International Survey of Medical Students Exposure to Relevant Global Surgery (ISOMERS): A Cross-Sectional Study
Bandyopadhyay S., Kanmounye US., Madani KS., Beltrano J., Isa MA., Ooi RYK., Swaroop M., Shah SSNH., Kawka M., Nteranya DS., Khalil H., Badwi N., Anyomih TTK., Twizeyimana E., Kimura H., Matovu D., Rahman S., Sana H., Reid K., Alam SF., Shah P., Ndayiragije R., Shabani MM., Ruzibukya V., Patel NAY., Fissha AB., Patil P., Udeme-Abasi N., Ng YJ., Brake AD., Arshad AR., Adekanle A., Elmelegy AA., Wilkinson A., Turab AH., Kilany AMT., Hadzić A., Naeme A., Pranjić A., Snyder A., Shahrin A., Adefolaju A., Jayaram A., Muhumuza A., Nyalundja AD., Hayashi A., Oda A., Kuroki A., Mbogo BW., Wariso B., Hauser BM., Willey B., Mlula C., Jordan C., Phiri C., Selvakumaran C., Dambo CI., Peck CJ., Chukwudi-Oje C., Evans D., Otobo DD., Garba D., Kasongi D., Mulwanda EM., Olarinre EH., Annang E., Soliman FK., Muchemi FW., Ademović F., Msikwa F., Yi FC., Goodluck G., Karelas G., Levy HA., Sprow H., Huzaifa IB., Lee J., Ferdous J., Henry K., Suko J., Barayya KU., Mohamed KA., Das K., Iftikhar K., Kurosawa K., Nunez KC., Langston K., Amlani L., Stewart LA., Chun LK., Soliman MA., Akter MSB., Bjeletić M., de Andres Crespo M., Saad M., Menard M., Faisal MF., Kakwani M., Riaz MMA., Musyoki MN.
Background: The principles of global surgery should be taught as a part of the core curriculum in medical schools. The need for medical students to be familiar with the topic is increasing in acceptance. There is, however, a paucity of data on how medical students are exposed to global surgery. This study aims to evaluate exposure of medical students to global surgery, awareness of the key messages of the Lancet Commission on Global Surgery, global surgery career aspirations and barriers to said aspirations. Methods: ISOMERS was a multi-centre, online, cross-sectional survey of final year medical students globally. The questionnaire utilised a combination of Likert-scale, multiple-choice, and free text questions. Results: In this study, 1593 final year medical students from 144 medical schools in 20 countries participated. The majority (n = 869/1496, 58.1%) believed global surgery to be relevant, despite 17.7% (n = 271/1535) having any exposure to global surgery. Most participants (n = 1187/1476, 80.4%) wanted additional resources on global surgery. Difficulty in providing appropriate care for patients living abroad (n = 854/1242, 68.8%) was the most common perceived barrier to a career in global surgery. Conclusions: Participants believed global surgery was a relevant topic for medical students and wanted additional resources that they could access on global surgery. It is critical for medical students to become aware that global surgery is a field that aims to address inequity in surgical care not just internationally, but nationally and locally as well.