<![CDATA[UCSF Center for Global Surgical Studies News ]]>https://global.surgery.ucsf.edu/news--events.aspxUCSF NewsenThu, 6 Dec 2018 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=80455 <![CDATA[S. Ariane Christie, MD Receives Excellence in Research Award from American College of Surgeons ]]> S. Ariane Christie, MD, a general surgery resident at UCSF, received an Excellence in Research Award from the Scientific Forum Committee of the American College of Surgeons (ACS) in the category of Global Surgery.

The award was for her abstract, "Feasibility of a Cellular Telephone Follow-up Program After Injury in Sub-Saharan Africa", which had previously been selected as an oral presentation at the 2018 Owen H. Wangensteen Scientific Forum program. Dr. Christie received her honor at a formal awards ceremony on October 23rd. 

Dr. Christie received her medical degree from Johns Hopkins School of Medicine in Baltimore, MD and is currently a PGY-4 general surgery resident at UCSF. Her research interests include validation and implementation of novel applications of technology to establish evidenced-based trauma systems and care in diverse settings.

Over the course of her training, Dr. Christie has benefited from an excellent mentorship team including Dr. Mitchell Cohen, Dr. Alan Hubbard, Dr. Rachael Callcut, Dr. Alain Chichom-Mefire, Dr. Rochelle Dicker and Dr. Catherine Juillard. Over the past two years, her research focus has been on developing sustainable trauma surveillance and treatment in Cameroon. After completion of her residency, Dr. Christie's plans to pursue an academic career in trauma surgery and critical care, with a focus on global surgery.

- by Richard Barg https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=80455
Fri, 28 Sep 2018 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=80134 <![CDATA[Recent Publications: Essential Surgery, a Part of the Right to Health; Machine Learning Without Borders?]]> Highlighted here are two publications amongst the recent publications that have emerged from the UCSF Center for Global Surgical Studies: the first is about incorporating essential surgery into the right to health and the second is about using a machine learning algorithm to optimize mortality prediction in diverse clinical settings.

Please also take a look our other recent publications, including one about developing trauma audit filters in Cameroon and another that presents one of our first analyses of the Cameroon Trauma Registry data. The Center's updated list of publications can always be accessed from the publications tab of our website.

Eyler, LaurenIn "Essential Surgery as a Component of the Right to Health: A Call to Action" Lauren Eyler, MD, MPH and colleagues argue that while -- with regards to promoting essential surgery as a right -- there has been a promising increase in the number and types of advocacy efforts, most of these efforts have originated from within the public health community. Dr. Eyler et al. note that human rights advocates also need to get involved with these efforts in order for essential surgery to become recognized by official human rights mechanisms.

Essential surgery consists of a set of 44 surgical procedures that are cost-effective and scalable and can treat conditions that contribute significantly to the global burden of disease (click here to see the Third Edition of the Disease Control Priorities, which was published in 2015 and focused on essential surgery).

"Essential Surgery as a Component of the Right to Health: A Call to Action" uses existing data about surgery to help the human rights' world understand why essential surgery ought to be a component of the right to health. The article was published in the August 2018 edition of Human Rights Quarterly, a journal widely recognized as the leader in the field of human rights. The article was recently referenced by an article in the Johns Hopkins Bloomberg School of Public Health's Global Health NOW, a key forum for news and information for the global health community.

Christie, ArianeS. Ariane Christie, MD et al. applied SuperLearner, a machine learning algorithm, to data on more than 28,000 injured patients in the United States, South Africa, and Cameroon. The researchers then compared discharge mortality as predicted by SuperLearner with that predicted by more conventional scoring algorithms, such as the trauma and injury severity score (TRISS).

Overall, the authors found that SuperLearner was able to generate excellent prediction of trauma mortality in the project's Unted States, South Africa, and Cameroon cohorts -- extremely diverse clinical settings. This is especially useful because conventional scoring algorithms rely on the collection of pre-specified variables -- which is not always feasible, especially in low-resource settings like Cameroon.

The machine learning paper by Dr. Christie et al., "Machine Learning Without Borders? An Adaptable Tool to Optimize Mortality Prediction in Diverse Clinical Settings", has been published online ahead-of-print in The Journal of Trauma and Acute Care Surgery.

