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Ethics of Surgical Training in Developing Countries

Abstract

The practice of surgical trainees operating in developing countries is gaining interest in the medical community. Although there has been little analysis about the ethical impact of these electives, there has been some concerns raised over the possible exploitation of trainees and their patients. An ethical review of this practice shows that care needs to be taken to prevent harm. Inexperienced surgeons learning surgical skills in developing countries engender greater risk of violating basic ethical principles. Advanced surgical trainees who have already achieved surgical competence are best qualified to satisfy these ethical issues. All training programs need to develop a structured ethical review for international electives to protect their trainees and their patients from harm.

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References

  1. Ozgediz D, Roayaie K, Debas H, et al. (2005) Surgery in developing countries: essential training in residency. Arch Surg 140(8):795–800

    PubMed  Article  Google Scholar 

  2. Gattey DM, Lauer AK (2006) International ophthalmology in training programs. Ophthalmology 113(12):2379–2380

    PubMed  Article  Google Scholar 

  3. Raja AJ, Levin AV (2003) Challenges of teaching surgery: ethical framework. World J Surg 27(8):948–951

    PubMed  Article  Google Scholar 

  4. Bernstein M (2004) Ethical dilemmas encountered while operating and teaching in a developing country. Can J Surg 47(3):170–172

    PubMed  Google Scholar 

  5. Anonymous (2006) ACGME General Competencies [Internet]

  6. Patil NG, Cheng SW, Wong J (2003) Surgical competence. World J Surg 27(8):943–947

    PubMed  Article  Google Scholar 

  7. Edwards R, Piachaud J, Rowson M, et al. (2004) Understanding global health issues: are international medical electives the answer? Med Educ 38(7):688–690

    PubMed  Article  Google Scholar 

  8. Huijer M (2001) Treating despite discomfort and self-doubt. In: Kushner TK, Thomasma DC, editors Ward Ethics : Dilemmas for Medical Students and Doctors in Training. Cambridge University Press, Cambridge, UK, pp 33–37

    Google Scholar 

  9. Gupta AR, Wells CK, Horwitz RI, et al. (1999) The international health program: the fifteen-year experience with Yale University’s internal medicine residency program. Am J Trop Med Hyg 61(6):1019–1023

    PubMed  CAS  Google Scholar 

  10. Miller WC, Corey GR, Lallinger GJ, et al. (1995) International health and internal medicine residency training: the Duke University experience. Am J Med 99(3):291–297

    PubMed  Article  CAS  Google Scholar 

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Correspondence to Kevin M. Ramsey.

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Ramsey, K.M., Weijer, C. Ethics of Surgical Training in Developing Countries. World J Surg 31, 2067–2069 (2007). https://doi.org/10.1007/s00268-007-9243-8

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  • DOI: https://doi.org/10.1007/s00268-007-9243-8

Keywords

  • Experienced Trainee
  • International Elective
  • Ethical Impact
  • Basic Ethical Principle
  • Elective Experience