Background:In response to the staggering global burden of conditions requiring emergency and essential surgery,the development of international surgical system strengthening(SSS)is fundamental to achieving universal,t...Background:In response to the staggering global burden of conditions requiring emergency and essential surgery,the development of international surgical system strengthening(SSS)is fundamental to achieving universal,timely,quality,and affordable surgical care.Opportunity exists in identifying optimal collaborative processes that both promote global surgery research and SSS,and include medical students.This study explores an education model to engage students in academic global surgery and SSS via institutional support for longitudinal research.Objectives:We set out to design a program to align global health education and longitudinal health systems research by creating an education model to engage medical students in academic global surgery and SSS.Program design and implementation:In 2015,medical schools in the United States and Colombia initiated a collaborative partnership for academic global surgery research and SSS.This included development of two longitudinal academic tracks in global health medical education and academic global surgery,which we differentiated by level of institutional resourcing.Herein is a retrospective evaluation of the first two years of this program by using commonly recognized academic output metrics.Main achievements:In the first two years of the program,there were 76 total applicants to the two longitudinal tracks.Six of the 16(37.5%)accepted students selected global surgery faculty as mentors(Acute Care Surgery faculty participating in SSS with Colombia).These global surgery students subsequently spent 24 total working weeks abroad over the two-year period participating in culminating research experiences in SSS.As a quantitative measure of the program’s success,the students collectively produced a total of twenty scholarly pieces in the form of accepted posters,abstracts,podium presentations,and manuscripts in partnership with Colombian research mentors.Policy implications:The establishment of scholarly global health education and research tracks has afforded our medical students an active role in international SSS through participation in academic global surgery research.We propose that these complementary programs can serve as a model for disseminated education and training of the future global systems-aware surgeon workforce with bidirectional growth in south and north regions with traditionally under-resourced SSS training programs.展开更多
We review the past, present and future state of mental health care in the Kingdom of Saudi Arabia (KSA). The past is reviewed prior to the modern era, discussing early explanations and treatments for mental health ill...We review the past, present and future state of mental health care in the Kingdom of Saudi Arabia (KSA). The past is reviewed prior to the modern era, discussing early explanations and treatments for mental health illness up through the establishment of the first mental hospital in the 1950s, tracking advances in mental health care over the past 60 years. The present is explored in terms of the current need for mental health care based on the prevalence of mental health problems in KSA. We also discuss the role of the family in caring for the needs of the mentally ill today. Finally, we look forward into the future, discuss the current education system that will produce the next generation of mental health professionals, examine areas of mental health care that need improvement, and provide a research agenda to guide the continued development of the mental health care system in KSA. Our goal is to present a blue print for the development of a state-of-the-art mental health that may serve as a model for other countries in the Middle East, while taking into account the political, cultural and religious factors that are unique to this region of the world.展开更多
基金supported by the United States Agency for International Development,Research and Innovation Fellowships Program(AID-OAA-A-14-00071)。
文摘Background:In response to the staggering global burden of conditions requiring emergency and essential surgery,the development of international surgical system strengthening(SSS)is fundamental to achieving universal,timely,quality,and affordable surgical care.Opportunity exists in identifying optimal collaborative processes that both promote global surgery research and SSS,and include medical students.This study explores an education model to engage students in academic global surgery and SSS via institutional support for longitudinal research.Objectives:We set out to design a program to align global health education and longitudinal health systems research by creating an education model to engage medical students in academic global surgery and SSS.Program design and implementation:In 2015,medical schools in the United States and Colombia initiated a collaborative partnership for academic global surgery research and SSS.This included development of two longitudinal academic tracks in global health medical education and academic global surgery,which we differentiated by level of institutional resourcing.Herein is a retrospective evaluation of the first two years of this program by using commonly recognized academic output metrics.Main achievements:In the first two years of the program,there were 76 total applicants to the two longitudinal tracks.Six of the 16(37.5%)accepted students selected global surgery faculty as mentors(Acute Care Surgery faculty participating in SSS with Colombia).These global surgery students subsequently spent 24 total working weeks abroad over the two-year period participating in culminating research experiences in SSS.As a quantitative measure of the program’s success,the students collectively produced a total of twenty scholarly pieces in the form of accepted posters,abstracts,podium presentations,and manuscripts in partnership with Colombian research mentors.Policy implications:The establishment of scholarly global health education and research tracks has afforded our medical students an active role in international SSS through participation in academic global surgery research.We propose that these complementary programs can serve as a model for disseminated education and training of the future global systems-aware surgeon workforce with bidirectional growth in south and north regions with traditionally under-resourced SSS training programs.
文摘We review the past, present and future state of mental health care in the Kingdom of Saudi Arabia (KSA). The past is reviewed prior to the modern era, discussing early explanations and treatments for mental health illness up through the establishment of the first mental hospital in the 1950s, tracking advances in mental health care over the past 60 years. The present is explored in terms of the current need for mental health care based on the prevalence of mental health problems in KSA. We also discuss the role of the family in caring for the needs of the mentally ill today. Finally, we look forward into the future, discuss the current education system that will produce the next generation of mental health professionals, examine areas of mental health care that need improvement, and provide a research agenda to guide the continued development of the mental health care system in KSA. Our goal is to present a blue print for the development of a state-of-the-art mental health that may serve as a model for other countries in the Middle East, while taking into account the political, cultural and religious factors that are unique to this region of the world.
