Evaluating international global health collaborations: Perspectives from surgery and anesthesia trainees in Uganda
Evaluating international global health collaborations: Perspectives from surgery and anesthesia trainees in Uganda
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DOI：
10.1016/j.surg.2013.11.007
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发表时间：
2014-04-01
期刊：
影响因子：
3.8
通讯作者：
Lipnick, Michael
中科院分区：
文献类型：
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作者：
Elobu, Alex E.;Kintu, Andrew;Lipnick, Michael
背景。国际学术伙伴关系和全球健康项目的数量正在全球范围内迅速扩大。尽管suck计划对来访的国际合作伙伴的好处已得到充分记录，但对资源有限环境中的主办机构的感知影响尚未得到充分评估。我们试图描述乌干达研究生学员对国际合作的看法，并讨论如何利用这些看法来增加国际合作对主办机构的积极影响。方法。我们使用预先测试的自填式问卷，对马凯雷雷健康科学学院（乌干达坎帕拉）的麻醉和手术学员进行了描述性横断面调查。在适用的情况下，数据被总结为均值或中位数；否则，进行描述性统计分析。结果。在 43 名符合资格的学员中，77% 完成了调查问卷。大多数人（75%）同意访问团体主要通过技能研讨会和专业训练营来改善他们的培训。很大一部分学员报告说，国际团体对患者护理产生中性或负面影响（40%）。只有 15% 的人认为国际团体开展的研究项目是乌干达的优先领域。在接受调查的人中，28% 的人表示参与了这些项目，但没有人作为合著者发表过文章。近三分之一的学员 (31%) 表示对来访教师做出的一些临床决策的道德观感到不安。结论。麦克雷雷健康科学学院的手术和麻醉学员目前的观点表明，利用国际合作来改善培训有丰富的基础，主要是通过技能研讨会、专家训练营和更多客座教师的参与。这项调查还发现了合作研究中的潜在挑战和值得进一步审查的道德困境。
Background. The number of international academic partnerships and global health programs is expanding rapidly worldwide. Although the benefits of suckprograms to visiting international partners have been well documented, the perceived impacts on host institutions in resource-limited settings have not been assessed adequately. We sought to describe the perspectives of postgraduate, Ugandan trainees toward international collaborations and to discuss how these perceptions can be used to increase the positive impact of international collaborations for the host institution.Methods. We conducted a descriptive, cross-sectional survey among anesthesia and surgery trainees at Makerere College of Health Sciences (Kampala, Uganda) using a pretested, self-administered questionnaire. Data were summarized as means or medians where applicable; otherwise, descriptive statistical analyses were performed.Results. Of 43 eligible trainees, 77% completed the questionnaire. The majority (75%) agreed that visiting groups improve their training, mostly through skills workshops and specialist camps. A substantial portion of trainees reported that international groups had a neutral or negative impact on patient care (40%). Only 15% agreed that research projects conducted by international groups are in priority areas for Uganda. Among those surveyed, 28% reported participation in these projects, but none has published as a coauthor. Nearly one-third of trainees (31%) reported discomfort with the ethics of some clinical decisions made by visiting faculty.Conclusion. The current perspective from the surgery and anesthesia trainees of Makerere College of Health Sciences demonstrates rich ground for leveraging international collaborations to improve training, primarily through skills workshops, specialist camps, and more visiting faculty involvement. This survey also identified potential challenges in collaborative research and ethical dilemmas that warrant further examination.