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

Autor: Nobhojit Roy, Benedict C. Nwomeh, Randeep S. Jawa, Fiemu E. Nwariaku, Hernan Sacoto, Thomas G. Weiser, Girma Terfera, Sanjay Krishnaswami, Kathleen M. Casey, María Fernanda Jiménez, Doruk Ozgediz, Parisa Nicole Fallah, Raymond R. Price, Robert J. Dempsey, Kokila Lakhoo, Kathryn Chu, Abebe Bekele, Edgar B. Rodas, Michael S Lipnick, Mary T. Nabukenya, Robert Lane, Margaret J. Tarpley, Nensi M. Ruzgar, Gifty Kwakye, Sudha Jayaraman, Kristin L. Long, Emmanuel A. Ameh, Andrew B. Rees, John Tarpley, Walt Johnson, Haniee Chung, Nancy Valencia-Rojas, Steven M. Roser, Mamta Swaroop, Anusha Jayaram, Adnan Alseidi, Christopher M. Dodgion, Alexis Kahanu, Natalie Pawlak, Ahmadreza Abbaslou, Katayoun Madani, Nicole Starr, Ziad C. Sifri
Rok vydání: 2021
Předmět:
Zdroj: Journal of Surgical Research. 267:732-744
ISSN: 0022-4804
Popis: 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 two 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.
Databáze: OpenAIRE