Department of Surgery, Bir Hospital, National Academy of Medical Sciences, Kathmandu, Nepal.
International Society of Surgery, Zurich, Switzerland.
World J Surg. 2020 May;44(5):1400-1411. doi: 10.1007/s00268-019-05342-y.
There is a huge difference in the standard of surgical training in different countries around the world. The disparity is more obvious in the various models of surgical training in low- and middle-income countries (LMICs) compared to high-income countries. Although the global training model of surgeons is evolving from an apprenticeship model to a competency-based model with additional training using simulation, the training of surgeons in LMICs still lacks a standard pathway of training.
This is a qualitative, descriptive, and collaborative study conducted in six LMICs across Asia, Africa, and South America. The data were collected on the status of surgical education in these countries as per the guidelines designed for the ASSURED project along with plans for quality improvement in surgical education in these countries.
The training model in these selected LMICs appears to be a hybrid of the standard models of surgical training. The training models were tailored to the country's need, but many fail to meet international standards. There are many areas identified that can be addressed in order to improve the quality of surgical education in these countries.
Many areas need to be improved for a better quality of surgical training in LMICs. There is a need of financial, technical, and research support for the improvement in these models of surgical education in LMICs.
世界各国的外科培训标准存在巨大差异。与高收入国家相比，中低收入国家（LMICs）的各种外科培训模式之间的差距更为明显。尽管外科医生的全球培训模式正在从学徒制模式向基于能力的模式发展，并通过模拟进行额外培训，但 LMIC 国家的外科医生培训仍然缺乏标准的培训途径。
这是一项在亚洲、非洲和南美洲的六个 LMIC 国家进行的定性、描述性和协作研究。根据 ASSURED 项目设计的准则，按照这些国家外科教育的现状收集数据，并制定了这些国家外科教育质量改进计划。
这些选定的 LMIC 国家的培训模式似乎是外科培训标准模式的混合体。培训模式根据国家的需求进行了调整，但许多模式仍未能达到国际标准。为了提高这些国家的外科教育质量，确定了许多需要解决的领域。
为了提高 LMIC 国家的外科培训质量，许多领域需要改进。需要在财政、技术和研究方面提供支持，以改进这些 LMIC 国家的外科教育模式。
