- 作者：Jessica A. Cintolo-Gonzalez ; MD⁎ ; jessica.cintolo@gmail.com" class="auth_mail" title="E-mail the corresponding author ; JCINTOLO-GONZALEZ@partners.org" class="auth_mail" title="E-mail the corresponding author ; Alemayehu Ginbo Bedada ; MD&dagger ; ; Jon Morris ; MD⁎ ; Georges Azzie ; MD&Dagger ;
- 关键词：global surgery ; international electives ; systems-based practice ; global health
- 刊名：Journal of Surgical Education
- 出版年：2016
- 出版时间：March-April 2016
- 年：2016
- 卷：73
- 期：2
- 页码：355-359
- 全文大小：107 K
Design
This elective is a month-long rotation in which senior surgical residents participate in patient care as part of a surgical team in the main tertiary and teaching hospital in Gaborone, the capital city of Botswana. Clinical experience is combined with formal readings and educational sessions, with the attending surgeon supervising the program to develop a systems-based curriculum that contextualizes the clinical experience. A formal debriefing and written reflections by the residents at the conclusion of the rotation are used to qualitatively assess resident development and insight into systems-based international surgical practice.
Setting
Princess Marina Hospital, Gaborone, Botswana.
Participants
General surgery residents in their fourth clinical year of training.
Results
Our elective met important requirements outlined in the literature for foreign practice, including adequate supervision of the American trainees and care to not detract from local trainees’ educational experience. Residents’ debriefing and written reflections demonstrated an increased understanding of systems-based practice and awareness of issues important to successful international surgical practice and collaboration.
Conclusions
Our global surgery elective with a focus on systems-based practice sensitizes residents to the challenges and issues they must be aware of when practicing internationally.