- by Girish Motwani, MPH https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=80134
Mon, 21 May 2018 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=78593 <![CDATA[Resident Research Winners Announced for Presentations at 31st Annual J. Engelbert Dunphy Resident Research Symposium]]> The 31st Annual J. Engelbert Dunphy Resident Research Symposium was held Wednesday, April 25, 2018 at UCSF Medical Center at Mission Bay. The program showcased the laboratory research of residents, fellows and medical students in the Department of Surgery, and honors the life and accomplishments of J. Engelbert Dunphy, M.D., a legendary surgeon and a former chair of the UCSF Department of Surgery.

This year's J. Englebert Dunphy Visiting Professor, Carla M. Pugh, MD, PhD, FACS, Professor of Surgery and Director of the Technology Enabled Clinical Improvement (T.E.C.I.) Center at Stanford University, delivered a highly engaging and fascinating keynote presentation entitled, "Hacking Healthcare with Sensors: Unfolding the Metrics of Physician Expertise".

Symposium Winners

Visit the Resident Research Symposium Page

31st Annual Resident Research Symposium Program 

- by Richard Barg https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=78593
Tue, 16 Jan 2018 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=77718 <![CDATA[Center Members Win IATSIC Poster Prize at World Congress of Surgery 2017]]> The UCSF Center for Global Surgical Studies' members S. Ariane Christie, MD, Alain Chichom Mefire, MD, Fanny Nadia Dissak Delon Ngoug, MD, MPH, and Catherine Juillard, MD, MPH as well as past members Rochelle Dicker, MD and Isabelle Feldhaus, MHS were the recipients of the International Association for Trauma Surgery and Intensive Care's Poster Prize during the World Congress of Surgery held in 2017 in Basel, Switzerland. The poster was titled, "Clinician Gestalt Out-Performs Formal Injury Severity Scoring Systems in a Developing Country Setting" and was presented by Alain Chichom Mefire, MD.

The Center is grateful for the efforts of its Cameroonian collaborators, including Arabo Saidou and Pierre Nsongoo.

- by Girish Motwani, MPH https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=77718
Thu, 2 Nov 2017 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=74616 <![CDATA[Glasgow Univ. Magazine and UCSF IGHS Feature the Center and Dr. Juillard]]> Two separate interviews conducted with Catherine Juillard, MD, MPH, Director of the UCSF Center for Global Surgical Studies, were recently featured in the Glasgow University Magazine (GUM) Freshers' Zine 2017 and on the UCSF Institute for Global Health Sciences' (IGHS) website.

Joanna Ashby, BSc -- currently an MBChB candidate at the University of Glasgow and a trainee of the Center -- reports on her interview with Dr. Juillard to inaugrate the GUM's year-long series on global surgery. You can read the interview in the GUM Freshers' Zine 2017 here.

A separate article hosted on the UCSF IGHS website highlights the collaboration between the Center and Sara Fewer, MPP, MPH to help translate evidence into policy to improve global surgery. Sara is a faculty member of the Center who is based at the UCSF Global Health Group. You can read the article here.

- by Girish Motwani https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=74616
Wed, 4 Oct 2017 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=74158 <![CDATA[The Center Successfully Crowdfunds $10,000]]> The UCSF Center for Global Surgical Studies launched a crowdfunding campaign on Tuesday, September 12th, 2017 to raise $10,000. A little less than a week later the Center successfully reached (and slightly surpassed) its goal of raising $10,000.

The campaign was placed on CARINGCROWD®, a crowdfunding platform proudly sponsored by Johnson & Johnson and specifically dedicated to improving global public health. CARINGCROWD® gives non-profit organizations a voice, a place to educate the public, and a way to raise funds for health-related projects.

The UCSF Center for Global Surgical Studies has worked with colleagues in Cameroon to improve trauma care since 2008. In Cameroon, obtaining safe and expedient medical care after injury is not currently a reality. The overarching goal of the project is to train local doctors and nurses to improve the quality of care they deliver to injured patients. To view the campaign "Save Lives after Injury by Improving Trauma Care in Cameroon," please click here.

The Center is grateful to CARINGCROWD® and Johnson & Johnson for the opportunity to crowdfund through their platform and to the 39 individuals who generously pledged to the campaign. The Center is also extremely pleased with the support it received from many who shared information about the campaign because "crowdfunding's power comes from activating your networks—friends, family, and colleagues—online and in person. The goal is to inspire others to want to support the project that you are crowdfunding for."

