surgery workforce database is an example of an
effort to understand present and projected needs
to train emergent and essential care professionals.
16 A 2017 PTS Education Committee survey
aims to identify the specific and ongoing need from
individual Latin American countries for formal
emergent and essential education and training. For
a meaningful way forward, the PTS is referring
to the LCoGS Workforce, Education, and Training Working Group to provide an overview for
emergent and essential surgery in Latin America
(see Table 4, page 32). The 2015 LCoGS terms of
reference document outlines the current state of
the surgical workforce and sets out to describe
how to ensure a continuous supply of health care
professionals and to determine how to maintain
high standards of care regardless of the location
or time of day. To appropriately expand the surgical workforce in Latin America, the following key
stakeholders must form partnerships with both
private and public entities to champion a balance
between the costs of education and training and
the safeguarding of universal access to health care
that is not profit-driven:
•Governments (Ministries of Health, Finance, Education, and Labor)
•Multilateral/bilateral organizations (World Bank,
U.S. Agency for International Development)
•Education bodies (training colleges, societies, congresses, and so on)
•Academic and professional entities
QUESTIONS GOING FORWARD
FOR LATIN AMERICA
• If an increase in number of trainees is needed, what
is the national system’s capacity to manage them?
• How do we create these management systems?
• What models from the ACS, PTS, and other
societies have worked particularly well?
• How do we measure success/failure of an approach?
• What are the metrics going forward? Supply
and demand (immigration, attrition) must be
defined in our current situation, and quickly.
• Among different workforce members (nurses,
physicians, and so on) in different countries, are there
opportunities for nurses to share in the formal systems
education and training management (SAO nursing)?
• Which countries have improved the
situation and how have they done it?
• Can we describe the dynamics that lead to shifts
in supply and demand (disaster relief; war;
terrorism; narcotics trafficking; educational,
personal, and financial opportunities; and
misconceptions about these factors)?
• What is the remuneration and retention
in public vs. private hospitals?
• Can we describe the desired outcome?
How do we get there?
• What are the barriers to how we measure
success/failure? What are the metrics?