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An International Collaborative Study on Surgical Education for Quality Improvement (ASSURED): A Project by the 2017 International Society of Surgery (ISS/SIC) Travel Scholars International Working Group

  • Surgery in Low and Middle Income Countries
  • Published:
World Journal of Surgery Aims and scope Submit manuscript

Abstract

Background

There is a huge difference in the standard of surgical training in different countries around the world. The disparity is more obvious in the various models of surgical training in low- and middle-income countries (LMICs) compared to high-income countries. Although the global training model of surgeons is evolving from an apprenticeship model to a competency-based model with additional training using simulation, the training of surgeons in LMICs still lacks a standard pathway of training.

Methods

This is a qualitative, descriptive, and collaborative study conducted in six LMICs across Asia, Africa, and South America. The data were collected on the status of surgical education in these countries as per the guidelines designed for the ASSURED project along with plans for quality improvement in surgical education in these countries.

Results

The training model in these selected LMICs appears to be a hybrid of the standard models of surgical training. The training models were tailored to the country’s need, but many fail to meet international standards. There are many areas identified that can be addressed in order to improve the quality of surgical education in these countries.

Conclusions

Many areas need to be improved for a better quality of surgical training in LMICs. There is a need of financial, technical, and research support for the improvement in these models of surgical education in LMICs.

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Funding

None.

Author information

Authors and Affiliations

  1. Department of Surgery, Bir Hospital, National Academy of Medical Sciences, Kathmandu, Nepal

    Anip Joshi

  2. International Society of Surgery, Zurich, Switzerland

    Anip Joshi, Andrew G. Hill & Michael G. Sarr

  3. MS General Surgery Program and Basic Surgical Skills, Trauma Life Support and Research Methodology, National Academy of Medical Sciences, Kathmandu, Nepal

    Anip Joshi

  4. Department of Clinical Science, Universidad Tecnologica de Pereira, Pereira, Colombia

    Bernardo Borraez-Segura

  5. Department of Surgery, Jinnah Post Graduate Medical Centre, Karachi, Pakistan

    Mariyah Anwer

  6. Lagos University Teaching Hospital, Lagos, Nigeria

    Oluwaseun Ladipo-Ajayi

  7. Hospital Alemán of Buenos Aires, Buenos Aires, Argentina

    Francisco Schlottmann

  8. Paediatric Surgery Department, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam

    Diem Nguyen Ngoc Le

  9. Children’s Hospital 1, Ho Chi Minh City, Vietnam

    Diem Nguyen Ngoc Le

  10. Middlemore Hospital, The University of Auckland, Auckland, New Zealand

    Andrew G. Hill

  11. Mayo Clinic, Rochester, MN, USA

    Michael G. Sarr

Authors
  1. Anip Joshi
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  2. Bernardo Borraez-Segura
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  3. Mariyah Anwer
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  4. Oluwaseun Ladipo-Ajayi
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  5. Francisco Schlottmann
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  6. Diem Nguyen Ngoc Le
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  7. Andrew G. Hill
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  8. Michael G. Sarr
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Contributions

AJ has contributed to the concept and design of ASSURED research project, literature search, data acquisition, manuscript preparation, intellectual inputs, manuscript editing, and manuscript review; BBS, MA, OLA, FS, and DNNL have contributed to data acquisition, literature search, and manuscript preparation; AGH has contributed to intellectual inputs, manuscript editing, and manuscript review; MGS has contributed to the design of ASSURED research project, intellectual inputs, manuscript preparation, manuscript editing, and manuscript review.

Corresponding author

Correspondence to Anip Joshi.

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Joshi, A., Borraez-Segura, B., Anwer, M. et al. An International Collaborative Study on Surgical Education for Quality Improvement (ASSURED): A Project by the 2017 International Society of Surgery (ISS/SIC) Travel Scholars International Working Group. World J Surg 44, 1400–1411 (2020). https://doi.org/10.1007/s00268-019-05342-y

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  • DOI: https://doi.org/10.1007/s00268-019-05342-y

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