Evidence map›Paper›PMID 42020101›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Core competencies for global surgery training: a scoping review.

Roy A Hilzenrat, Rachel J Livergant, Catherine J Binda, Jayd Adams, Allison Chhor, Adrianna Paiero-Keeler, Jo-Anne Petropoulos, Helen Hsiao, Faizal Haji, Esther Anne Chin

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Roy A HilzenratFrom the Global Surgery Lab, Branch for Global Surgical Care, Department of Surgery, University of British Columbia, Vancouver, BC (Hilzenrat, Livergant, Binda, Adams, Chhor, Paiero-Keeler, Hsiao, Haji, Chin); the Division of Thoracic Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Hilzenrat); the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC (Livergant); the Division of General Surgery, Department of Surgery, University of Ottawa, Ottawa, Ont. (Binda); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Chhor); the Faculty of Medicine, University of British Columbia, Vancouver, BC (Paiero-Keeler); the Health Sciences Library, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Petropoulos); the Department of Surgery, British Columbia Children's Hospital, Vancouver, BC (Haji); the Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, BC (Haji); the Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ont. (Chin) royhil@student.ubc.ca.
Rachel J LivergantFrom the Global Surgery Lab, Branch for Global Surgical Care, Department of Surgery, University of British Columbia, Vancouver, BC (Hilzenrat, Livergant, Binda, Adams, Chhor, Paiero-Keeler, Hsiao, Haji, Chin); the Division of Thoracic Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Hilzenrat); the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC (Livergant); the Division of General Surgery, Department of Surgery, University of Ottawa, Ottawa, Ont. (Binda); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Chhor); the Faculty of Medicine, University of British Columbia, Vancouver, BC (Paiero-Keeler); the Health Sciences Library, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Petropoulos); the Department of Surgery, British Columbia Children's Hospital, Vancouver, BC (Haji); the Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, BC (Haji); the Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ont. (Chin).
Catherine J BindaFrom the Global Surgery Lab, Branch for Global Surgical Care, Department of Surgery, University of British Columbia, Vancouver, BC (Hilzenrat, Livergant, Binda, Adams, Chhor, Paiero-Keeler, Hsiao, Haji, Chin); the Division of Thoracic Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Hilzenrat); the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC (Livergant); the Division of General Surgery, Department of Surgery, University of Ottawa, Ottawa, Ont. (Binda); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Chhor); the Faculty of Medicine, University of British Columbia, Vancouver, BC (Paiero-Keeler); the Health Sciences Library, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Petropoulos); the Department of Surgery, British Columbia Children's Hospital, Vancouver, BC (Haji); the Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, BC (Haji); the Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ont. (Chin).
Jayd AdamsFrom the Global Surgery Lab, Branch for Global Surgical Care, Department of Surgery, University of British Columbia, Vancouver, BC (Hilzenrat, Livergant, Binda, Adams, Chhor, Paiero-Keeler, Hsiao, Haji, Chin); the Division of Thoracic Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Hilzenrat); the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC (Livergant); the Division of General Surgery, Department of Surgery, University of Ottawa, Ottawa, Ont. (Binda); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Chhor); the Faculty of Medicine, University of British Columbia, Vancouver, BC (Paiero-Keeler); the Health Sciences Library, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Petropoulos); the Department of Surgery, British Columbia Children's Hospital, Vancouver, BC (Haji); the Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, BC (Haji); the Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ont. (Chin).
Allison ChhorFrom the Global Surgery Lab, Branch for Global Surgical Care, Department of Surgery, University of British Columbia, Vancouver, BC (Hilzenrat, Livergant, Binda, Adams, Chhor, Paiero-Keeler, Hsiao, Haji, Chin); the Division of Thoracic Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Hilzenrat); the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC (Livergant); the Division of General Surgery, Department of Surgery, University of Ottawa, Ottawa, Ont. (Binda); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Chhor); the Faculty of Medicine, University of British Columbia, Vancouver, BC (Paiero-Keeler); the Health Sciences Library, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Petropoulos); the Department of Surgery, British Columbia Children's Hospital, Vancouver, BC (Haji); the Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, BC (Haji); the Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ont. (Chin).
Adrianna Paiero-KeelerFrom the Global Surgery Lab, Branch for Global Surgical Care, Department of Surgery, University of British Columbia, Vancouver, BC (Hilzenrat, Livergant, Binda, Adams, Chhor, Paiero-Keeler, Hsiao, Haji, Chin); the Division of Thoracic Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Hilzenrat); the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC (Livergant); the Division of General Surgery, Department of Surgery, University of Ottawa, Ottawa, Ont. (Binda); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Chhor); the Faculty of Medicine, University of British Columbia, Vancouver, BC (Paiero-Keeler); the Health Sciences Library, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Petropoulos); the Department of Surgery, British Columbia Children's Hospital, Vancouver, BC (Haji); the Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, BC (Haji); the Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ont. (Chin).
