Evidence map›Paper›PMID 34591153›Full record

ArticlePediatric surgery international2022

Training low-middle-income (LMIC) pediatric surgeons in a high-income country (HIC) program.

Robert Baird, Phyllis Kisa, Arlene Muzira, Anne S Wesonga, John Sekabira, Sonia Butterworth, Andrew E MacNeily, Damian Duffy, Geoffrey Blair

Abstract read
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Article in Pediatric surgery international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. A Comparative Study of Cleft Management in Different Economic Settings: United States Versus Guatemala.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Article
  2. Progress and Prospects in Otorhinolaryngology-Head and Neck Surgery in Ethiopia.World journal of otorhinolaryngology - head and neck surgery · 2026
    Article
  3. Review
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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

9 authors.

Robert BairdDepartment of Surgery, UBC Division of Pediatric Surgery, British Columbia Children's Hospital, University of British Columbia, 4480 Oak St, Vancouver, BC, V6H 3V4, Canada. Robert.baird@cw.bc.ca.ORCID http://orcid.org/0000-0002-2013-1150
Phyllis KisaDepartment of Surgery, Makerere University, Kampala, Uganda.
Arlene MuziraDepartment of Surgery, Makerere University, Kampala, Uganda.
Anne S WesongaDepartment of Surgery, Makerere University, Kampala, Uganda.
John SekabiraDepartment of Surgery, Mulago National Referral Hospital, Kampala, Uganda.
Sonia ButterworthDepartment of Surgery, UBC Division of Pediatric Surgery, British Columbia Children's Hospital, University of British Columbia, 4480 Oak St, Vancouver, BC, V6H 3V4, Canada.
Andrew E MacNeilyDivision of Pediatric Urology, Department of Urologic Sciences, University of British Columbia, Vancouver, Canada.
Damian DuffyDepartment of Surgery, UBC Division of Pediatric Surgery, British Columbia Children's Hospital, University of British Columbia, 4480 Oak St, Vancouver, BC, V6H 3V4, Canada.
Geoffrey BlairDepartment of Surgery, UBC Division of Pediatric Surgery, British Columbia Children's Hospital, University of British Columbia, 4480 Oak St, Vancouver, BC, V6H 3V4, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA popular paradigm to support surgical education for low- and middle-income countries (LMICs) is partnering with high-income country (HIC) surgeons. These relationships may, however, be asymmetric and fail to optimally address the most pressing curricular needs. We explored the effectiveness of our LMIC-HIC educational partnership.

methodsThrough a partnership between a HIC (Canada) and a LMIC (Uganda), three candidate surgeons were commissioned for a custom designed 1-year training experience at our HIC accredited pediatric surgical training centre as part of their overall formal education. The training curriculum was developed in collaboration with the LMIC pediatric surgeon and utilized competency-based medical education principles. A Likert and short-answer survey tool was administered to these trainees upon completion of their training.

resultsAll prescribed milestones as well as specialty certification by examination of the College of Surgeons of East, Central and Southern Africa was achieved by participating fellows, each of whom have begun clinical practice, leadership and teaching roles in their home country. Although several obstacles were identified by fellows, all agreed that the experience boosted their clinical and teaching abilities, and was worth the effort.

conclusionThis endeavour in global pediatric surgical training represents a significant innovation in surgical education partnerships and would be reproducible across different surgical subspecialties and contexts. Such collaborative efforts represent a feasible upskilling opportunity towards addressing global surgical service capacity. LEVEL OF EVIDENCE: V.

Indexed as

Developing CountriesSurgeonsChildHumansPovertySurveys and QuestionnairesUgandaEducationGlobal surgeryPediatric surgeryTraining

Identifiers

PMID34591153

What OpenQuestion holds

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Registered trials

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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.