OPHTHALMOLOGY AND OTOLARYNGOLOGY TRAINING IN THE DEVELOPING WORLD
Working with training hospitals and medical schools in developing world countries to improve their educational infrastructure - helping to build departments of ophthalmology and otolaryngology led by local faculty, teaching local trainees, and serving the needs of the local populace.
"If you can do one thing, help me retain my best and brightest."
Professor Frederick Kayanja, Vice Chancellor, Mbarara University of Science & Technology
The Office of Global Surgery and Health offers an adaptable model of resident training that strives to serve the needs of the patient population and respect the constraints on resources while imparting the highest degree of patient care. The model incorporates curriculum-integrated onsite surgical training with remote consultations, distance learning, and telemedicine support.
NEEDS ASSESSMENT VISIT
Following the invitation of an in-country partner, staff from the Office will conduct an assessment site visit in order to better understanding of local needs, priorities, resources, and to establish a relationship with local stakeholders. This is critical in ensuring mutual understanding of the path of the program's development and in establishing mutually agreed upon outcome measures for success.
PROGRAM AND CURRICULUM DEVELOPMENT
Assist in the customization of a training program that reflects and prioritizes local pathology, is supported by local infrastructure and resources, and is compatible with any nation- and region-wide efforts towards curriculum uniformity and accreditation, consulting relevant stakeholders, regional surveys, and available local databases. The curriculum will accommodate future changes due to pathology, innovations in surgical technique, and resources as local faculty see fit.
MONITORING AND ASSESSMENT PLANTo gauge the success of the program as a whole and its constituent components and to direct needed changes, the Office will determine with the partnering institution the goals of the program and how to implement necessary recordkeeping mechanisms to capture and record relevant data, ensuring accountability to both partnering institutions and supporting agencies. In addition to information on surgical procedures performed before, during, and after the implementation of the program, the Office will also implement assessment measures tracking the effectiveness of onsite and online education, including inservice examinations for local trainees.
TELEMEDICINE AND eLEARNINGUtilizing the departmental resources at the Mass. Eye and Ear, the Office will set up a system for radiology, pathology, anesthesia, ophthalmology, and otolaryngology remote consultations. To supplement onsite surgical training and local faculty teaching, the Office will provide online educational resources with access to Grand Rounds, lectures, Temporal Bone Labs, surgical videos, and other content relevant to the local curriculum. The online component of the curriculum will include quizzes to monitor progress of local trainees and effectiveness of educational content.
ONSITE SURGICAL INSTRUCTIONTo supplement available local subspecialty-trained faculty, the Office will coordinate rotations of visiting Harvard faculty every two months for a week of intense surgical instruction in a specific area of subspecialty interest (e.g., pediatric ENT, retina, facial plastics) that are integrated into the local curriculum. These visits will prioritize trainee education but may be open to other trainees and surgeons in the region.
ADDITIONAL SUPPORT AVAILABLE FOR CRITICAL SUPPORT PROGRAMSSurgeons alone do not make an Otolaryngology or Ophthalmology Department. Supplemental education opportunities in Anesthesia, Radiology, Audiology, Speech Therapy, and allied support fields may be provided as well as support for the implementation of programs such as newborn hearing screening, primary school vision and hearing screening, surgical skills training labs, and community education.
RESEARCH COLLABORATIONTo foster academic research and professional development for trainees and faculty in partnering institutions and at Mass. Eye and Ear, the Office will support research collaborations on topics of local relevance and priority, providing resources in research technique and skills training. Locally-led clinical research on local epidemiology and outcome measures has a great potential to better shape local medical programs and allocate nation-wide resources.