suny - downstate · 2019. 5. 22. · francisca velcek, pediatric surgeon philippines ecuador thomas...

SUNY - DownstateProgram in Global Surgery and Surgical Disparities

www.downstatesurgery.org

MISSION

To address the problem of access to surgical care for underserved communities domestically and abroad.

Bringing together students, residents, practitioners, and researchers to combat the global burden of surgical diseases through surgical training, research and advocacy.


OBJECTIVES

Defining the Burden of surgical disease – particularly in Low Income Countries and underserved communities locally.

Identifying where disparities in surgical care exist and quantifying their magnitude.

Defining strategies for surgical care delivery that addresses:1. Access to essential and emergency surgery2. Narrowing inequalities in surgical care amongst populations

Provide a forum for mentorship for students, residents and faculty.


BACKGROUND

Surgery has long been a neglected area of public health


Surgical Conditions account for:

11% of the total global burden of disease

15% of the total disability life years (DALY’s) lost worldwide


230 million surgeries are performed worldwide

3.5% in Low Income Countries - 2.5 Billion People


CONSEQUENCES

Maternal Mortality – 99% of all maternal deaths in LIC


CONSEQUENCES

500,000 women die yearly in childbirth


CONSEQUENCES

Vulnerability to causes of Injury 90% of death from injury occur in Low and Middle Income Countries Natural Disasters – Haiti


CONSEQUENCES

No Basic Emergency Surgery requires subsequent resource intensive surgery Obstetric fistula Delayed fracture Contractures from burns


CONSEQUENCES

Minor surgical pathologies become lethal conditions.


PGSSD – Residency Tract

PGY 1 – Intern Year

No change in broad based core curriculum in General Surgery

Residents interested will identify themselves and apply for the tract by January 1st. (residents scoring above the 50th percentile on absite are eligible)

Residents accepted will be assigned mentor by February 1st.

Introduction to the core issues regarding surgery in the developing world and surgical disparities1. Reading syllabus2. Monthly advisor meetings



PGY 2 – Junior Resident

Continued broad based core curriculum in General Surgery

Field experience at International Site in the developing world – to be completed in vacation

Continued mentorship with faculty to:1. Decide on site and partner for International work2. Plan scholarly project addressing surgical disparities to be

followed longitudinally3. Complete course of study to establish language

proficiency.



Research (Optional)

Enrollment in MPH Program

One to three month immersion experience at site in Developing World

Continued work on scholarly projects



PGY 3 – Junior Resident

Continued broad-based curriculum in General Surgery

Continued work on scholarly project addressing surgical disparities with assistance from mentor

Plan scholarly project addressing surgery in the developing world with assistance from mentor

Field experience at International site in the developing world – To be completed in vacation



PGY 4 – Senior Resident

Continued broad-based core curriculum in general surgery

Continued work on scholarly projects with assistance of mentor

Presentation of scholarly work in 3 forums:1. National meeting2. SUNY Downstate community3. Department of Surgery Grand Rounds



PGY 5 – Chief Resident

Continued broad-based core curriculum in general surgery

1 month rotation on OB/GYN (2 wks) and Urology (2 wks)

Completion of work on scholarly projects resulting in one pier reviewed publication

Mentorship of Junior residents in PGSSD tract


Core Faculty

Francisca Velcek, Pediatric Surgeon

Philippines Ecuador

Thomas McIntyre, General Surgeon

KCHC Haiti – Partners in Health Guyana


Current Projects - KCHC

Burden of Surgical Disease in Brooklyn’s Caribbean Immigrant Population

Malignancy in the Caribbean Immigrant Population

GIST and the Caribbean Diaspora


Current Projects - International

The Prevalence of Surgically Treatable Diseases in the Developing World

SOS Assessment of Surgical Needs

Partners in Health – Haiti Village Health Works – Burundi One Small House Clinic – Mexico

The Capacity of Developing Nations to Deliver Surgical Care

WHO Situational Analysis for Delivery of Surgical Care

Sites in the Caribbean



SUNY - DownstateMISSIONOBJECTIVESBACKGROUNDSlide Number 5Slide Number 6Slide Number 7CONSEQUENCESCONSEQUENCESCONSEQUENCESCONSEQUENCESCONSEQUENCESPGSSD – Residency TractPGSSD – Residency TractPGSSD – Residency TractPGSSD – Residency TractPGSSD – Residency TractPGSSD – Residency TractCore FacultyCurrent Projects - KCHCCurrent Projects - InternationalSlide Number 22

suny - downstate · 2019. 5. 22. · francisca velcek, pediatric surgeon philippines ecuador thomas...

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