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Invited Commentary
November 2015

The Conundrum of Training in Global Surgery: Are We There Yet?

Author Affiliations
  • 1Division of Trauma & Critical Care, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois
  • 2Center for Global Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City
  • 3Division of Public Health, Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City
JAMA Surg. 2015;150(11):1079. doi:10.1001/jamasurg.2015.2225

Recent updates regarding the unmet surgical need indicate that 5 billion of the world’s 7 billion people lack access to safe and timely surgical care.1 One of the critically missing pieces is trained surgical staff, including surgeons, anesthesiologists, nurses, and biomedical engineers. The ecosystem of people and processes, as well as supplies and infrastructure, is necessary to begin to remove the gaps in care. Yet, how to fill the human resource gap has remained a conundrum. The consortium approach to surgical education has many merits and has worked well in other, nonsurgical settings where consortia of universities support the medical training programs in a low-resource country.

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