use. Carry any must-have devices (such as reuseable instruments, Bovie devices, and retractors)
and keep a list of supplies/equipment to bring
on subsequent trips.
•Know the host institution’s infrastructure and
resource capacity before tackling big cases.
•Start with straightforward, low-risk cases initially to build confidence and trust among your
• Seek help and advice from local government, as
well as from the health care system leadership.
•Empower the local medical team, and get its
members involved from the start. This effort
will ensure the establishment of great relations
with your counterpart health care community.
• Prepare to revisit the same destination multiple
times to have a meaningful impact on capacity
•Be ready to improvise. The host country may
not have all of the equipment and support to
which you have grown accustomed in the U.S.
•If possible, arrange for a host surgeon to visit
your medical center, so he or she can see how
surgery is practiced in the U.S.
•Help host surgeons become members of U.S.
•Plan at least a day for an academic symposium
during your visit.
•Encourage host physicians to publish clinical
papers and assist them in establishing their own
VOLUNTEER HEALTH CARE PROFESSIONALS
The following health care volunteers have donated their
talents to bringing surgical care to the people of Kurdistan:
• Patricia Arledge, MD
• Gene Bolles, MD
• Christine Butts, MD
• Horacio D’Agostino, MD
• Bill Day, MD, FACS
• Marc Dean, MD
Fort Worth, TX
• Blaine Enderson, MD, FACS
Critical care surgery
• Shawn Gibbs, PA
• Bharat Guthikonda, MD
• Jamal J. Hoballah, MD, FACS
• Monirul Islam, MD
Critical care medicine
• Andrew J. Kosmowski, MD
Colonel, U.S. Military
• P. Kirk Labor, MD, FACS
• Thomas R. McCune, MD
Colonel, U.S. Military
• Michael Moore, MD
• Lisa Moreno-Walton, MD
New Orleans, LA
• Ashor Odisho
• Chris Porter, MD
• Lou Smith, MD, FACS
• Byron Turkett, PA
• John Thomas, MD, FACS
Minimally invasive surgery
• Susan Shattuck, MD, FACOG
• Deborah Ross
Operating room nurse
V101 No 10 BULLETIN American College of Surgeons
OUTREACH IN KURDISTAN, IRAQ
With proper help, time, dedication, and, most importantly,
good intentions and perseverance, health care providers
can help build advanced surgical programs, such as renal
transplantation, advanced laparoscopy, HPB surgery,
and esophageal surgery, in a developing nation.