title: Surgical training and global health: initial results of a 5-year partnership with a surgical training program in a low-income country.
abstract: OBJECTIVE
  Surgical trainees in the United States have a growing interest in both clinical experiences and structured training opportunities in global health. Global health training and exposure can be integrated into a surgical residency program.
  
  
  METHODS
  The global health activities of surgical residents and faculty in 1 department were evaluated from January 1, 1998, to June 1, 2008, using a survey and personal interviews.
  
  
  RESULTS
  From January 1, 1998, to December 31, 2002, 4 faculty members made more than 20 overseas volunteer medical expeditions, but only 1 resident participated in global health activities. In 2003, a relationship with a surgical training program in a developing country was established. Ten residents and 12 faculty members have made overseas trips during the last 5 years, and 1 international surgeon has visited the United States. During their research block, 4 residents completed 1- to 3-month clinical rotations and contributed to mentored research projects. Three residents completed a university-based Global Health Clinical Scholars Program, and 3 obtained master's degrees in public health. A joint conference in injury-trauma research was also conducted. A faculty member is based overseas with clinical and research responsibilities, and another is completing a master's degree in public health.
  
  
  CONCLUSIONS
  Global health training and exposure for residents can be effectively integrated into an academic surgical residency program through relationships with training programs in low-income countries. Legitimate academic experiences improve the success of these programs. Reciprocity with collaborative partners must be ensured, and sustained commitment and funding remain a great challenge to such programs. The long-term effect on the development of global health careers is yet to be determined.
authors.affiliation: Department of Surgery, University of California, San Francisco, CA 94143-0570, USA.
authors.forename: Doruk
authors.initials: D
authors.lastname: Ozgediz
authors.forename: Jennifer
authors.initials: J
authors.lastname: Wang
authors.forename: Sudha
authors.initials: S
authors.lastname: Jayaraman
authors.forename: Alex
authors.initials: A
authors.lastname: Ayzengart
authors.forename: Ramin
authors.initials: R
authors.lastname: Jamshidi
authors.forename: Michael
authors.initials: M
authors.lastname: Lipnick
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Mabweijano
authors.forename: Sam
authors.initials: S
authors.lastname: Kaggwa
authors.forename: Margaret
authors.initials: M
authors.lastname: Knudson
authors.forename: William
authors.initials: W
authors.lastname: Schecter
authors.forename: Diana
authors.initials: D
authors.lastname: Farmer
mesh_terms: D000328:Adult; D013502:General Surgery / Q000193:education*; D014943:Global Health; D006801:Humans; D007393:International Educational Exchange; D007396:Internship and Residency / Q000458:organization & administration*; D012495:San Francisco; D012577:Schools, Medical / Q000458:organization & administration; D013514:Surgical Procedures, Operative / Q000706:statistics & numerical data; D014454:Uganda