Lasting impact: insights from a surgical mission-based mentoring training programme in the Republic of Congo

  title={Lasting impact: insights from a surgical mission-based mentoring training programme in the Republic of Congo},
  author={M. White and K. Close},
  journal={BMJ Global Health},
The global shortage of surgeons, anaesthetists and obstetricians is significant, especially in low and middle income countries (LMICs). A significant amount of LMIC surgical volume is provided by surgical missions and non-governmental organisations (NGOs) who are often well resourced, making them ideal environments for training. However, there are few publications addressing how to train in this setting, or the long-term impact of such training. Mercy Ships operates the largest non-governmental… Expand
Capacity-building partnerships for surgical post-graduate training in low- and middle-income countries: a scoping review of the literature with exploratory thematic synthesis.
A map of the current literature on international surgical training partnerships together with an exploration of factors influencing their implementation is provided and a candidate programme theory is proposed together with some more focused theories that could inform future research. Expand
Short-term surgical trips: local collaboration and its effects on complications and patient satisfaction
Facilitating visiting and local surgeons performing cases together increases the expertise of local providers, strengthens infrastructure, and establishes clear follow-up. Expand
A Mixed-Method Design Evaluation of the SAFE Obstetric Anaesthesia Course at 4 and 12-18 Months After Training in the Republic of Congo and Madagascar.
Participation in a SAFE-OB course was associated with personal and organizational changes in practice and sustained improvements in knowledge and skill at 12-18 months, and knowledge and skills tests both showed an immediate improvement after the course that was sustained. Expand
Overcoming challenges in implementing the WHO Surgical Safety Checklist: lessons learnt from using a checklist training course to facilitate rapid scale up in Madagascar
Recommendations are given for stakeholders seeking widespread rapid scale up of quality improvement initiatives to promote surgical safety worldwide. Expand
Limited sterile processing capabilities for safe surgery in low-income and middle-income countries: experience in the Republic of Congo, Madagascar and Benin
It is highly difficult to perform safe surgery without sterile instruments, yet the capacity to adequately clean, disinfect and sterilise surgical instruments in low-income and middle-incomeExpand
Contributions of academic institutions in high income countries to anesthesia and surgical care in low- and middle-income countries: are they providing what is really needed?
The perspective of anesthesia and surgery providers in two Asian middle-income countries (India and Mongolia) is presented, both with large poor and underserviced populations. Expand
Applying Instrumental Reprocessing Procedure for Dental Care Providers in Private dental clinics
Dental instrumental reprocessing is too important to control many seriously pathogens potentially transmitted through dental procedures. The dental care providers, at the privet dental clinic, playExpand


Developing a curriculum for anaesthesia training in low- and middle-income countries.
Annanesthesia educational programs must emphasize quality, safety and professionalism in the providers and the care they deliver, and region-specific teaching methods should be developed using problem-based learning techniques and presenting data in a way that educates rather than castigates. Expand
Sustainability assessment of a short-term international medical mission.
Operation Walk Boston catalyzed sustainable changes in the Dominican hospital, and cultural norms and organizational structure are important determinants of program sustainability. Expand
Safer obstetric anesthesia through education and mentorship: a model for knowledge translation in Rwanda
High rates of maternal mortality remain a widespread problem in the developing world. Skilled anesthesia providers are required for the safe conduct of Cesarean delivery and resuscitation duringExpand
Feasibility and sustainability of an interactive team-based learning method for medical education during a severe faculty shortage in Zimbabwe
TBL is a promising way to teach challenging clinical topics in a stimulating and interactive learning environment in a low-income country setting with a high ratio of students to teachers and feasible as part of medical education in an African setting. Expand
A New Approach to Teaching Obstetric Anaesthesia in Low-Resource Areas.
  • A. Enright, K. Grady, F. Evans
  • Medicine
  • Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
  • 2015
A new course called SAFE-OB teaches a systematic approach to anticipating, preparing for, and dealing with obstetric anaesthetic emergencies, and initial follow-up suggests improvement in skills and knowledge, and effective translation to the workplace. Expand
Mentoring across the professions: Some issues and challenges
Mentoring is often used to develop novice or less experienced professionals at two important phases in their career: during their initial university training; and after graduation from university. Expand
A surgical safety checklist to reduce morbidity and mortality in a global population.
Implementation of the checklist was associated with concomitant reductions in the rates of death and complications among patients at least 16 years of age who were undergoing noncardiac surgery in a diverse group of hospitals. Expand
Essential Pain Management: An Educational Program for Health Care Workers
The widespread adoption of the EPM program suggests there is a need for pain education in LMICs, and the teach the teachers component of the program and the comparable results from their teaching should contribute to sustainability. Expand
Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development
The need for surgical services in low- and middleincome countries will continue to rise substantially from now until 2030, with a large projected increase in the incidence of cancer, road traffic injuries, and cardiovascular and metabolic diseases in LMICs. Expand
Pre‐hospital airway management – time to provide the same standard of care as in the hospital
  • M. Castrén
  • Medicine
  • Acta anaesthesiologica Scandinavica
  • 2008
Pre-hospital tracheal intubation is not an intervention performed daily by every unit in any emergency medical system, and that is fairly seldom, so it is time to focus on education and the local organization. Expand