of published literature as to the efforts and outcomes of volunteerism in Urology; most of the information is related to the fistula repair outcomes in medical literature. There is credible information on the impact on resident training in the field of dentistry, general surgery, orthopedics and plastic surgery. The desire to volunteer is demonstrated in a survey of urologists, the delivery of volunteer missions is fragmented, the outcomes or impact of these efforts is less well documented. There is a need to create pathways to harness the desire of urologists to volunteer. Simultaneously, the effort to establish ethical standards and guidelines for surgical care in LMIC countries by visiting doctors is important. There is a tremendous opportunity for resident education in this arena, as demonstrated by the ACGME approved path in general surgery.
为审视泌尿外科领域志愿服务作为一项全球责任的现状，我们在PubMed上以“国际志愿者”“泌尿外科”“全球健康”“国际住院医师教育”为关键词进行了检索。此外，还使用谷歌和必应搜索引擎对相同关键词进行了网络搜索。对跨国泌尿外科组织的网站进行了调研以获取可用信息。收集了该领域关键人物的专家意见。关于泌尿外科志愿服务的努力和成果，已发表的文献很少；大多数信息与医学文献中的瘘管修复结果相关。在牙科、普通外科、骨科和整形外科领域，有关于对住院医师培训影响的可靠信息。一项对泌尿外科医生的调查显示了他们参与志愿服务的意愿，但志愿任务的开展分散，这些努力的结果或影响记录较少。需要建立途径来利用泌尿外科医生志愿服务的意愿。同时，来访医生为低收入和中等收入国家建立外科护理伦理标准和指南的努力很重要。正如美国毕业后医学教育认证委员会（ACGME）批准的普通外科途径所表明的那样，在这个领域有巨大的住院医师教育机会。
