Haiti
Neurosurgery
Initiative
Intervention Model: Clinical rotations
WEEK 1: PRE-OPERATIVE
Outpatient clinic and surgical cue triage
Assessment and plan of potential cases
WEEK 3 & 4:
POST-OPERATIVE
Emergency neurosurgical procedures
Post-operative care & rehabilitation
Begin triage for next month's rotation
WEEK 2: OPERATIVE
Surgeries are supervised by a US faculty neurosurgeon
Cases are obtained from clinical assessments
The Format
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Responsibilities of the visiting US team will include:
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completion of the spectrum of inpatient and outpatient responsibilities inside and outside of the operating room required to successfully manage a neurosurgical service.
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participation with on-site OR personnel to facilitate procurement of replacements for damaged or consumable instrumentation and material. The proposed intervention centers around a rotation at PIH HUM by senior level U.S. neurosurgical residents.
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Protections: Promoting High-Quality Care
Multiple tiers of protection will be added to ensure that care is provided commensurate to that in US residency training programs.
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Participating residents will be in the senior portion of their training.
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For the duration of the rotation, a US-based attending will be present or available to assist in clinical plan formulation. All consultations will be discussed with the US- based neurosurgical attending.
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For emergent scenarios, in the absence of a US neurosurgical attending, cases will be staffed by an attending HUM general surgeon. In all scenarios, management considerations will have been discussed with the attending on-call if that individual is not on-site.
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Elective cases will be completed in the presence of the US-based attending that will be on-site for approximately one week per month.
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Monthly service statistics and all episodes of morbidity and mortality will be discussed at the monthly quality assurance morbidity and mortality conference. M&M conference will take place at regardless of the program of origin of participating resident and attending.