Jo-Anne PetropoulosFrom the Global Surgery Lab, Branch for Global Surgical Care, Department of Surgery, University of British Columbia, Vancouver, BC (Hilzenrat, Livergant, Binda, Adams, Chhor, Paiero-Keeler, Hsiao, Haji, Chin); the Division of Thoracic Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Hilzenrat); the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC (Livergant); the Division of General Surgery, Department of Surgery, University of Ottawa, Ottawa, Ont. (Binda); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Chhor); the Faculty of Medicine, University of British Columbia, Vancouver, BC (Paiero-Keeler); the Health Sciences Library, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Petropoulos); the Department of Surgery, British Columbia Children's Hospital, Vancouver, BC (Haji); the Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, BC (Haji); the Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ont. (Chin).
Helen HsiaoFrom the Global Surgery Lab, Branch for Global Surgical Care, Department of Surgery, University of British Columbia, Vancouver, BC (Hilzenrat, Livergant, Binda, Adams, Chhor, Paiero-Keeler, Hsiao, Haji, Chin); the Division of Thoracic Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Hilzenrat); the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC (Livergant); the Division of General Surgery, Department of Surgery, University of Ottawa, Ottawa, Ont. (Binda); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Chhor); the Faculty of Medicine, University of British Columbia, Vancouver, BC (Paiero-Keeler); the Health Sciences Library, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Petropoulos); the Department of Surgery, British Columbia Children's Hospital, Vancouver, BC (Haji); the Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, BC (Haji); the Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ont. (Chin).
Faizal HajiFrom the Global Surgery Lab, Branch for Global Surgical Care, Department of Surgery, University of British Columbia, Vancouver, BC (Hilzenrat, Livergant, Binda, Adams, Chhor, Paiero-Keeler, Hsiao, Haji, Chin); the Division of Thoracic Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Hilzenrat); the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC (Livergant); the Division of General Surgery, Department of Surgery, University of Ottawa, Ottawa, Ont. (Binda); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Chhor); the Faculty of Medicine, University of British Columbia, Vancouver, BC (Paiero-Keeler); the Health Sciences Library, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Petropoulos); the Department of Surgery, British Columbia Children's Hospital, Vancouver, BC (Haji); the Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, BC (Haji); the Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ont. (Chin).
Esther Anne ChinFrom the Global Surgery Lab, Branch for Global Surgical Care, Department of Surgery, University of British Columbia, Vancouver, BC (Hilzenrat, Livergant, Binda, Adams, Chhor, Paiero-Keeler, Hsiao, Haji, Chin); the Division of Thoracic Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Hilzenrat); the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC (Livergant); the Division of General Surgery, Department of Surgery, University of Ottawa, Ottawa, Ont. (Binda); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Chhor); the Faculty of Medicine, University of British Columbia, Vancouver, BC (Paiero-Keeler); the Health Sciences Library, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Petropoulos); the Department of Surgery, British Columbia Children's Hospital, Vancouver, BC (Haji); the Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, BC (Haji); the Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ont. (Chin).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite calls from various global organizations for increased attention to global surgery, guidance on developing effective curricula is lacking. In this scoping review, we aimed to outline the necessary learning objectives and competencies for establishing sustainable, equitable, and noncolonialist academic global surgery programs.

methodsThis review followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews. We used key terms to search 5 electronic databases and conducted a comprehensive grey literature search to identify universities, medical programs, and organizations offering academic global surgery programs. We categorized curricular objectives extracted from these sources into the 11 domains of global health defined by the Consortium of Universities on Global Health. We employed thematic analysis to further categorize these objectives into unique themes within each domain.

resultsWe found a total of 43 studies and 61 programs through database and grey literature searches, respectively. These sources yielded 333 unique curricular objectives, which we analyzed thematically, revealing 41 unique themes spanning various neglected areas in global surgery, such as Indigenous health, environments, chronic diseases, technology, and underserved populations like refugees, urban populations of low socioeconomic status, and racial and ethnic minority groups.

conclusionThis review outlines essential skills for effective engagement in modern global surgical care, emphasizing the emergence of nontraditional themes like bidirectional partnerships, sustainability, and self-governance over mission-based approaches. Integrating these forward-looking themes into global surgery curricula is vital for improving global surgical care standards and fostering a skilled, globally aware workforce.

Indexed as

Clinical CompetenceCurriculumGeneral SurgeryGlobal HealthHumans

Identifiers

PMID42020101
PMCPMC13124241

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LicenceCC BY-NC-ND
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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.