A Review of Gynecologic Oncology in the Global Setting: Educating and Training the Next Generation of Women's Health Providers
A Review of Gynecologic Oncology in the Global Setting: Educating and Training the Next Generation of Women's Health Providers
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DOI：
10.1097/ogx.0000000000000630
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发表时间：
2019-01-01
影响因子：
6.2
通讯作者：
Van Le, Linda
中科院分区：
文献类型：
--
作者：
Sullivan, Stephanie A.;Stringer, Elizabeth;Van Le, Linda
低收入和中等收入国家的妇女对其家庭的稳定负有责任。儿童的生存直接关系到他们母亲的健康和福祉。癌症是世界范围内发病率和死亡率的主要原因，预计在未来几十年中，女性癌症的发病率和死亡率将会增加。当妇女得到妇科肿瘤学家的护理时，妇科癌症的结果会得到改善；然而，LMICs中的专门提供者有限。美国专家越来越多的兴趣和参与将改善国外的伙伴关系和对世界各地妇女的关怀。目的总结全球妇科肿瘤护理的重要性以及美国妇产科实习生参与临床和能力建设机会的最新数据。证据获取我们对PubMed文献进行检索，检索与全球妇产科和妇科肿瘤学的健康教育相关的文章。结果许多产科和妇科住院医师项目提供国际机会，但这些机会比其他专业少，而且更多集中在产科。许多妇科肿瘤学奖学金项目为研究员提供国际经验，但所需时间和资源有限。几个美国和国际项目正在进行中，以改善当地受训人员在LMIC中的妇科肿瘤学能力建设。通过多层面的努力，全世界妇科肿瘤护理的结论和相关性培训和护理正在改善。需要继续努力改善美国实习生的国际教育和经验。目标受众产科医生和妇科医生、家庭医生学习S完成本活动后，学习者应该能够更好地研究女性在LMICs中的独特作用；确定LMICs在妇科肿瘤学护理方面的局限性；在美国医生的医学培训期间重视全球健康暴露的重要性；并分析可以改善全球提供者妇科肿瘤学培训的计划。
Importance Women in low- and middle-income countries (LMICs) are responsible for the stability of their families. Child survival is directly linked to the health and well-being of their mother. Cancer is the leading cause of morbidity and mortality worldwide, and the incidence and mortality for women from cancer are projected to increase over the coming decades. Gynecologic cancer outcomes are improved when women are cared for by a gynecologic oncologist; however, there are limited specialized providers in LMICs. Increasing interest and involvement from specialists in the United States will improve partnerships abroad and the care of women worldwide. Objective To summarize the importance of global gynecologic oncology care and the current data for US trainees in obstetrics and gynecology to participate in clinical and capacity-building opportunities. Evidence Acquisition We performed a PubMed literature search for articles pertaining to the topic of global health education in obstetrics and gynecology and gynecologic oncology specifically. Results Many obstetric and gynecologic residency programs offer international opportunities, but these are less than those in other specialties and are more frequently focused in obstetrics. Many gynecologic oncology fellowship programs offer international experiences for fellows; however, the time and resources required are limited. Several US and international programs are ongoing to improve capacity building for gynecologic oncology in LMICs with local trainees. Conclusions and Relevance Training and care in gynecologic oncology care worldwide are improving through efforts at multiple levels. Continued efforts are needed to improve US trainee international education and experience. Target Audience Obstetricians and gynecologists, family physicians Learning Objective s After completing this activity, the learner should be better able to examine the unique role of women in LMICs; identify the limitations in gynecologic oncology care in LMICs; value the importance of global health exposure during medical training for U.S. physicians; and analyze initiatives that can improve training in gynecologic oncology for global providers.