ArticleWorld journal of surgery2019
Increasing and Retaining African Surgeons Working in Rural Hospitals: An Analysis of PAACS Surgeons with Twenty-Year Program Follow-Up.
Article in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Retention of general practitioners with compulsory rural areas: evidence from a 5-year prospective cohort study in China.BMJ global health · 2025Article
- Scaling surgical care capacity in Nigeria: a narrative review of current practices and innovations in rural surgical workforce development.BMC surgery · 2025Review
- The Evolution of the Specialist Surgeon Workforce in East, Central and Southern Africa.World journal of surgery · 2025Article
- Establishment of Mongolia's first independent and sustainable minimally invasive general thoracic surgery program: A Mongolian-Canadian initiative.JTCVS open · 2024Article
- A plea for urgent action: Addressing the critical shortage of cardiothoracic surgical workforce in the COSECSA region.World journal of surgery · 2024Article
- Laparoscopy experience in East, Central, and Southern Africa: insights from operative case volume analysis.Surgical endoscopy · 2024Article
- Case Volumes, Variations, and Challenges for General Surgery Training in the East, Central, and Southern African Sub-Region: Heterogeneity and Challenges as COSECSA Concludes Its First Twenty-Four Years.World journal of surgery · 2023Article
- Operative Case Volumes and Variation for General Surgery Training in East, Central, and Southern Africa.World journal of surgery · 2023Article
- National Surgical Healthcare Policy Development and Implementation: Where do We Stand in Africa?World journal of surgery · 2023Article
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- Possible relationship between rural surgical rotations during a residency period and an increased number of general surgeons in rural areas: a systematic review.Journal of rural medicine : JRM · 2023Article
- Gastrointestinal endoscopy experience of surgical trainees throughout rural Africa.Surgical endoscopy · 2021Article
- Strategies for Improving Quality and Safety in Global Health: Lessons From Nontechnical Skills for Surgery Implementation in Rwanda.Global health, science and practice · 2021Article
- The Role of Family Medicine Training in Addressing Workforce Challenges in Rural Liberia - Early Implementation Experience.Annals of global health · 2021Article
- Operative Case Volume Minimums Necessary for Surgical Training Throughout Rural Africa.World journal of surgery · 2020Article
- Context Matters: Findings from a Qualitative Study Exploring Service and Place Factors Influencing the Recruitment and Retention of Allied Health Professionals in Rural Australian Public Health Services.International journal of environmental research and public health · 2020Article
- Surgical Training Throughout Africa: A Review of Operative Case Volumes at Multiple Training Centers.World journal of surgery · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAfrican surgical workforce needs are significant, with largest disparities existing in rural settings. Pan-African Academy of Christian Surgeons (PAACS), a primarily rural-based general surgery training program, has published successes in producing rural African surgeons; however, long-term follow-up data are unreported. The goal of our study was to define characteristics of PAACS alumni surgeons working in rural hospitals, documenting successes and illuminating strategies for trainee recruitment and retention.
methodPAACS' twenty-year surgery residency database was reviewed for 12 programs throughout Africa regarding trainee demographics and graduate outcomes. Characteristics of PAACS' graduate surgeons were further analyzed with a 42-question survey.
resultsAmong active PAACS graduates, 100% practice in Africa and 79% within their home country. PAACS graduates had 51% short-term and 35% long-term (beyond 5 years) rural retention rate (less than 50,000 population).
conclusionOur study shows that PAACS general surgery training program has a high retention rate of African surgeons in rural settings compared to all programs reported to date, highlighting a multifaceted, rural-focused approach that could be emulated by surgical training programs worldwide.
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