Surgical Practice in Resource‐Limited Settings: Perspectives of Medical Students and Early Career Doctors: A Narrative Review
ABSTRACT Introduction Surgical practices in low‐resource countries often fail to meet established standards. Both doctors and medical students have limited exposure to surgical cases, which hinders training and the development of surgical specialization. This study highlights the current state of su...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | Health Science Reports |
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| Online Access: | https://doi.org/10.1002/hsr2.70352 |
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| author | BillSmith Anyinkeng Achanga Christian Wabene Bisimwa Victor Oluwafemi Femi‐Lawal Nnoko Sona Akwo Tohson Falake Toh |
| author_facet | BillSmith Anyinkeng Achanga Christian Wabene Bisimwa Victor Oluwafemi Femi‐Lawal Nnoko Sona Akwo Tohson Falake Toh |
| author_sort | BillSmith Anyinkeng Achanga |
| collection | DOAJ |
| description | ABSTRACT Introduction Surgical practices in low‐resource countries often fail to meet established standards. Both doctors and medical students have limited exposure to surgical cases, which hinders training and the development of surgical specialization. This study highlights the current state of surgical practice from a trainee's perspective, explores existing gaps in training and capacity building, and recommends practical solutions. Methods We conducted a literature search on PubMed, Google Scholar, and other scientific databases using search terms such as “surgical practice,” “doctors' perspectives in surgical practice,” “surgery in low‐ and middle‐income countries,” and “solutions to surgical inadequacy.” We included studies published from 2015 to 2024, with exceptions for a few highly relevant studies published prior to 2015. Results We outline the limitations identified in the literature concerning surgical training and healthcare in low‐ and middle‐income countries. Many centers lack adequate infrastructure, human resources, and training. These challenges negatively affect the skills and quality of surgical care. However, some centers demonstrate that surgical practice is feasible through collaboration with institutions established in higher‐income contexts. Conclusion Telesurgery, task shifting and sharing, high‐impact, low‐cost surgeries, and collaborations with more developed health systems could effectively bridge the gap in surgical availability in LMICs. |
| format | Article |
| id | doaj-art-9aef452992f14fcdbfc562ffb02df367 |
| institution | Kabale University |
| issn | 2398-8835 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj-art-9aef452992f14fcdbfc562ffb02df3672025-01-29T03:42:39ZengWileyHealth Science Reports2398-88352025-01-0181n/an/a10.1002/hsr2.70352Surgical Practice in Resource‐Limited Settings: Perspectives of Medical Students and Early Career Doctors: A Narrative ReviewBillSmith Anyinkeng Achanga0Christian Wabene Bisimwa1Victor Oluwafemi Femi‐Lawal2Nnoko Sona Akwo3Tohson Falake Toh4Department of Biomedical Science University of Buea Buea CameroonDepartment of Cardiothoracic Surgery Alexandria University Alexandria EgyptCollege of Medicine University of Ibadan Ibadan NigeriaDepartment of Occupational and Environmental Health University of Buea Buea CameroonDepartment of Clinical Medicine University of Buea Buea CameroonABSTRACT Introduction Surgical practices in low‐resource countries often fail to meet established standards. Both doctors and medical students have limited exposure to surgical cases, which hinders training and the development of surgical specialization. This study highlights the current state of surgical practice from a trainee's perspective, explores existing gaps in training and capacity building, and recommends practical solutions. Methods We conducted a literature search on PubMed, Google Scholar, and other scientific databases using search terms such as “surgical practice,” “doctors' perspectives in surgical practice,” “surgery in low‐ and middle‐income countries,” and “solutions to surgical inadequacy.” We included studies published from 2015 to 2024, with exceptions for a few highly relevant studies published prior to 2015. Results We outline the limitations identified in the literature concerning surgical training and healthcare in low‐ and middle‐income countries. Many centers lack adequate infrastructure, human resources, and training. These challenges negatively affect the skills and quality of surgical care. However, some centers demonstrate that surgical practice is feasible through collaboration with institutions established in higher‐income contexts. Conclusion Telesurgery, task shifting and sharing, high‐impact, low‐cost surgeries, and collaborations with more developed health systems could effectively bridge the gap in surgical availability in LMICs.https://doi.org/10.1002/hsr2.70352early career doctorslimitationslow‐ and middle‐income countriesmedical studentssurgical practice |
| spellingShingle | BillSmith Anyinkeng Achanga Christian Wabene Bisimwa Victor Oluwafemi Femi‐Lawal Nnoko Sona Akwo Tohson Falake Toh Surgical Practice in Resource‐Limited Settings: Perspectives of Medical Students and Early Career Doctors: A Narrative Review Health Science Reports early career doctors limitations low‐ and middle‐income countries medical students surgical practice |
| title | Surgical Practice in Resource‐Limited Settings: Perspectives of Medical Students and Early Career Doctors: A Narrative Review |
| title_full | Surgical Practice in Resource‐Limited Settings: Perspectives of Medical Students and Early Career Doctors: A Narrative Review |
| title_fullStr | Surgical Practice in Resource‐Limited Settings: Perspectives of Medical Students and Early Career Doctors: A Narrative Review |
| title_full_unstemmed | Surgical Practice in Resource‐Limited Settings: Perspectives of Medical Students and Early Career Doctors: A Narrative Review |
| title_short | Surgical Practice in Resource‐Limited Settings: Perspectives of Medical Students and Early Career Doctors: A Narrative Review |
| title_sort | surgical practice in resource limited settings perspectives of medical students and early career doctors a narrative review |
| topic | early career doctors limitations low‐ and middle‐income countries medical students surgical practice |
| url | https://doi.org/10.1002/hsr2.70352 |
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