Abstract
Global health and global surgery have made unprecedented progress in the past decade, and global surgery is now recognized as a critical component of academic surgery. With this new development, however, comes the added responsibility of ensuring that surgeons are adequately prepared to take on the challenges of participating in diverse healthcare systems around the world. There is a significant distinction between global and international health that directly informs the conversation about global surgery. While international health is defined as health issues on foreign soil, global health deals with health issues that are collectively seen across the world. As borders continue to become more porous and the demographics of different countries change, we can no longer neatly categorize health issues. There is a significant rise in noncommunicable diseases in low- to middle-income countries (LMICs) and an increase in infectious diseases in high- and middle-income countries that necessitate surgical intervention. Global surgery is affected by all of these various dynamics, and it is more important than ever that the complexity of these issues be adequately addressed by attention to the contextual relevance and cultural appropriateness, not only in surgical residency but throughout a surgical career. This is particularly necessary for surgeons who plan to work in underserved areas, both at home and abroad.
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References
Merson MH, Chapman PK. The dramatic expansion of university engagement in global health: implications for U.S. policy. Washington, DC: Center for Strategic and International Studies Health Policy Center; 2009. Available from: http://www.ncccs.cc.nc.us/Resource_Development/docs/TITLEVIofthehigher.pdf .
Stewart KA. In: Heggenhougen K, Quah S, editors. Anthropological perspectives in bioethics. In: international encyclopedia of public health, vol. 1. San Diego: Academic Press; 2008. p. 184–93.
Briscoe L. Becoming culturally sensitive: a painful process? Midwifery. 2013;29(6):559–65.
Solis C, León P, Sanchez N, Burdic M, Johnson L, Warren H, Iddriss A, McQueen K. Nicaraguan surgical and anesthesia infrastructure: survey of Ministry of Health hospitals. World J Surg. 2013;37(9):2109–21.
LeBrun DG, Chackungal S, Chao TE, Knowlton LM, Linden AF, Notrica MR, et al. Prioritizing essential surgery and safe anesthesia for the Post-2015 development agenda: operative capacities of 78 district hospitals in 7 low- and middle-income countries. Surgery. 2014;155(3):365–73.
Price R, Sergelen O, Unursaikhan C. Improving surgical care in Mongolia: a model for sustainable development. World J Surg. 2013;37(7):1492–9.
Haglund MM, Kiryabwire J, Parker S, Zomorodi A, MacLeod D, Schroeder R, et al. Surgical capacity building in Uganda through twinning, technology, and training camps. World J Surg. 2011;35(6):1175–82.
Fleckman JM, Dal Corso M, Ramirez S, Begalieva M, Johnson CC. Intercultural competency in public health: a call for action to incorporate training into public health education. Front Public Health. 2015;3:210.
Duffy ME. A critique of cultural education in nursing. J Adv Nurs. 2001;36(4):487–95.
Wass V. Open our eyes to global health; a philosophy of universal values. Perspect Med Educ. 2015;4(6):331–3.
Cadoret CA, Garcia RI. Health disparities and the multicultural imperative. J Evid Based Dent Pract. 2014;(14 Suppl);160–70.E1.
Freire P. Pedagogy of the oppressed. New York: Continuum; 1970.
Arnold R, Burke B, James C, Martin D, Thomas B. Educating for a change. Toronto: Between the Lines and the Doris Marshall Institute for Education and Action; 1991.
Stewart KA. Teaching corner: the prospective case study: a pedagogical innovation for teaching global health ethics. Bioeth Inq. 2015;12(1):57–61.
Campbell A, Sherman R, Magee WP. The role of humanitarian missions in modern surgical training. Plast Reconstr Surg. 2010;126(1):295–302.
Tarpley M, Hansen E, Tarpley JL. Early experience in establishing and evaluating an ACGME-approved international general surgery rotation. J Surg. 2013;70:709–14.
Charles AG, Samuel JC, Riviello R, Sion MK, Tarpley MJ, Tarpley JL, et al. Integrating global health into surgery residency in the United States. J Surg Educ. 2015;72(4):e88–93.
