blueprint for other academic medical institutions interested in training surgeons to provide specialized care
outside of the U.S.
Trauma and disaster relief
The UM Ryder Trauma Center has an active international trauma training program, and the institution’s
trauma surgeons and residents have been involved in
disaster response and trauma system development
efforts in Haiti, Brazil, and Argentina.
Dr. Ginzburg, a co-author of this article, was the
international director of Project Medishare in 2010
when a catastrophic earthquake struck Haiti, killing
more than 160,000 and displacing close to 1. 5 million
people. In this role, he served as the informal field hospital coordinator for the World Health Organization
the first 72 hours after the catastrophe took place. An
affiliate of the UM Medical School, Project Medishare
used four large event tents to establish one of the early
field hospitals for trauma care after the earthquake.
This tent-turned-critical-care-hospital was established
at the Port-au-Prince airport with 250 to 300 beds.
Dr. Ginzburg subsequently transferred to the
80-bed Hospital Bernard Mevs in Port-au-Prince—
one of the two current Haitian-run trauma centers in
the city. The facility provides care to trauma patients
in Haiti to this day.
The UM Ryder Trauma Center also assisted the
Brazilian government in establishing two new trauma
centers in Rio de Janeiro. The centers were established
to provide care at the 2014 FIFA World Cup and emergency services at the 2016 Summer Olympics. This
latter effort was led by Antonio C. Marttos, Jr., MD,
associate professor of surgery and co-director, William Lehman Injury Research Center, UM. The two
hospitals continue to function as trauma centers, one
of which, Hospital Estadual Alberto Torres, is a stand-alone facility.
The UM’s global trauma relief efforts in Argen-
tina include a partnership with Fundación Trauma in
Buenos Aires that, over the last six years, has resulted
in the launch of an organized trauma system, includ-
ing the development of the first electronic trauma
registry for the region. This registry contains data on
nine trauma centers that serve a population of more
than 12 million Argentinians. This registry is compli-
ant with the International Classification of Diseases,
10th Revision, and has been used in multiple aca-
demic research projects and by the ministry of health
in the development of health policy. The Argentine
government has since signed a memorandum of under-
standing to work with Fundación Trauma to expand
national use of the database.
In addition, UM Ryder Trauma Center organized
and continues to host the Panamerican Trauma Society weekly telemedicine grand rounds. Each Friday,
up to 20 different international centers participate in
a trauma case presentation.
Launch of Israel initiative
We were honored in 1992 when Dr. Mattox contacted
Robert Zeppa, MD, FACS, then-chair of surgery at UM,
to see if Ryder Trauma Center would assist in training an Israeli trauma surgeon. Considering UM Ryder
Trauma Center’s experience helping countries build
and sustain trauma systems, we felt well-equipped
to develop this program, which formally launched
t wo years after the first Israeli fellow, Mauricio Lynn,
MD, returned home in 1998. This initiative has proven
invaluable in enabling Ryder to conduct the outreach
programs described previously.
Since the program’s inception, 16 Israeli surgeons
have completed trauma fellowships in the U. S., including one at Ben Taub Hospital, Houston, TX, where
Dr. Mattox is chief of staff and surgeon-in-chief; two
at the University of Pittsburgh, PA; two at the Maryland Institute for Emergency Medical Services Systems,
Baltimore; and 11 at the UM Ryder Trauma Center.
Of these 16 Israeli trauma surgeons, nine practice in
Israel. Dr. Schrier will be the 10th surgeon to return
to Israel after he completes the program this year. Of
the remaining six surgeons, one chose to remain in the