Global health challenges: why the four s’s are not enough

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SUMMARY

    One HIC pediatric surgeon who is experienced and facile in advanced thoracoscopy worked as a ‘surgeon in residence` in two LMIC hospital settings in the Middle East and attempted to introduce and teach advanced thoracoscopy in each. Patient selection in both hospitals was determined by the local pediatric surgeons based on presentation of patients necessitating the procedures during the presence of the surgeon in residence. Pediatric surgeons in Hospital A have intermediate level of experience performing laparoscopic surgery for many years and pediatric surgeons in Hospital B had low-intermediate level of experience performing . . .

     

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