African head and neck fellowships: A model for a sustainable impact on head and neck cancer care in developing countries
| Autor: | Joyce Aswani, Johannes J. Fagan, Jeffrey Otiti, Diom Es, Mesele Bogale, Kenneth Baidoo, Chege Macharia, Melesse G. Biadgelign, Innocent Kundiona, Victor Mashamba, Mainasara Garba, Anna Konney, Patrick Noah, P A Onakoya, Wayne M. Koch, Rajab M. Mugabo |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Attitude of Health Personnel education Developing country Economic shortage 03 medical and health sciences Otolaryngology 0302 clinical medicine Surveys and Questionnaires Surgical skills medicine Humans Fellowships and Scholarships 030223 otorhinolaryngology Head and neck Developing Countries health care economics and organizations Career Choice business.industry Head and neck cancer Internship and Residency medicine.disease Otorhinolaryngology Head and Neck Neoplasms 030220 oncology & carcinogenesis Family medicine Africa Observational study business |
| Zdroj: | Headneck. 41(6) |
| ISSN: | 1097-0347 |
| Popis: | Background There is an extreme shortage of head and neck surgeons in Africa. Fourteen head and neck surgeons have completed fellowships in Cape Town and Cameroon. This study determines whether such Africa-based fellowships are a good model for developing countries by making a sustainable impact on head and neck cancer care. Methods An observational study was conducted by emailing questionnaires to past fellows. Results All fellows had returned to teaching hospitals in their counties. Seven established new multidisciplinary cancer teams. Head and neck operations had increased by >335%, as had complexity of the surgery. There was effective transfer of surgical skills to trainees. All considered head and neck fellowships to be the best model to grow head and neck care. Conclusion Head and neck fellowships in developing countries are effective models for establishing training programs and for increasing provision of specialized surgical services in a sustainable fashion. |
| Databáze: | OpenAIRE |
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