Part I The10,000 Foot View: Framing Global Surgery
1. Global Disparities in Surgical Care
Jonathan L. Dunlap and Adil H. Haider
2. The Transforming Power of High Quality Surgical Care: Surgery's Role in Improving Public Health
Jaymie A. Henry and Raymond R. Price
3. The Economic Case for Surgical Care in Low Resource Settings
Nakul P. Raykar, Swagoto Mukhopadhyay, Jonathan Leo Halbach, Matchecane Tlhomulo Cossa, Saurabh Saluja, Yihan Lin, Mark Shrime, John G. Meara and Stephen W.Bickler
Part II The 1,000 Foot View: Sustainable Surgical Training
4. Surgical Training in Low Resource Settings
Rosemary Klein and Adrian Park
5. Delivery of Subspecialty Surgical Care in Low-Resource Settings
Russell E. White and Robert K. Parker
6. Academic Global Surgery
Sanjay Krishnaswami, Mamta Swaroop and Benedict Nwomeh
7. E-Learning in Global Surgery
Brian H. Cameron and Susie Schofield
Part III The “100 Foot” Perspective: Preparing for International Involvement
8. The Importance of Contextual Relevance and Cultural Appropriateness in Global Surgery
Janaka A. Lagoo and Sandhya A. Lagoo-Deenadayalan
9. Practical Checklists
John L. Tarpley and Margaret J. Tarpley
10. Basic Bio-Engineering: Essential Equipment Use and Troubleshooting
Jim Moore and Richard S. Wood
11. Frugal and Reverse Innovations in Surgery
Matthew Prime, Yasser Bhatti and Matthew Harris
12. Getting Started: Connecting to Global Surgical Opportunities
Domenech Asbun, Lena Lea Kassab and Horacio J. Asbun
Part IV On the Ground: The Clinical Essentials
13. General Surgery Essentials
Sherry M. Wren and Micaela M. Esquivel
14. Essential Anesthesia
Mark J. Harris
15. Tropical Infectious Disease Medicine for Surgeons – A Primer
Bruce C. Steffes and R. Gregory Juckett
16. Essential Orthopedics for Global Surgery
Michelle Foltz, Richard A. Gosselin and David A. Spiegel
17. Gynecology and Obstetrics
Morgan Mandigo and Reinou S. Groen
18. Essential Urology
Louis L. Pisters
19. Head and Neck Essentials in Global Surgery
Wayne Koch, Eleni M. Rettig and Daniel Q. Sun
20. Essential Pediatric Surgery
Dan Poenaru, Emmanuel A. Ameh, Arlene Muzira and Doruk Ozgediz
21. Plastic Surgery for the Non-Plastic Surgeon in the Low Resource Setting
Louis L. Carter, Jr.
Adrian Park, MD, FRCSC, FACS, FCS (ECSA)
Professor and Chairman
Department of Surgery
Anne Arundel Health System
Johns Hopkins University School of Medicine
2001 Medical Parkway
Annapolis, MD
Raymond R. Price MD, FACS
Director Center for Global Surgery
Clinical Professor, Surgery
Associate Adjunct Professor, Family and Preventive Medicine, Division of Public Health
University of Utah
Director Graduate Surgical Education
Intermountain Medical Center
Intermountain Healthcare
Salt Lake City, UT
This text was developed as a book aimed at surgeons and allied health professionals that provides an introduction to the unmet needs , epidemiological, socioeconomic and even political factors that frame Global Surgery. Following upon an understanding of these issues, the text is a practical guide that enables the reader on several levels: to work cross culturally , build relationships and negotiate the logistical challenges of bringing surgical care to low resource settings; to develop an approach to the management of various clinical conditions that would be unfamiliar to most “western” surgeons.
Global Surgery is a recently coined term that encompasses many potential meanings. Most would agree that it focuses on the growing recognition of the crisis of access to quality surgical care in low resource settings. Such scenarios exist on every continent. Increasingly surgeons, allied health professionals (NGO), Public Health / Health Policy professionals as well as governmental and non-governmental organizations are engaging in this field. Many surgeons have an interest in Global Health and a desire to become involved but feel ill equipped to do so and unsure where to start.
Global Surgery: The Essentials serves as a ready resource to equip surgeons to manage clinical scenarios that lie beyond the scope of their training or current practice but that they would reasonably be expected to encounter in the field.