Literature DB >> 24612624

Evaluating international global health collaborations: perspectives from surgery and anesthesia trainees in Uganda.

Alex E Elobu1, Andrew Kintu2, Moses Galukande2, Sam Kaggwa2, Cephas Mijjumbi2, Joseph Tindimwebwa2, Anthony Roche2, Gerald Dubowitz2, Doruk Ozgediz2, Michael Lipnick2.   

Abstract

BACKGROUND: The number of international academic partnerships and global health programs is expanding rapidly worldwide. Although the benefits of such programs to visiting international partners have been well documented, the perceived impacts on host institutions in resource-limited settings have not been assessed adequately. We sought to describe the perspectives of postgraduate, Ugandan trainees toward international collaborations and to discuss how these perceptions can be used to increase the positive impact of international collaborations for the host institution.
METHODS: We conducted a descriptive, cross-sectional survey among anesthesia and surgery trainees at Makerere College of Health Sciences (Kampala, Uganda) using a pretested, self-administered questionnaire. Data were summarized as means or medians where applicable; otherwise, descriptive statistical analyses were performed.
RESULTS: Of 43 eligible trainees, 77% completed the questionnaire. The majority (75%) agreed that visiting groups improve their training, mostly through skills workshops and specialist camps. A substantial portion of trainees reported that international groups had a neutral or negative impact on patient care (40%). Only 15% agreed that research projects conducted by international groups are in priority areas for Uganda. Among those surveyed, 28% reported participation in these projects, but none has published as a coauthor. Nearly one-third of trainees (31%) reported discomfort with the ethics of some clinical decisions made by visiting faculty.
CONCLUSION: The current perspective from the surgery and anesthesia trainees of Makerere College of Health Sciences demonstrates rich ground for leveraging international collaborations to improve training, primarily through skills workshops, specialist camps, and more visiting faculty involvement. This survey also identified potential challenges in collaborative research and ethical dilemmas that warrant further examination.
Copyright © 2013 Mosby, Inc. All rights reserved.

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Year:  2013        PMID: 24612624     DOI: 10.1016/j.surg.2013.11.007

Source DB:  PubMed          Journal:  Surgery        ISSN: 0039-6060            Impact factor:   3.982


  24 in total

1.  Global Health Opportunities in Obstetrics and Gynecology Training: Examining Engagement Through an Ethical Lens.

Authors:  Mohammad Y Zaidi; Lisa Haddad; Eva Lathrop
Journal:  Am J Trop Med Hyg       Date:  2015-08-31       Impact factor: 2.345

2.  Ethics in Global Pediatric Surgery: Existing Dilemmas and Emerging Challenges.

Authors:  Aaron J Cunningham; Caroline Q Stephens; Emmanuel A Ameh; Philip Mshelbwala; Benedict Nwomeh; Sanjay Krishnaswami
Journal:  World J Surg       Date:  2019-06       Impact factor: 3.352

3.  A model for global surgical training and capacity development: the Children's of Alabama-Viet Nam pediatric neurosurgery partnership.

Authors:  Faizal A Haji; Jacob R Lepard; Matthew C Davis; Nguyen Duc Lien; Dang Do Thanh Can; Cao Vu Hung; Le Nam Thang; Brandon G Rocque; James M Johnston
Journal:  Childs Nerv Syst       Date:  2020-07-27       Impact factor: 1.475

Review 4.  Systematic Review of Postgraduate Surgical Education in Low- and Middle-Income Countries.

Authors:  Jennifer Rickard
Journal:  World J Surg       Date:  2016-06       Impact factor: 3.352

5.  Short- and Long-Term Outcomes of Student Field Research Experiences in Special Populations.

Authors:  Amr S Soliman; Robert M Chamberlain
Journal:  J Cancer Educ       Date:  2016-06       Impact factor: 2.037

Review 6.  Postgraduate Medical Education in Sub-Saharan Africa: A Scoping Review Spanning 26 Years and Lessons Learned.

Authors:  Zohray Talib; Lalit Narayan; Thomas Harrod
Journal:  J Grad Med Educ       Date:  2019-08

Review 7.  Ten Global Surgical Care Statements for Children: examining our commitment to the future.

Authors:  Vivian W L Tsang; Lerly H Luo; Phyllis Kisa; Geoffrey K Blair
Journal:  Pediatr Surg Int       Date:  2021-03-10       Impact factor: 1.827

8.  American Medical Trainee Perspectives on Ethical Conflicts during a Short-Term Global Health Rotation in Ethiopia: A Qualitative Analysis of 30 Cases.

Authors:  Chelsea E Modlin; Andrea C Vilorio; Benjamin Stoff; Dawn L Comeau; Tewodros H Gebremariam; Miliard Derbew; Henry M Blumberg; Carlos Del Rio; Russell R Kempker
Journal:  Am J Trop Med Hyg       Date:  2021-11-01       Impact factor: 2.345

9.  Prioritizing Surgical Care on National Health Agendas: A Qualitative Case Study of Papua New Guinea, Uganda, and Sierra Leone.

Authors:  Anna J Dare; Katherine C Lee; Josh Bleicher; Alex E Elobu; Thaim B Kamara; Osborne Liko; Samuel Luboga; Akule Danlop; Gabriel Kune; Lars Hagander; Andrew J M Leather; Gavin Yamey
Journal:  PLoS Med       Date:  2016-05-17       Impact factor: 11.069

10.  Unpicking the Gordian knot: a systems approach to traumatic brain injury care in low-income and middle-income countries.

Authors:  Tom Bashford; P John Clarkson; David K Menon; Peter J A Hutchinson
Journal:  BMJ Glob Health       Date:  2018-03-25
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