In Reply We appreciate Jindal’s thoughtful comments in response to our study evaluating outcomes after inguinal hernia repair performed by medical doctors and surgeons in Ghana.1 We wholeheartedly agree that all surgical care clinicians should receive adequate training, support, continuing education, recognition, and remuneration. Standardizing methods for training and mentoring of associate clinicians and medical doctors to perform specific surgical procedures paired with ongoing support and outcomes evaluation are core principles of our work in inguinal hernia surgery capacity building in West Africa.
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Beard JH, Ohene-Yeboah M, Löfgren J. International Consensus and External Validity in Global Surgery Research and Task Shifting—Reply. JAMA Surg. Published online October 23, 2019. doi:10.1001/jamasurg.2019.4088
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