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Surgical Education (Developed vs Developing Nations), Disparities, and Future Directions: Fulbright Project Survey Report

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Abstract

The emerging changes in healthcare significantly impact structure of surgical training. To achieve parity in surgical training globally significant work needs to be done in developing nations. The aims of this study are to identify and evaluate the current surgical training system in India and also examine the surgical training system of residents from India and compare the results against the US training system, to suggest changes for parity. On-site observations and cross-sectional survey of residents and staff from 22 institutions in India were done. Results were compared with the current US training system. Difference in pattern of surgical training and lack of coordination in curriculum was noted. Contradictory responses were noted for didactic teaching. No guidelines were mentioned for minimum number of surgical case required or certification courses. No work hour restrictions were followed, and supervision was ill defined. Residents were highly interested for fellowships and experience from the US medical system. Results revealed discordance in surgical training within the evaluated country. However, the two training systems studied have their own pros and cons. We strongly feel that incorporation of certain aspects of the American residency can aid in progression of the Indian training system.

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Authors and Affiliations

  1. Department of Surgery, Ascension Providence Hospital, Michigan State University, 16001 West Nine Mile Rd, Southfield, MI, 48075, USA

    Vijay Mittal, Manu Kaushik, Jasneet Singh Bhullar & Sandiya Bindroo

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  1. Vijay Mittal
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  2. Manu Kaushik
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  3. Jasneet Singh Bhullar
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  4. Sandiya Bindroo
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Correspondence to Vijay Mittal.

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Mittal, V., Kaushik, M., Bhullar, J.S. et al. Surgical Education (Developed vs Developing Nations), Disparities, and Future Directions: Fulbright Project Survey Report. Indian J Surg 81, 383–390 (2019). https://doi.org/10.1007/s12262-019-01901-8

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  • DOI: https://doi.org/10.1007/s12262-019-01901-8

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