Sue Gloria R, Covington Woodrow C, Chang James
ReSurge International, Sunnyvale, CA.
Ann Plast Surg. 2018 Sep;81(3):250-256. doi: 10.1097/SAP.0000000000001513.
A paradigm shift is underway in the world of humanitarian global surgery to address the large unmet need for reconstructive surgical services in low- and middle-income countries (LMICs). Here, we discuss the ReSurge Global Training Program (RGTP), a model for surgical training and capacity building in reconstructive surgery in the developing world. The program includes an online reconstructive surgery curriculum, visiting educator trips, expert reconstructive surgeon involvement, trainee competency tracking system, and identification of local outreach partners to provide safe reconstructive surgery to the neediest of patients in the developing world.
A retrospective review of the components of the RGTP from July 2014 through June 2017 was performed. Trainee milestones scores were analyzed to observe trends toward competency in specific plastic surgery skill sets.
There were a total of 38 visiting educator trips during the study period. The trips took place in 10 LMICs. A total of 149 trainees were evaluated in the context of the visiting educator trips with 377 distinct submodule evaluations. Four trainees had more than 10 submodule evaluations over 2 or more visiting educator trips. There was notable improvement in milestones ratings over time among the trainees in this program.
The RGTP is a model of reconstructive surgical training and capacity building in LMICs. Trainees develop important skill sets in reconstructive surgery as a result of their involvement in the program. This comprehensive training approach addresses the disparity in access to care in the developing world by providing short- and long-term solutions to unmet reconstructive needs.
人道主义全球外科领域正在发生范式转变，以满足低收入和中等收入国家（LMICs）对重建外科服务的大量未满足需求。在此，我们讨论“复苏全球培训计划”（RGTP），这是一种在发展中国家进行重建外科手术培训和能力建设的模式。该计划包括在线重建外科课程、访问教育工作者行程、专家重建外科医生参与、学员能力跟踪系统，以及确定当地外展合作伙伴，为发展中国家最需要的患者提供安全的重建外科手术。
对2014年7月至2017年6月期间RGTP的组成部分进行回顾性研究。分析学员的里程碑分数，以观察在特定整形外科技能集方面的能力发展趋势。
在研究期间，共有38次访问教育工作者行程。这些行程在10个低收入和中等收入国家进行。在访问教育工作者行程中，共对149名学员进行了评估，有377次不同的子模块评估。4名学员在2次或更多次访问教育工作者行程中有超过10次的子模块评估。该计划中学员的里程碑评分随时间有显著提高。
RGTP是低收入和中等收入国家重建外科手术培训和能力建设的一种模式。学员通过参与该计划，在重建外科手术中培养了重要的技能集。这种全面的培训方法通过为未满足的重建需求提供短期和长期解决方案，解决了发展中国家在获得医疗服务方面的差距。
