Evidence map›Paper›PMID 20100407›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie2010

International surgery: the development of postgraduate surgical training in Guyana.

Brian H Cameron, Madan Rambaran, Deen P Sharma, Robert H Taylor

Open access · greenAbstract read
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 5 pooled it
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 5 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. A systematic review of global surgery partnerships and a proposed framework for sustainability.Canadian journal of surgery. Journal canadien de chirurgie · 2021
    Pooled it
  3. Pooled it
  4. Surgery for Peptic Ulcer Disease in sub-Saharan Africa: Systematic Review of Published Data.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2016
    Pooled it
  5. Pooled it
  6. Article
  7. Article
  8. Design of a Novel Online, Modular, Flipped-classroom Surgical Curriculum for East, Central, and Southern Africa.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022
    Article
  9. An Online, Modular Curriculum Enhances Surgical Education and Improves Learning Outcomes in East, Central, and Southern Africa:Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022
    Article
  10. Article
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  15. Anaesthesia, surgery, obstetrics, and emergency care in Guyana.Journal of epidemiology and global health · 2015
    Article
  16. Surgical training in Guyana: the next generation.Canadian journal of surgery. Journal canadien de chirurgie · 2015
    Article
  17. Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Brian H CameronDepartment of Surgery and Pediatrics, McMaster University, Hamilton, Ont. cameronb@mcmaster.ca
Madan Rambaran
Deen P Sharma
Robert H Taylor
McMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLike many developing countries, Guyana has a severe shortage of surgeons. Rather than rely on overseas training, Guyana developed its own Diploma in Surgery and asked for assistance from the Canadian Association of General Surgeons (CAGS). This paper reviews the initial results of Guyana's first postgraduate training program.

methodsWe assisted with program prerequisites, including needs assessment, proposed curriculum, University of Guyana and Ministry of Health approval, external partnership and funding. We determined the outputs and outcomes of the program after 2 years, and we evaluated the impact of the program through a quantitative/qualitative questionnaire administered to all program participants.

resultsFive residents successfully completed the 2-year program and are working in regional hospitals. Another 9 residents are in the training program. Twenty-four modules or short courses have been facilitated, alternating Guyanese with visiting Canadian surgical faculty members coordinated through CAGS. A postgraduate structure, including an Institute for Health Sciences Education and Surgical Postgraduate Education Committee, has been developed at the Georgetown Public Hospital Corporation (GPHC). An examination structure similar to Canada's has been established. Hospital staff morale is greater, surgical care is more standardized and academic opportunities have been enhanced at GPHC. Four regional hospitals have welcomed the new graduates, and surgical services have already improved. Canadian surgeons have a greater understanding of and commitment to surgical development in low-income countries.

conclusionGuyana has proven that, with visiting faculty assistance, it can mount its own postgraduate training suitable to national needs and will provide a career path to encourage its own doctors to remain and serve their country.

Indexed as

AccreditationCanadaGeneral SurgeryGuyanaHumansInternational CooperationInternship and ResidencyProgram Development

Identifiers

PMID20100407
PMCPMC2810022
OpenAlexW164576726

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.