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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Addressing Malawi's surgical workforce crisis: A sustainable paradigm for training and collaboration in Africa
Surgery (United States), Volume 153, No. 2, Year 2013
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Description
Background: The exodus of health professionals including surgeons from sub-Saharan Africa has been well documented, but few effective, long-term solutions have been described. There is an increasing burden of surgical diseases in Africa attributable to trauma (road traffic injuries), burns, and other noncommunicable diseases such as cancer, increasing the need for surgeons. Methods: We conducted a Descriptive analysis of surgical academic partnership between Kamuzu Central Hospital (KCH) Malawi, the University of Malawi-College of Medicine, the University of North Carolina in the United States, and Haukeland University Hospital, Norway, to locally train Malawian surgical residents in a College of Surgeons of East, Central and Southern Africa (COSECSA) approved program. Results: The KCH Surgery Residency program began in 2009 with 3 residents, adding 3 general surgery and 2 orthopedic residents in 2010. The intention is to enroll ≥3 residents per year to fill the 5-year program and the training has been fully accredited by COSECSA. International partners have provided near-continuous presence of attending surgeons for direct training and support of the local staff surgeons, while providing monetary support in addition to the Malawi Ministry of Health salary. Conclusion: This collaborative, academic model of local surgery training is designed to limit brain drain by keeping future surgeons in their country of origin as they establish themselves professionally and personally, with ongoing collaboration with international colleagues. © 2013 Mosby, Inc. All rights reserved.
Authors & Co-Authors
Qureshi, Javeria S.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Young, Sven
Norway, Bergen
Haukeland Universitetssjukehus
Muyco, Arturo P.
Malawi, Lilongwe
Kamuzu Central Hospital
Borgstein, Eric S.
Malawi, Zomba
University of Malawi
Charles, Anthony G.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Mulwafu, Wakisa K.
Malawi, Zomba
University of Malawi
Shores, Carol Getker
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Banza, Leonard Ngoie
Malawi, Lilongwe
Kamuzu Central Hospital
Cairns, Bruce A.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Viste, Asgaut
Norway, Bergen
Haukeland Universitetssjukehus
Mkandawire, Nyengo C.
Malawi, Zomba
University of Malawi
Statistics
Citations: 46
Authors: 11
Affiliations: 4
Identifiers
Doi:
10.1016/j.surg.2012.08.004
e-ISSN:
15327361
Research Areas
Cancer
Health System And Policy
Noncommunicable Diseases
Violence And Injury
Study Design
Cross Sectional Study
Study Locations
Malawi