Department of Surgery, University of Minnesota, Minneapolis, MN and Co-Chair of the Association for Academic Surgery Global Affairs Committee, Los Angeles, CA.
Department of Surgery, The Ohio State Wexner Medical Center, Columbus, OH.
J Am Coll Surg. 2018 Oct;227(4):455-466.e6. doi: 10.1016/j.jamcollsurg.2018.07.661. Epub 2018 Aug 20.
Academic global surgery value to low- and middle-income countries (LMICs) is increasingly understood, yet value to academic health centers (AHCs) remains unclear.
A task force from the Association for Academic Surgery Global Affairs Committee and the Society for University Surgeons Committee on Global Academic Surgery designed and disseminated a survey to active US academic global surgeons. Questions included participant characteristics, global surgeon qualifications, trainee interactions, academic output, productivity challenges, and career models. The task force used the survey results to create a position paper outlining the value of academic global surgeons to AHCs.
The survey had a 58% (n = 36) response rate. An academic global surgeon has a US medical school appointment, spends dedicated time in an LMIC, spends vacation time doing mission work, or works primarily in an LMIC. Most spend 1 to 3 months abroad annually, dedicating <25% effort to global surgery, including systems building, teaching, research, and clinical care. Most are university-employed and 65% report compensation is equivalent or greater than colleagues. Academic support includes administrative, protected time, funding. Most institutions do not use specific global surgery metrics to measure productivity. Barriers include funding, clinical responsibilities, and salary support.
Academic global surgeons spend a modest amount of time abroad, require minimal financial support, and represent a low-cost investment in an under-recognized scholarship area. This position paper suggests measures of global surgery that could provide opportunities for AHCs and surgical departments to expand missions of service, education, and research and enhance institutional reputation while achieving societal impact.
学术全球外科学对中低收入国家（LMICs）的价值越来越被理解，但对学术医疗中心（AHCs）的价值仍不清楚。
一个来自外科学协会全球事务委员会和大学外科医生协会全球学术外科委员会的工作组设计并分发了一份调查给活跃于美国的学术全球外科医生。问题包括参与者特征、全球外科医生资格、学员互动、学术产出、生产力挑战和职业模式。该工作组使用调查结果创建了一份立场文件，概述了学术全球外科医生对 AHCs 的价值。
该调查的回复率为 58%（n=36）。学术全球外科医生具有美国医学院的任命，在 LMIC 中投入专门时间，利用休假时间进行使命工作，或主要在 LMIC 中工作。大多数人每年在国外工作 1 至 3 个月，将<25%的精力用于全球外科学，包括系统建设、教学、研究和临床护理。大多数人受雇于大学，65%的人报告薪酬与同事相当或更高。学术支持包括行政、受保护的时间和资金。大多数机构不使用特定的全球外科学指标来衡量生产力。障碍包括资金、临床责任和薪资支持。
学术全球外科医生在国外的工作时间相当有限，需要很少的财务支持，这是在一个未被充分认识的学术领域的低投入。这份立场文件建议了一些全球外科学的衡量标准，这些标准可以为 AHCs 和外科部门提供机会，扩大服务、教育和研究的使命，并增强机构声誉，同时实现社会影响力。
