Department of Surgery, UBC Division of Pediatric Surgery, British Columbia Children's Hospital, University of British Columbia, 4480 Oak St, Vancouver, BC, V6H 3V4, Canada.
Department of Surgery, Makerere University, Kampala, Uganda.
Pediatr Surg Int. 2022 Feb;38(2):269-276. doi: 10.1007/s00383-021-05027-5. Epub 2021 Sep 30.
A popular paradigm to support surgical education for low- and middle-income countries (LMICs) is partnering with high-income country (HIC) surgeons. These relationships may, however, be asymmetric and fail to optimally address the most pressing curricular needs. We explored the effectiveness of our LMIC-HIC educational partnership.
Through a partnership between a HIC (Canada) and a LMIC (Uganda), three candidate surgeons were commissioned for a custom designed 1-year training experience at our HIC accredited pediatric surgical training centre as part of their overall formal education. The training curriculum was developed in collaboration with the LMIC pediatric surgeon and utilized competency-based medical education principles. A Likert and short-answer survey tool was administered to these trainees upon completion of their training.
All prescribed milestones as well as specialty certification by examination of the College of Surgeons of East, Central and Southern Africa was achieved by participating fellows, each of whom have begun clinical practice, leadership and teaching roles in their home country. Although several obstacles were identified by fellows, all agreed that the experience boosted their clinical and teaching abilities, and was worth the effort.
This endeavour in global pediatric surgical training represents a significant innovation in surgical education partnerships and would be reproducible across different surgical subspecialties and contexts. Such collaborative efforts represent a feasible upskilling opportunity towards addressing global surgical service capacity.
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为中低收入国家（LMICs）支持外科教育的一种流行模式是与高收入国家（HIC）的外科医生合作。然而，这些关系可能是不对称的，并不能最佳地满足最紧迫的课程需求。我们探讨了我们的 LMIC-HIC 教育伙伴关系的有效性。
通过 HIC（加拿大）和 LMIC（乌干达）之间的合作，三位候选外科医生受委托在我们的 HIC 认可的儿科外科培训中心进行为期一年的定制培训体验，作为他们整体正规教育的一部分。培训课程是与 LMIC 儿科外科医生合作开发的，并利用基于能力的医学教育原则。在培训结束后，向这些受训者发放了一份李克特量表和简答题调查工具。
所有规定的里程碑以及东、中、南非外科医生学院的专业认证都由参与的研究员完成，他们每个人都在自己的祖国开始了临床实践、领导和教学角色。尽管研究员们发现了一些障碍，但他们都认为这一经历提高了他们的临床和教学能力，值得付出努力。
这项全球儿科外科培训工作代表了外科教育伙伴关系的重大创新，并且可以在不同的外科专业和背景下复制。这种合作努力代表了一种可行的技能提升机会，以解决全球外科服务能力的问题。
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