Surgical Task-Sharing in the Western Canadian Arctic: A Networked Model Between Family Physicians with Enhanced Surgical Skills and Specialist Surgeons
BACKGROUND: With the loss of generalism in the surgical specialties, there has been a move in Canada to train family physicians in enhanced surgical skills (FP-ESS) to address the surgical needs of rural and remote populations. This research project sought to describe one network integrating FP-ESS...
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ftpubmed:oai:pubmedcentral.nih.gov:8943793 2023-05-15T15:13:43+02:00 Surgical Task-Sharing in the Western Canadian Arctic: A Networked Model Between Family Physicians with Enhanced Surgical Skills and Specialist Surgeons Falk, Ryan Topstad, Dawnelle Lee, Laura 2022-03-24 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8943793/ https://doi.org/10.1007/s00268-022-06524-x en eng Springer International Publishing http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8943793/ http://dx.doi.org/10.1007/s00268-022-06524-x © The Author(s) under exclusive licence to Société Internationale de Chirurgie 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. World J Surg Surgery in Low and Middle Income Countries Text 2022 ftpubmed https://doi.org/10.1007/s00268-022-06524-x 2022-03-27T01:50:54Z BACKGROUND: With the loss of generalism in the surgical specialties, there has been a move in Canada to train family physicians in enhanced surgical skills (FP-ESS) to address the surgical needs of rural and remote populations. This research project sought to describe one network integrating FP-ESS and specialist surgeons, focusing on the role of FP-ESS and their relationship with specialist surgeons, in the surgical care of the Beaufort Delta Region of the Northwest Territories of Canada. METHODS: Using a participatory approach, semi-structured interviews were conducted with 22 stakeholders within the surgical system. Interviews were transcribed and reviewed, then imported into NVivo 12 for analysis. First-level coding was performed based on both deductive and inductive reasoning in an iterative fashion during interview collection to develop and refine the codebook. This was followed by second-level categorizing. RESULTS: The FP-ESS physicians provide cesarean section services to maintain a local obstetrics program, to provide gastrointestinal endoscopy, and to provide emergency on-call support, as described by one stakeholder. FP-ESS work together with specialist surgeons through an informal network keeping surgical care as close to home as possible. FP-ESS within this health regions were seen as “a really big gain to the system.” CONCLUSIONS: This study deepens our understanding of rural surgical service delivery, in particular where FP-ESS and specialist surgeons function collaboratively. It also contributes to strengthening rural surgical systems in Canada and therefore to addressing the health gap between rural/remote/indigenous and urban populations. Text Arctic Northwest Territories PubMed Central (PMC) Arctic Canada Northwest Territories World Journal of Surgery |
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English |
topic |
Surgery in Low and Middle Income Countries |
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Surgery in Low and Middle Income Countries Falk, Ryan Topstad, Dawnelle Lee, Laura Surgical Task-Sharing in the Western Canadian Arctic: A Networked Model Between Family Physicians with Enhanced Surgical Skills and Specialist Surgeons |
topic_facet |
Surgery in Low and Middle Income Countries |
description |
BACKGROUND: With the loss of generalism in the surgical specialties, there has been a move in Canada to train family physicians in enhanced surgical skills (FP-ESS) to address the surgical needs of rural and remote populations. This research project sought to describe one network integrating FP-ESS and specialist surgeons, focusing on the role of FP-ESS and their relationship with specialist surgeons, in the surgical care of the Beaufort Delta Region of the Northwest Territories of Canada. METHODS: Using a participatory approach, semi-structured interviews were conducted with 22 stakeholders within the surgical system. Interviews were transcribed and reviewed, then imported into NVivo 12 for analysis. First-level coding was performed based on both deductive and inductive reasoning in an iterative fashion during interview collection to develop and refine the codebook. This was followed by second-level categorizing. RESULTS: The FP-ESS physicians provide cesarean section services to maintain a local obstetrics program, to provide gastrointestinal endoscopy, and to provide emergency on-call support, as described by one stakeholder. FP-ESS work together with specialist surgeons through an informal network keeping surgical care as close to home as possible. FP-ESS within this health regions were seen as “a really big gain to the system.” CONCLUSIONS: This study deepens our understanding of rural surgical service delivery, in particular where FP-ESS and specialist surgeons function collaboratively. It also contributes to strengthening rural surgical systems in Canada and therefore to addressing the health gap between rural/remote/indigenous and urban populations. |
format |
Text |
author |
Falk, Ryan Topstad, Dawnelle Lee, Laura |
author_facet |
Falk, Ryan Topstad, Dawnelle Lee, Laura |
author_sort |
Falk, Ryan |
title |
Surgical Task-Sharing in the Western Canadian Arctic: A Networked Model Between Family Physicians with Enhanced Surgical Skills and Specialist Surgeons |
title_short |
Surgical Task-Sharing in the Western Canadian Arctic: A Networked Model Between Family Physicians with Enhanced Surgical Skills and Specialist Surgeons |
title_full |
Surgical Task-Sharing in the Western Canadian Arctic: A Networked Model Between Family Physicians with Enhanced Surgical Skills and Specialist Surgeons |
title_fullStr |
Surgical Task-Sharing in the Western Canadian Arctic: A Networked Model Between Family Physicians with Enhanced Surgical Skills and Specialist Surgeons |
title_full_unstemmed |
Surgical Task-Sharing in the Western Canadian Arctic: A Networked Model Between Family Physicians with Enhanced Surgical Skills and Specialist Surgeons |
title_sort |
surgical task-sharing in the western canadian arctic: a networked model between family physicians with enhanced surgical skills and specialist surgeons |
publisher |
Springer International Publishing |
publishDate |
2022 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8943793/ https://doi.org/10.1007/s00268-022-06524-x |
geographic |
Arctic Canada Northwest Territories |
geographic_facet |
Arctic Canada Northwest Territories |
genre |
Arctic Northwest Territories |
genre_facet |
Arctic Northwest Territories |
op_source |
World J Surg |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8943793/ http://dx.doi.org/10.1007/s00268-022-06524-x |
op_rights |
© The Author(s) under exclusive licence to Société Internationale de Chirurgie 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
op_doi |
https://doi.org/10.1007/s00268-022-06524-x |
container_title |
World Journal of Surgery |
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1766344235413405696 |