- by Girish Motwani https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=74158
Thu, 27 Jul 2017 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=72666 <![CDATA[Johannes Kratz and Yeranuí Ledesma Recipients of UCSF Health Exceptional Physician Awards]]> Johannes R. Kratz, M.D. and Yeranuí Ledesma, M.D. are among this year's recipients of the 2017 UCSF Health Exceptional Physician Award. Dr. Kratz, now a member of the Thoracic Oncology Program and Assistant Professor in the Division of Adult Cardiothoracic Surgery, and Dr. Ledesma, a Senior Resident in General Surgery, were among 8 winners out of 61 nominees, notably the only clinical fellow and resident, respectively, at UCSF to receive the award, and the only recipients not on the faculty.  The official announcement reads:

We are delighted to announce the 2017 UCSF Health Exceptional Physician Award Winners.   

These eight physicians display the characteristics of our core values of PRIDE -- Professionalism, Respect, Integrity, Diversity and Excellence.  Their hard work, dedication and contribution is a testament to the exemplary relationships they have with faculty, staff and patients, and their steadfast commitment to providing outstanding care for our patients.   Please join me in congratulating them on their exceptional service. 

  • Juan Gonzalez (Department of Obstetrics, Gynecology and Reproductive Services)
  • Steven Hetts (Department of Radiology)
  • David Hwang (Department of Ophthalmology)
  • Johannes Kratz (Department of Surgery Fellow)
  • Yeranui Ledesma (Department of Surgery Resident)
  • Ngoc Ly (Department of Pediatrics)
  • Sabine Mueller (Department of Neurology)
  • Tina Shih (Department of Neurology) 

We received 61 nominations this year. Thank you to the staff, physicians, students, and patients who contributed to the nomination process.

Josh Adler, MD
Executive Vice President, Physician Services
UCSF Health

- by Richard Barg https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=72666
Thu, 20 Jul 2017 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=72609 <![CDATA[ZSFG Celebrates One-Year Anniversary of Wraparound Mural]]> Zuckerberg San Francisco General Hospital recently celebrated the one-year anniversary of the debut of the Wraparound mural, a profound expression of art and healing that proudly hangs on a wall near the Wraparound Project offices at ZSFG. The mural is the creation of Marco Razo, a noted artist, who first learned of the Wraparound Project after he lost a family member to violence in 2016. The core mission of the Wraparound Project is the prevention of violence thorough culturally sensitive community interventions and support of its victims through proactive outreach, empathy and emotional sustenance.

Razo's mural was inspired by the artistic genre of "magical realism", a realistic view of the world suffused with magical elements, and was intended to serve as tribute to the life that was tragically lost. The painting symbolizes the tree of life with mother earth at her roots.  Sitting atop the globe on either side are two figures representing the Wraparound Project and the Center for Global Surgical Studies respectively, depicted as caring for the earth. The flying figure at the top of the mural represents a symbol of hope for Wraparound clients.

Razo teamed with the Wraparound staff other clients to assemble the mural, first painting pieces of plywood covered in joint compound, then joining them together to complete the finished mural. Ordinary objects such as a wheel and bottles were stamped into the joint compound to add texture. 

Razo continues to volunteer his talents, serving as a mentor and art instructor for Wraparound clients, teaching them them to create their own art pieces, some of which has been sold at fund-raising auctions. Marco's participation as both artist and mentor to the Wraparound Project clients symbolically closes the healing circle of art therapy and medical care. 

To schedule a visit to see the mural, please contact the Wraparound Project at:

(415) 206-3382

Mural Painted By Wrap Around Client

- by Adaobi Nwabuo and Richard Barg https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=72609
Wed, 21 Jun 2017 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=71846 <![CDATA[Global Injury Research Implementation: Reframing Obstacles as Opportunities]]> S. Ariane Christie, M.D., Resident Research Fellow in General Surgery, recently authored a post, Global Injury Research Impementation: Reframing Obstacles as opportunities", on the Association for Academic Surgery blog. In the post, Dr. Christie describes the many challenges she and her team had to face as she set out to do her community-based survey on injury in Southwest Cameroon, ranging from acclimating to the geographical barriers to data collection to learning about cultural differences on the ground.

