Clinical Fellow, Division of Gynecologic Oncology, Department of Obstetrics and Gynecology.
Associate Professor, Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of North Carolina Hospitals.
Obstet Gynecol Surv. 2019 Jan;74(1):40-49. doi: 10.1097/OGX.0000000000000630.
Women in low- and middle-income countries (LMICs) are responsible for the stability of their families. Child survival is directly linked to the health and well-being of their mother. Cancer is the leading cause of morbidity and mortality worldwide, and the incidence and mortality for women from cancer are projected to increase over the coming decades. Gynecologic cancer outcomes are improved when women are cared for by a gynecologic oncologist; however, there are limited specialized providers in LMICs. Increasing interest and involvement from specialists in the United States will improve partnerships abroad and the care of women worldwide.
To summarize the importance of global gynecologic oncology care and the current data for US trainees in obstetrics and gynecology to participate in clinical and capacity-building opportunities.
We performed a PubMed literature search for articles pertaining to the topic of global health education in obstetrics and gynecology and gynecologic oncology specifically.
Many obstetric and gynecologic residency programs offer international opportunities, but these are less than those in other specialties and are more frequently focused in obstetrics. Many gynecologic oncology fellowship programs offer international experiences for fellows; however, the time and resources required are limited. Several US and international programs are ongoing to improve capacity building for gynecologic oncology in LMICs with local trainees.
Training and care in gynecologic oncology care worldwide are improving through efforts at multiple levels. Continued efforts are needed to improve US trainee international education and experience.
中低收入国家（LMICs）的女性负责家庭的稳定。儿童的生存与母亲的健康和幸福直接相关。癌症是全世界发病率和死亡率的主要原因，预计未来几十年，女性癌症的发病率和死亡率将会增加。当女性由妇科肿瘤学家护理时，妇科癌症的预后会得到改善；然而，LMICs 中专门的提供者有限。美国专家的兴趣和参与度的增加将改善国外的合作伙伴关系和全球女性的护理。
总结全球妇科肿瘤学护理的重要性，以及目前妇产科和妇科肿瘤学美国受训者参与临床和能力建设机会的数据。
我们在 PubMed 上进行了与妇产科和妇科肿瘤学全球健康教育主题相关的文献检索。
许多妇产科住院医师培训计划提供国际机会，但这些机会少于其他专业，并且更常集中在产科。许多妇科肿瘤学奖学金计划为研究员提供国际经验；然而，所需的时间和资源是有限的。有几个美国和国际项目正在进行中，旨在通过当地学员为 LMICs 建立妇科肿瘤学能力建设。
通过多个层面的努力，全球妇科肿瘤学护理的培训和护理正在得到改善。需要继续努力，以改善美国受训者的国际教育和经验。
