Surgical residency training in the mission setting: current status and future directions
Surgery has traditionally been an important aspect of services offered by mission hospitals, but only in the last 20 years has surgical residency training been incorporated into the mission hospital setting. A working group of surgical educators met in conjunction with the Global Missions Health Conference in November 2015 and discussed the current status of surgical training in the mission setting. This paper outlines the current status and makes recommendations for mission groups who are contemplating starting a residency training program. Potential difficulties and the importance of regional recognition of the program are discussed. The work group felt that it was important to include a strong spiritual emphasis as part of the training. Future directions and the concern about employment opportunities are explored.
Kakande I, Mkandawire N, Thompson MIW. A review of surgical capacity and surgical education programmes in the COSECSA region. East and Central African Journal of Surgery 2011; 16:6-34.
Bode, CO, Nwawolo CC, Giwa-Osagie OF. Surgical education at the West African College of Surgeons. World Journal of Surgery 2009;32(10):2162-2166.
Price R, Makasa E, Hollands M. World Health Assembly Resolution WHA68.15: “Strengthening Emergency and Essential Surgical Care and Anesthesia as a Component of Universal Health Coverage”—Addressing the Public Health Gaps Arising from Lack of Safe, Affordable and Accessible Surgical and. World J Surg. Springer International Publishing; 2015;39(9):2115–25.
Mock CN, Donkor P, et al. Essential surgery: key messages from Disease Control Priorities, 3rd edition, Lancet 2015;385(9983):2209-2219.
Botman M, Meester RJ, Voorhoeve R, Mothes H, Henry JA, Cotton MH, et al. The Amsterdam Declaration on Essential Surgical Care. World J Surg. Springer International Publishing; 2015; 39:1335–40.
Meara JG, Leather AJM, Hagander L, Alkire BC, Alonso N, Ameh EA, et al. Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lance. 2015; 6736(15):569–624.
Koplan JP, Bond TC, Merson MH, Reddy KS, Rodriguez MH, Sewankambo NK, et al. Towards a common definition of global health. Lancet. 2009;373(9679):1993–5.
Pollock JD, Love TP, Steffes BC, Thompson DC, Mellinger J, Haisch C. Is it possible to train surgeons for rural Africa? A report of a successful international program. World J Surg 2011;35(3):493–9.
Surgical Care at the District Hospital, World Health Organization 2003, ISBN 92 4 154575 5
Lockyer, JM, Hodgson, CS, et al, Clinical teaching as part of continuing professional development: Does teaching enhance clinical performance? Med Teach 2016;38(8):815-822.
Christian Journal for Global Health applies the Creative Commons Attribution License to all articles that we publish. Under this license, authors retain ownership of copyright for their articles or they can transfer copyright to their institution, but authors allow anyone without permission to copy, distribute, transmit, and/or adapt articles, even for commercial purposes so long as the original authors and Christian Journal for Global Health are appropriately cited.
This work is licensed under a Creative Commons Attribution 4.0 International License.