ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 230
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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A procedural and surgical needs assessment of generalists
in remote and rural global locations
Dr Brian Geller1, Brian Geller2, John Gibson3, Dan Sepdham1, Zhanna Winchell4, A/Prof Pratap
Narayan Prasad5
1
University of Texas Southwestern Medical Center, 2Enhanced Surgical Skills ESS, 3Mae Fah Luang
University Medical School, 4John Peter Smith Family Medicine Residency Fort Worth TX, 5Institute of
Medicine, Maharajgunj, Kathmandu
Nine out of 10 individuals in low- and middle- income countries lack access to surgical care. There
is an immense need for increased surgical and procedural administration in remote, rural and
under-resourced areas. This calls for better training, regulation and understanding of generalist/nonspecialist physicians (NSPs) in remote and rural places who are often performing basic surgical and
procedural skills due to care gaps and lack of specialists. There is literature on procedural and surgical
administration at the national and hospital levels, but there is less data related to individual providers.
Furthermore, the little data that is individualised to providers often compares non-physician clinicians
to all physicians. Therefore, better research specific to NSPs and their experiences with procedural
and surgical care is needed. The purpose of this presentation is to share research and data geared
towards the essential skills needs of NSPs in rural and remote global settings. This will be followed by
discussion by a panel of physician educators with practice and teaching experience in remote settings.
In particular, we seek to better understand training needs in terms of emergent/essential procedural
and surgical skills. We will further guide a discussion about education and resource allocation for
individuals currently practicing or seeking to practice medicine in rural or remote locations. We hope
this session and discussion will drive better support of healthcare providers on the frontlines of tackling
the global surgical and essential skills care gap.
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