TY - JOUR
T1 - Academic Global Surgery Curricula
T2 - Current Status and a Call for a More Equitable Approach
AU - Jayaram, Anusha
AU - Pawlak, Natalie
AU - Kahanu, Alexis
AU - Fallah, Parisa
AU - Chung, Haniee
AU - Valencia-Rojas, Nancy
AU - Rodas, Edgar B.
AU - Abbaslou, Ahmadreza
AU - Alseidi, Adnan
AU - Ameh, Emmanuel A.
AU - Bekele, Abebe
AU - Casey, Kathleen
AU - Chu, Kathryn
AU - Dempsey, Robert
AU - Dodgion, Chris
AU - Jawa, Randeep
AU - Jimenez, Maria F.
AU - Johnson, Walt
AU - Krishnaswami, Sanjay
AU - Kwakye, Gifty
AU - Lane, Robert
AU - Lakhoo, Kokila
AU - Long, Kristin
AU - Madani, Katayoun
AU - Nwariaku, Fiemu
AU - Nwomeh, Benedict
AU - Price, Raymond
AU - Roser, Steven
AU - Rees, Andrew B.
AU - Roy, Nobhojit
AU - Ruzgar, Nensi Melissa
AU - Sacoto, Hernan
AU - Sifri, Ziad
AU - Starr, Nichole
AU - Swaroop, Mamta
AU - Tarpley, Margaret
AU - Tarpley, John
AU - Terfera, Girma
AU - Weiser, Thomas
AU - Lipnick, Michael
AU - Nabukenya, Mary
AU - Ozgediz, Doruk
AU - Jayaraman, Sudha
N1 - Publisher Copyright:
© 2021 Elsevier Inc.
PY - 2021/11
Y1 - 2021/11
N2 - 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.
AB - 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.
KW - Academic surgery
KW - Global health
KW - Global surgery
KW - Low-and middle-income countries
KW - Research
KW - Surgical education
UR - http://www.scopus.com/inward/record.url?scp=85114226527&partnerID=8YFLogxK
U2 - 10.1016/j.jss.2021.03.061
DO - 10.1016/j.jss.2021.03.061
M3 - Artículo de revisión
C2 - 34905823
AN - SCOPUS:85114226527
SN - 0022-4804
VL - 267
SP - 732
EP - 744
JO - Journal of Surgical Research
JF - Journal of Surgical Research
ER -