Cushman LF, Delva M, Franks CL, Jimenez-Bautista A, Moon-Howard J, Glover J, Begg MD. Cultural competency training for public health students: integrating self, social, and global awareness into a master of public health curriculum. Am J Public Health. 2015;105(Suppl 1):S132–40.
Crump JA, Sugarman J, and the Working Group on Ethics Guidelines for Global Health Training (WEIGHT). Ethics and best practice guidelines for training experiences in global health. Am J Trop Med Hyg. 2010;83(6):1178–82.
Kumagai AK, Lypson ML. Beyond cultural competence: critical consciousness, social justice, and multicultural education. Acad Med. 2009;84(6):782–7.
Zaidi Z, Verstegen D, Naqvi R, Morahan P, Dornan T. Gender, religion, and sociopolitical issues in cross-cultural online education. Adv in Health Sci Educ. n.d. Published online: 2015. Referenced in doi 10.1007/s10459–015-9631-z.
MacQueen KM, Bhan A, Frohlich J, Holzer J, Sugarman J, and the ethics working group of the HIV prevention trials network. BMC Med Ethics. 2015;16:44.
Hinton R, Kavanagh DJ, Barclay L, Chenhall R, Nagel T. Developing a best practice pathway to support improvements in indigenous Australians’ mental health and well-being: a qualitative study. BMJ Open. 2015;5:e007038. Referenced in doi:10.1136/bmjopen-2015-007938.
Riviello R, Ozgediz D, Hsia RY, Azzie G, Newton N, Tarpley J. Role of collaborative academic partnerships in surgical training, education, and provision. World J Surg. 2010;34:459–65.
Aziz SR, Ziccardi VB, Chuang SK. Survey of residents who have participated in humanitarian medical missions. J Oral Maxillofac Surg. 2012;70(2):e147–57.
Blanchard RJ, Merrell RC, Geelhoed GW, Ajayi OO, Laub DR, Rodas E. Training to serve unmet surgical needs worldwide. J Am Coll Surg. 2001;193(4):417–27.
Molina G, Weiser TG, Lipsitz SR, Esquivel MM, Uribe-Leitz T, Azad T, et al. Relationship between cesarean delivery rate and maternal and neonatal mortality. JAMA. 2015;314(21):2263–70.
Bhandari A, Dratler S, Raube K, Thulasiraj RD. Specialty care systems: a pioneering vision for global health. Health Aff (Millwood). 2008;27(4):964–76.
Andermann A, Ginsburg L, Norton P, Arora N, Bates D, Wu A, Larizgoitia I. Core competencies for patient safety research: a cornerstone for global capacity strengthening. BMJ Qual Saf. 2011;20(1):96–101.
Hull L, Arora S, Amaya AC, Wheelock A, Gaitán-Duarte H, Vincent C, Sevdalis. Building global capacity for patient safety: a training program for surgical safety research in developing and transitional countries. Int J Surg. 2012;10(9):493–9.
Ibrahim GM, Cadotte DW, Bernstein M. A framework for the monitoring and evaluation of international surgical initiatives in low- and middle-income countries. PLoS ONE 2015;10(3):e0120368. Referenced in doi:10.1371/journal.pone.0120368
Berrisford RG, Wilson IH, Davidge M, Sanders D. Surgical time out checklist with debriefing and multidisciplinary feedback improves venous thromboembolism prophylaxis in thoracic surgery: a prospective audit. Eur J Cardiothorac Surg. 2012;41(6):1326–9.
Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP, Safe Surgery Saves Lives Study Group, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360(5):491–9.
Uddin MJ, Shamsuzzaman M, Horng L, Labrique A, Vasudevan L, Zeller K, et al. Use of mobile phones for improving vaccination coverage among children living in rural hard-to-reach areas and urban streets of Bangladesh. Vaccine. 2016;34(2):276–83.
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Lagoo, J.A., Lagoo-Deenadayalan, S.A. (2017). The Importance of Contextual Relevance and Cultural Appropriateness in Global Surgery. In: Park, A., Price, R. (eds) Global Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-49482-1_8
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DOI: https://doi.org/10.1007/978-3-319-49482-1_8
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