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Academic Global Surgery Curricula: Current Status and a Call for a More Equitable Approach Publisher Pubmed



Jayaram A1 ; Pawlak N1 ; Kahanu A2 ; Fallah P3 ; Chung H4 ; Valenciarojas N5 ; Abbaslou A6 ; Alseidi A7 ; Ameh EA8 ; Bekele A9, 36 ; Casey K10 ; Chu K11 ; Dempsey R12 ; Dodgion C13 Show All Authors
Authors
  1. Jayaram A1
  2. Pawlak N1
  3. Kahanu A2
  4. Fallah P3
  5. Chung H4
  6. Valenciarojas N5
  7. Abbaslou A6
  8. Alseidi A7
  9. Ameh EA8
  10. Bekele A9, 36
  11. Casey K10
  12. Chu K11
  13. Dempsey R12
  14. Dodgion C13
  15. Jawa R14
  16. Jimenez MF15
  17. Johnson W16
  18. Krishnaswami S17
  19. Kwakye G18
  20. Lane R19
  21. Lakhoo K20
  22. Long K12
  23. Madani K21
  24. Nwariaku F22
  25. Nwomeh B23
  26. Price R24
  27. Roser S25
  28. Rees AB26
  29. Roy N27
  30. Ruzgar NM28
  31. Sacoto H29
  32. Sifri Z30
  33. Starr N7
  34. Swaroop M21
  35. Tarpley M31
  36. Tarpley J32
  37. Terfera G12
  38. Weiser T33
  39. Lipnick M34
  40. Nabukenya M35
  41. Ozgediz D7
  42. Jayaraman S24

Source: Journal of Surgical Research Published:2021


Abstract

Introduction: We aimed to search the literature for global surgical curricula, assess if published resources align with existing competency frameworks in global health and surgical education, and determine if there is consensus around a fundamental set of competencies for the developing field of academic global surgery. Methods: We reviewed SciVerse SCOPUS, PubMed, African Medicus Index, African Journals Online (AJOL), SciELO, Latin American and Caribbean Health Sciences Literature (LILACS) and Bioline for manuscripts on global surgery curricula and evaluated the results using existing competency frameworks in global health and surgical education from Consortium of the Universities for Global Health (CUGH) and Accreditation Council for Graduate Medical Education (ACGME) professional competencies. Results: Our search generated 250 publications, of which 18 were eligible: (1) a total of 10 reported existing competency-based curricula that were concurrent with international experiences, (2) two reported existing pre-departure competency-based curricula, (3) six proposed theoretical competency-based curricula for future global surgery education. All, but one, were based in high-income countries (HICs) and focused on the needs of HIC trainees. None met all 17 competencies, none cited the CUGH competency on “Health Equity and Social Justice” and only one mentioned “Social and Environmental Determinants of Health.” Only 22% (n = 4) were available as open-access. Conclusion: Currently, there is no universally accepted set of competencies on the fundamentals of academic global surgery. Existing literature are predominantly by and for HIC institutions and trainees. Current frameworks are inadequate for this emerging academic field. The field needs competencies with explicit input from LMIC experts to ensure creation of educational resources that are accessible and relevant to trainees from around the world. © 2021 Elsevier Inc.
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