ArticleWorld journal of surgery2011
Is it possible to train surgeons for rural Africa? A report of a successful international program.
Article in World journal of surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed.
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- Winning the Global Surgery War: A Conceptual Framework.Plastic and reconstructive surgery. Global open · 2025Article
- Addressing the state of surgical care In Kenya: challenges, opportunities, and future directions.Annals of medicine and surgery (2012) · 2024Article
- Smart Operating Room in Digestive Surgery: A Narrative Review.Healthcare (Basel, Switzerland) · 2024Review
- Learning curve of laparoscopic appendectomy in a low-resource setting: a cumulative sum analysis of operative length.Surgical endoscopy · 2024Article
- International pediatric surgery partnerships in sub-Saharan Africa: a scoping literature review.Global health action · 2022Article
- Using Network and Complexity Theories to Understand the Functionality of Referral Systems for Surgical Patients in Resource-Limited Settings, the Case of Malawi.International journal of health policy and management · 2022Article
- Leveraging 5G technology for robotic surgery and cancer care.Cancer reports (Hoboken, N.J.) · 2022Review
- Article
- Increasing and Retaining African Surgeons Working in Rural Hospitals: An Analysis of PAACS Surgeons with Twenty-Year Program Follow-Up.World journal of surgery · 2019Article
- Evaluation of a surgical supervision model in three African countries-protocol for a prospective mixed-methods controlled pilot trial.Pilot and feasibility studies · 2019Article
- Incorporation of a Global Surgery Rotation into an Academic General Surgery Residency Program: Impact and Perceptions.World journal of surgery · 2018Article
- The socioeconomic impact of a pediatric ostomy in Uganda: a pilot study.Pediatric surgery international · 2018Article
- Burr-Hole Craniostomy for Chronic Subdural Hematomas by General Surgeons in Rural Kenya.World journal of surgery · 2018Article
- Non-physician clinicians in rural Africa: lessons from the Medical Licentiate programme in Zambia.Human resources for health · 2017Article
- The surgical workforce shortage and successes in retaining surgical trainees in Ethiopia: a professional survey.Human resources for health · 2016Article
- Effect of direct and indirect transfer status on trauma mortality in sub Saharan Africa.Injury · 2016Article
- Quantifying the Disability from Congenital Anomalies Averted Through Pediatric Surgery: A Cross-Sectional Comparison of a Pediatric Surgical Unit in Kenya and Canada.World journal of surgery · 2015Article
- Essential surgery: the way forward.World journal of surgery · 2015Review
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6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe critical shortage of surgeons and access to surgical care in Africa is increasingly being recognized as a global health crisis. Across Africa, there is only one surgeon for every 250,000 people and only one for every 2.5 million of those living in rural areas. Surgical diseases are responsible for approximately 11.2% of the total global burden of disease. Even as the importance of treating surgical disease is being recognized, surgeons in sub-Saharan Africa are leaving rural areas and their countries altogether to practice in more desirable locations.
methodsThe Pan-African Academy of Christian Surgeons (PAACS) was formed in 1997 as a strategic response to this profound need for surgical manpower. It is training surgical residents through a 5-year American competency-based model. Trainees are required to be of African origin and a graduate of a recognized medical school.
resultsTo date, PAACS has established six training programs in four countries. During the 2009-2010 academic year, there were 35 residents in training. A total of 18 general surgeons and one pediatric surgeon have been trained. Two more general surgeons are scheduled to finish training in 2011. Four graduates have gone on to subspecialty training, and the remaining graduates are practicing general surgery in rural and underserved urban centers in Angola, Guinea-Conakry, Ghana, Cameroon, Republic of Congo, Kenya, Ethiopia, and Madagascar.
conclusionsThe PAACS has provided rigorous training for 18 African general surgeons, one of whom has also completed pediatric surgery training. To our knowledge, this is the only international rural-based surgical training program in Africa.
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