ArticleWorld journal of surgery2018
Are American Surgical Residents Prepared for Humanitarian Deployment?: A Comparative Analysis of Resident and Humanitarian Case Logs.
Article in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Patient Follow-up After Orthopaedic Outreach Trips - Do We Know Whether Patients are Improving?World journal of surgery · 2022Pooled it
- Surgical Procedures Performed by Emergency Medical Teams in Sudden-Onset Disasters: A Systematic Review.World journal of surgery · 2019Pooled it
- SDMPH 10-year Anniversary Conference Modified Delphi Study.Disaster medicine and public health preparedness · 2024Article
- Operative Case Volumes and Variation for General Surgery Training in East, Central, and Southern Africa.World journal of surgery · 2023Article
- A Paradigm Shift from International to Transnational Medical Education.Medical science educator · 2023Article
- Ways to improve surgical outcomes in low- and middle-income countries.Bulletin of the World Health Organization · 2022Article
- Cultural Sensitivity and Ethical Considerations.Clinics in colon and rectal surgery · 2022Review
- Short Message Service-Based Collection of Patient-Reported Outcome Measures on Hand Surgery Global Outreach Trips: A Pilot Feasibility Study.The Journal of hand surgery · 2022Article
- Self-perceived preparedness and training needs of healthcare personnel on humanitarian mission: a pre- and post-deployment survey.World journal of emergency surgery : WJES · 2022Article
- War surgery in Afghanistan: a model for mass causalities in terror attacks?International orthopaedics · 2020Article
- Assessment of Local Health Worker Attitudes toward International Medical Volunteers in Low- and Middle-income Countries: A Global Survey.Journal of epidemiology and global health · 2020Article
- Surgical Training Throughout Africa: A Review of Operative Case Volumes at Multiple Training Centers.World journal of surgery · 2020Article
- South African General Surgeon Preparedness for Humanitarian Disasters.World journal of surgery · 2019Article
- 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
- Authors' Reply: Are American Surgical Residents Prepared for Humanitarian Deployment? A Comparative Analysis of Resident and Humanitarian Case Logs.World journal of surgery · 2019Article
- Letter to the Editor: Are American Surgical Residents Prepared for Humanitarian Deployment? A Comparative Analysis of Resident and Humanitarian Case Logs.World journal of surgery · 2019Article
- Surgery with Limited Resources in Natural Disasters: What Is the Minimum Standard of Care?Current trauma reports · 2018Review
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Authors and funding
7 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEffective humanitarian surgeons require skills in general surgery, OB/GYN, orthopedics, and urology. With increasing specialization, it is unclear whether US general surgery residents are receiving exposure to these disparate fields. We sought to assess the preparedness of graduating American surgical residents for humanitarian deployment.
methodsWe retrospectively analyzed cases performed by American College of Graduate Medical Education general surgery graduates from 2009 to 2015 and cases performed at select Médecins Sans Frontières (MSF) facilities from 2008 to 2012. Cases were categorized by specialty (general surgery, orthopedics, OB/GYN, urology) and compared with Chi-squared testing. Non-operative care including basic wound and drain care was excluded from both data sets.
resultsUS general surgery residents performed 41.3% MSF relevant general surgery cases, 1.9% orthopedic cases, 0.1% OB/GYN cases, and 0.3% urology cases; the remaining 56.4% of cases exceeded the standard MSF scope of care. In comparison, MSF cases were 30.1% general surgery, 21.2% orthopedics, 46.8% OB/GYN, and 1.9% urology. US residents performed fewer OB/GYN cases (p < 0.01) and fewer orthopedic cases (p < 0.01). Differences in general surgery and urology caseloads were not statistically significant. Key procedures in which residents lacked experience included cesarean sections, hysterectomies, and external bony fixation.
conclusionCurrent US surgical training is poorly aligned with typical MSF surgical caseloads, particularly in OB/GYN and orthopedics. New mechanisms for obtaining relevant surgical skills should be developed to better prepare American surgical trainees interested in humanitarian work.
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