You have accessJournal of UrologyGlobal Health/Humanitarian (MP67)1 Sep 2021MP67-20 GENITOURINARY RECONSTRUCTIVE SURGERY CURRICULUM AND POSTGRADUATE TRAINING PROGRAM DEVELOPMENT IN THE CARIBBEAN Ramon Virasoro, and Jessica DeLong Ramon VirasoroRamon Virasoro More articles by this author , and Jessica DeLongJessica DeLong More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002028.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Over five billion people lack access to adequate surgical and anesthesia care across the globe, the majority in low- and middle-income countries. A significant percentage of the global disease burden is due to surgical conditions. Many surgical programs in the US implemented a global surgery rotation showing the growing interest of surgical residents in this arena. There are multiple barriers to sustainable surgical programming abroad. The majority of published literature revolves around surgical rotations and fellowships that are based in U.S. programs, providing short term rotations in a sustainable environment abroad. We present our innovative model for surgical education in a resource-poor setting to address a specific need identified by the local community. METHODS: In an effort to respond to the need for specialty-trained reconstructive urologists in the Dominican Republic, we developed an 18-month fellowship program to train local surgeon. A partnership was formed among entities: a non-profit organization in the U.S. (Physicians for Peace), a local prestigious university (Universidad Autónoma de Santo Domingo, UASD), and a medical school in the U.S. (Eastern Virginia Medical School) by the authors. A memorandum of understanding was signed among all parties, and the strengths of each organization were brought together to form the Fellowship. The process began with creation of a curriculum and partnerships. We sought accreditation via local university, and fellowship candidates were selected. A database was maintained to track outcomes. Subjective and objective reviews were performed of the fellows. RESULTS: The first fellow graduated in 2018, the second in 2020, with the third currently in training. The curriculum was created and implemented. The fellowship has been successfully integrated into the health system and the fellows performed 199 and 235 cases, respectively, during the program, completing all rotations successfully. They have been appointed to the national health system. Both graduates are now docents in the program and in the public system. Additional staff including radiologists, radiology technicians, nurses, urology residents (both Dominican and American), urology attendings, operating room staff and anesthesia residents were trained as a result of the program. CONCLUSIONS: This is the first fellowship of its kind in the Caribbean to our knowledge. A novel curriculum was created and implemented, and the first two fellows have successfully completed all rotations. This training model may be transferable to additional sites. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e517-e518 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ramon Virasoro More articles by this author Jessica DeLong More articles by this author Expand All Advertisement Loading ...
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