May 1, 2018
The American College of Surgeons (ACS) was founded 105 years ago to provide opportunities for the continuing education of surgeons, rooted in a deep and effective concern for the improvement of surgical patient care and for the ethical practice of medicine in the U.S. and Canada.1 The ACS always has been a global organization, now with more than 80,000 members representing six continents. It is the premier surgical organization in the world—a recognized leader with respect to surgical education, with its mission to ensure access to quality surgical care and to develop trauma systems and educational programming worldwide.
This article outlines some of the College’s global engagement activities and future initiatives.
For half a century, the International Guest Scholarships have provided young surgeons from around the globe with opportunities to visit clinical, teaching, and research facilities in North America with the goal of enhancing the scholars’ patient care and research practices when they return to their respective countries. The scholarships, in the amount of $10,000 each, also provide scholars with the opportunity to participate in the annual ACS Clinical Congress and to observe and participate in clinical, teaching, and research activities in the U.S. and Canada. Over the years, approximately 326 surgeons from 70 countries have received this scholarship and have benefited from this program.2
The ACS offers a variety of scholarships for surgeons outside of the U.S. and Canada. Examples are as follows:
The ACS Division of Education and the International Relations Committee provide two international scholarships focused on surgical education. These awards are for young faculty members from countries other than the U.S. and Canada and provide opportunities for these individuals to participate in a variety of educational opportunities for faculty development and enhancement that will result in the acquisition of new knowledge and skills in surgical education and training.
The Advanced Trauma Life Support® (ATLS®) program is designed to teach a systematic and reliable approach to the care of trauma patients. With leadership from the ACS Committee on Trauma, ATLS was first widely introduced in the U.S. and abroad in 1980. Since its inception, ATLS for health care professionals has spread to more than 60 countries. The MyATLS app, a mobile electronic platform, has been downloaded in more than 170 countries.
Operation Giving Back (OGB) is the volunteer arm of the ACS. OGB grew out of an interest in surgical volunteerism expressed both by the ACS Board of Governors Committee on Socioeconomic Issues and by the membership-at-large as represented in a study spanning from 2001 to 2003. OGB was established in 2004 with the mission to “leverage the passion, skills, and humanitarian ethos of the surgical community to effectively meet the needs of the medically underserved.” The organization’s objective is to serve as a comprehensive resource center for surgeons at any level of training who want to participate in volunteer activities, encouraging the formation of a cohesive community of volunteers.3
The web-based OGB resource center matches fellow surgical volunteers of the ACS with opportunities to provide patient care and teaching in low-resource communities. Over the years, thousands of volunteers have been placed to provide much-needed care to underserved populations. One of the activities of OGB is to support peer-initiated selection of the recipients of the ACS/Pfizer Surgical Humanitarian and Volunteerism Awards each year.4
To underscore the need for global surgical system improvement, the World Health Organization (WHO) passed the World Health Assembly Resolution 68.15 in May 2015. The resolution, which includes surgery as an essential component of universal health care, was accepted and signed by all participating countries with the understanding that more than 5 billion people lack access to basic surgical care and that the major deficit is a shortage of surgical workforce. Following a retreat on global engagement in 2016, the ACS Board of Regents (the highest governing body of the College) provided strategic direction for the ACS leadership to engage directly in the training of surgical workforce in low- and middle-income countries (LMICs). ACS OGB, in addition to improving existing services, is actively working to develop programs to implement this strategic direction. Developing partnerships with surgical colleges and societies in LMICs based on mutual benefits and shared goals is our guiding principle.
ACS Fellows have been engaged in volunteerism across sub-Saharan Africa. OGB and the College of Surgeons of East, Central and Southern Africa (COSECSA) have developed working relationships based on local priorities, including the following:
As we celebrate the passage of the third anniversary of the WHA Resolution 68.15, the ACS will continue to engage in the implementation of the global surgery agenda. To this end, the College looks forward to working closely with WHO and the office of the Global Initiative for Emergency and Essential Surgical Care.
References