Johannes J Fagan1, Mark Zafereo2, Joyce Aswani3, James L Netterville4, Wayne Koch5. 1. Division of Otorhinolaryngology, Faculty of Health Sciences, University of Cape Town, South Africa. 2. Department of Head and Neck Surgery, University of Texas MD, Anderson Cancer Center, Houston, Texas. 3. Department of Surgery, College of Health Sciences, University of Nairobi, Nairobi, Kenya. 4. Department of Head and Neck Surgery, Vanderbilt Bill Wilkerson Center, Nashville, Tennessee. 5. Department of Otolaryngology - Head and Neck Surgery, Johns Hopkins Head and Neck Cancer Center, Baltimore, Maryland.
Abstract
BACKGROUND: Cancer poses a health crisis in the developing world where surgery is the mainstay of treatment for head and neck cancers. However, a shortage of surgeons with appropriate skills exists. How do we train head and neck surgeons in developing countries and avoid a brain drain? The ideal model provides appropriate affordable training leading to establishment of head and neck cancer centers that teach and train others. METHODS: Different head and neck surgery training models are presented based on the personal experiences of the authors. Surgical exposure of head and neck fellows in Cape Town and (potentially) in Nairobi is benchmarked against programs in the United States. RESULTS: Surgical exposure in Cape Town is equivalent to that in the United States, but more appropriate to a developing world setting. CONCLUSION: Training can be achieved in a number of ways, which may be complimentary. Fellowship training is possible in developing countries.
BACKGROUND:Cancer poses a health crisis in the developing world where surgery is the mainstay of treatment for head and neck cancers. However, a shortage of surgeons with appropriate skills exists. How do we train head and neck surgeons in developing countries and avoid a brain drain? The ideal model provides appropriate affordable training leading to establishment of head and neck cancer centers that teach and train others. METHODS: Different head and neck surgery training models are presented based on the personal experiences of the authors. Surgical exposure of head and neck fellows in Cape Town and (potentially) in Nairobi is benchmarked against programs in the United States. RESULTS: Surgical exposure in Cape Town is equivalent to that in the United States, but more appropriate to a developing world setting. CONCLUSION: Training can be achieved in a number of ways, which may be complimentary. Fellowship training is possible in developing countries.
Authors: Laura W J Baijens; Margaret Walshe; Leena-Maija Aaltonen; Christoph Arens; Reinie Cordier; Patrick Cras; Lise Crevier-Buchman; Chris Curtis; Wojciech Golusinski; Roganie Govender; Jesper Grau Eriksen; Kevin Hansen; Kate Heathcote; Markus M Hess; Sefik Hosal; Jens Peter Klussmann; C René Leemans; Denise MacCarthy; Beatrice Manduchi; Jean-Paul Marie; Reza Nouraei; Claire Parkes; Christina Pflug; Walmari Pilz; Julie Regan; Nathalie Rommel; Antonio Schindler; Annemie M W J Schols; Renee Speyer; Giovanni Succo; Irene Wessel; Anna C H Willemsen; Taner Yilmaz; Pere Clavé Journal: Eur Arch Otorhinolaryngol Date: 2020-12-19 Impact factor: 2.503
Authors: Asitha D L Jayawardena; Ashley M Nassiri; Dylan A Levy; Vienna Valeriani; Alison J Kemph; Charissa N Kahue; Nathaniel Segaren; Robert F Labadie; Marc L Bennett; Carl A Elisée; James L Netterville Journal: Laryngoscope Investig Otolaryngol Date: 2020-02-12