Of particular note were the culture-specific challenges that were recalcitrant to both anticipation by our local partners and detection on survey pretesting. For example, in rural communities, certain people were hesitant to report injuries because of the belief that discussing injury or illness could actually bring it about—a concern that none of our Cameroonian team members had heard before. Obtaining accurate financial data was made more challenging due to participant concerns that information would be shared with the government to increase taxes, or, conversely, that subjects might potentially be reimbursed for injury expenditures. And injury itself, which was a concrete, easily-definable entity in our taxonomy, was often difficult to distinguish from other types of illnesses for our participants.

Dr. Christie concludes her post with four take-home lessons and frames the assortment of challenges she faced as opportunities through which she learned more about the community she and her team were studying.

- by Girish Motwani https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=71846
Fri, 9 Jun 2017 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=71388 <![CDATA[CGSS Trainee Graduations in Cameroon and the United States]]> The Center for Global Surgical Studies congratulates nine of its trainees on their recent graduation from medical school. Seven of the nine most recent doctors on our strong team graduated from the University of Buea in Cameroon after successfully defending their theses last week. Two of the nine trainees graduated from the University of Iowa and the University of California, San Francisco.


The seven Cameroonian graduates were instrumental to S. Ariane Christie, MD in her community-based survey on injury in southwestern Cameroon. A few of them are also assisting with the Center's existing projects in Cameroon. All seven Cameroonian graduates utilized data collected through the community-based survey to answer a series of unique questions about injury and surgical diseases in southwestern Cameroon. Theses topics included, for example, breast disease and traumatic brain injury.


Our U.S.-based 2017 medical graduates -- Christopher J. De Boer, MD and Brian Shaw, MD -- completed research projects in Uganda and Kenya, respectively. While Dr. De Boer focused on analyzing the cost-effectiveness of emergency exploratory laparotomies, Dr. Shaw's project focused on understanding the geospatial relationship of road traffic incidents to hospitals with trauma surgical capabilities. Dr. De Boer and Dr. Shaw are both currently beginning their journey as residents.

We congratulate the newest doctors on our team, Eunice Oben Bessem Cole, MD, William Chendjou, MD, Christopher J. De Boer, MD, MSc, Frida Nganje Embolo, MD, Susan N. Mbeboh, MD, Fonje Ahmed Nour, MD, Brian Shaw, MD, Emerson Wepngong, MD, and Kareen Azem, MD.


The Center for Global Surgical Studies continues to welcome individuals interested in working in the field of global surgery, regardless of their institutional affiliation and where they are located. Please feel free to contact us with your interests.

- by Girish Motwani https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=71388
Tue, 9 May 2017 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=70156 <![CDATA[Summer 2017 Internship Opportunity]]> We are seeking a motivated intern to be a part of our team for the summer of 2017. For more information about the internship, please see below.

The Center is interested in developing National Surgical Plans, particularly with its partner countries Cameroon and Uganda.

The intern will be the lead author on a review about existing literature on National Surgical Plans. While the intern will have significant autonomy with regards to the project, s/he will work closely with the Center's staff. This internship will provide the opportunity to learn about the emerging topic of global surgery in the larger discipline of global health. The internship will also be an opportunity to develop literature review skills. Current or graduated undergraduate- and masters-level students as well as medical students with an interest in and/or a major/concentration or degree in international development, public policy, public health, global health, or related fields are eligible and encouraged to apply.

For more information about the position including the position's specific functions and responsibilities, the ideal qualifications of applicants, and instructions for applying, please go to this link.

- by Girish Motwani https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=70156
Thu, 13 Apr 2017 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=69917 <![CDATA[S. Ariane Christie, MD Awarded "Outstanding Abstract Presentation"]]> The Center for Global Surgical Studies is very proud to announce that one of our trainees, S. Ariane Christie, MD, received the award "Outstanding Abstract Presentation" at the 30th Annual J. Engelbert Dunphy Resident Research Symposium. Dr. Christie received this award for her research project titled "Injury and Care-Seeking in Southwest Cameroon: A Community-Based Survey". Catherine Juillard, MD, MPH, Assistant Professor of Surgery and co-Director of the Center for Global Surgical Studies accepted the award on behalf of Dr. Christie.

