• Youmna A Sherif, Taslima Choudhury, Emmanuel Makasa, Todd K Rosengart, Rachel W Davis, and Neema Kaseje.
• From the Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX (Sherif, Rosengart, Davis).
• J. Am. Coll. Surg. 2022 Feb 1; 234 (2): 239-246.

AbstractGlobal surgery is a medical field dedicated to the facilitation of timely access to safe, affordable, and high-quality surgical healthcare worldwide, including support for necessary surgery and anesthesia infrastructure. Standard surgical training in the US does not provide necessary exposure to the range of surgical operations and nontechnical skills critical to practice in resource-limited contexts. Therefore, academic medical institutions have sought to bridge this training gap by establishing global surgery-focused rotations, fellowships, and integrated global surgery residencies. However, the presence of trainees pursuing education for careers in resource-variable settings presents an added layer of ethical complexity that must be carefully considered on the individual, programmatic, and institutional level. This article reviews the complexities relevant to global surgery trainees across these levels and offers potential mechanisms for addressing these ethical challenges.Copyright © 2022 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.

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