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It is anticipated that these efforts will result in the
engagement of both public and private institutions that
can take on the responsibility of funding acute care surgery education and training as a public health service, as
well as cost-effectiveness. An investment in measuring
the value of acute care surgery education and training
to accomplish local, regional, and national acute care
surgery recruitment and retention of quality emergent
and essential providers at public and governmental entities is crucial. Advocacy efforts that promote not only
universal access to care, but also universal access to
education and training, are therefore critical. Stimulating an affordability of education/training (in Latin
America, residents pay for residency training), salary
improvement, professional satisfaction, data that reflect
a profession’s clinical impact, and provision of tools to
create work-life integration, also will help. The current
landscape in education and training should be better
defined so that the variability between countries can
be elucidated and efforts consolidated (see Table 5, page
32). Then, the PTS and other national medical societies in the Americas will best identify collectively the
desired workforce as it relates to emergent and essential
surgery, what needs to be done, and how to do it (see
Table 6, page 33).
Emergent and essential surgery is the focus of the
30th Annual Panamerican Congress of Trauma, Critical
Care and Emergency Medicine in Mexico City, Mexico,
November 27 to December 1. This annual congress has
consistently demonstrated that leaders across numerous
disciplines and organizations view this topic as a top
health care priority. The emergence of surgical education and training is critical to the viability of reaching
LCoGS I- 2 targets and creation of national surgical plans
that optimize emergency and essential care delivery.
Current acute care surgery leaders in the Americas
seek your help for support in working with individual
Latin American surgical societies and national ministries to define the acute care surgery profession and
its respective funding, policy, and legislation for the
cross-disciplinary, interprofessional, population-based