The J. Engelbert Dunphy Resident Research Symposium showcases the laboratory research of residents, fellows and medical students in the Department of Surgery, and honors the life and accomplishments of J. Engelbert Dunphy, M.D., a legendary surgeon and former Chair of the UCSF Department of Surgery.

Residentresearchawards 2017

- by Girish Motwani https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=69917
Fri, 24 Mar 2017 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=69798 <![CDATA[CGSS Blog's First Post!]]> The Center for Global Surgical Studies has officially inaugurated its "CGSS Blog" with its first post, "Crowd Justice for Trauma in LMICs?", written by trainee S. Ariane Christie, MD.

The CGSS Blog is intended to push our members--especially trainees--to reflect on their on-the-ground experiences, thoughts, and ideas. Additionally, the Blog was created to serve as a platform through which members can share their experiences, thoughts, and ideas with colleagues and others more generally interested in global surgery and trauma work.

The first post on the Blog ("Crowd Justice for Trauma in LMICs?") explores the topic of crowd justice, specifically in the context of Cameroon.

Please stay tuned for more blog posts, which will be written and published periodically.

- by Girish Motwani https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=69798
Mon, 20 Mar 2017 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=69773 <![CDATA[Lauren Eyler and Catherine Juillard Develop Algorithm to Facilitate Health Disparities Research]]> Eyler LaurenUCSF General Surgery Resident, Lauren Eyler, MD, MPH, in collaboration with UC Berkeley's Alan Hubbard, PhD and one of the Center's Co-Directors, Catherine Juillard, MD, MPH, worked together to develop an algorithm that facilitates health disparities research in the context of low- and middle-income countries. The algorithm can define population-specific models of economic status using variables from the Demographic and Health Surveys (DHS) household assets data. The use of DHS data makes it easy to track the economic status of injured patients and to compare the economic status of injured patients with that of the general population. Using the algorithm allows investigators to track the economic status of injured patients over the course of interventions implemented to tackle injury disparities, for instance.

The algorithm has been incorporated into an R shiny app called the EconomicClusters App. The App was developed for use by investigators with limited statistical software coding experience.

To read more about the EconomicClusters App, please click here. At the link provided you can find more information about downloading the Mac and Windows versions of the App as well as the accompanying PowerPoint Presentation and the journal article.

To go straight to the folder containing the EconomicClusters App, the PowerPoint, and the journal article, please click here.

- by Girish Motwani https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=69773
Tue, 7 Mar 2017 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=69620 <![CDATA[Data Collected from Over 8,000 People in Eight Weeks]]> On Friday, March 3rd, 2017, Center for Global Surgical Studies' (CGSS) trainees Sabrinah Ariane Christie, MD, Drusia Dickson, and the Community Based Survey on Injury team completed their data collection efforts in Southwest Cameroon. The data collection efforts--which spanned a period of eight weeks--yielded data on over 8,000 people living in the region.

One of the aims of this CGSS study is to estimate the yearly incidence of injury in the Southwest region of Cameroon with an emphasis on understanding patterns of injury and care-seeking behavior among households with injured persons who do not present to formal care. Preliminary analyses of the data are underway.

Injurycare Seekingbehaviorsouthwestcameroon Lastdaydatacollection Christiedickson

Pictured above is the Community Based Survey on Injury team posing in front of the University of Buea gate on the last morning of data collection. The team includes S. Ariane Christie, MD (UCSF Surgical Resident), Drusia Dickson (UCSF Medical Student), and University of Buea medical students Ahmed Fonje, Emerson Wepngong, Eunice Oben, Frida Nganje, Kareen Azemafac, Susan Mbeboh, William Chendjou, and Agbor Mbiarkai.

CGSS is proud of Dr. Christie, Ms. Dickson, and the entire Community Based Survey on Injury team for their successful data collection efforts.

- by Girish Motwani https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=69620
Fri, 3 Feb 2017 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=69297 <![CDATA[ New Opportunities in Global Health Studies at UCSF - Apply Now!]]> Global Health Pathway Program

Learn more about the program here

Submit application here

Deadline to apply: February 22, 2017* 

* Late applications will be accepted so long as the applicant's program director approves her/his participation in the three-week course September 5th-September 22nd.

Please note:

  • Requirements include participation in the program's full-time course as well as completion and presentation of a scholarly project.
  • Please fill out the application as completely as possible. If you do not yet have a definite project or mentor , you may write "N/A" for now.

Global Cancer Pilot Award

This award is available through UCSF's Resource Allocation Program (RAP). Learn more about the program including eligibility criteria and the application process here.

Deadline to apply: February 27, 2017, 2pm (PST)

- by Girish Motwani https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=69297
Tue, 5 Apr 2016 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=63999 <![CDATA[Apply Now! Commonwealth Scholarship for MSc in Trauma Sciences]]> The Commonwealth Scholarship Commission in the UK is offering four scholarships for MSc applicants in Trauma Sciences at Barts and The London School of Medicine and Dentistry. MSc applicants permanently residing in a developing Commonwealth country are eligible to apply for a Commonwealth Distance Learning Scholarship.

The program currently offers four scholarships covering course fees and additional expenses: two for the MSc in Trauma Sciences / Trauma Sciences + Military and Humanitarian and two for the MSc in Orthopaedic Trauma Sciences. The deadline for scholarship applications is May 4, 2016.

For detailed information about the MSc program and scholarship, click here.

- by Isabelle Feldhaus https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=63999
Wed, 10 Feb 2016 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=63400 <![CDATA[UCSF to Host Annual Global Health Conference]]> In early April, UCSF will host more than 1,500 global health faculty, students, staff and researchers from around the world for the largest academic global health conference in the U.S.

The Consortium of Universities for Global Health (CUGH) Conference returns to San Francisco April 9-11 where it originated in 2009.

With the theme "Bringing to a Sustainable Future for Global Health," the conference will address the implications of the UN Sustainable Development Goals for global health research and education and explore creative ways to extend the impressive gains that have been made in global health over the past two decades.

- by Isabelle Feldhaus https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=63400
Mon, 8 Feb 2016 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=63372 <![CDATA[S. Ariane Christie, MD, Presented with 2016 AAS/AASF Global Surgery Research Fellowship Award]]> The Association for Academic Surgery (AAS) and Association for Academic Surgery Foundation (AASF) presented S. Ariane Christie, MD, a General Surgery Resident at UCSF, with the 2016 AAS/AASF Global Surgery Research Fellowship Award for her research proposal titled "Long Term Outcomes Following Traumatic Injury in a Regional Trauma Center in Limbe, Cameroon" at the 11th Annual Academic Surgical Congress. The award is designed for individuals who are interested in advancing the field of Global Surgery through research aimed at advancing understanding or improvements of surgical care in resource-poor settings.

Trauma remains the leading cause of death and disability between the ages of 1 and 44. Though low- and middle-income countries bear a disproportionately high burden of the global morbidity and mortality attributable to trauma, the specific epidemiology and outcomes of injured patients in these settings are largely unknown. Dr. Christie's study proposes to use cell phone numbers collected at the time of injury in conjunction with a recently established trauma registry to collect long-term data regarding the impact of traumatic injury on functional, financial, and health status on patients in Limbe, Cameroon.

Implementation of Dr. Christie's research will begin 2016 in collaboration with the UCSF Center for Global Surgical Studies and its partners at the University of Buea and Limbe Regional Hospital in Cameroon. 

- by Isabelle Feldhaus https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=63372
Wed, 27 Jan 2016 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=63285 <![CDATA[Stabbings and Gunshot Wounds as a Public Health Problem]]> SF Wraparound Director, Dr. Rochelle Dicker provides insight into the growth of hospital intervention programs for patients who are injured as a result of violence.  The following Washington Post article reports that patients with gunshot or stab wounds are more likely to be re-injured, especially if their circumstances do not change after injury. In addition to being more likely to face issues of domestic violence, mental illness, and substance abuse, a lack of stable housing and poverty are stressors that can result in health problems. Research finds that the need for intervention is sensible on both a public health and cost-effectiveness standpoint, as those patients who participate in violence prevention programs are less likely to return to the hospital. 

So far, there isn't much research measuring such programs' effectiveness. But the findings that are available show promise.

UCSF found that people who had come to the hospital with a gunshot or stab wound and then participated in the intervention program were far less likely to get injured again. The number of patients returning with another violent injury dropped from 16 percent to 4.5 percent.

And in a paper published last year, researchers estimated that the program would save the hospital half a million dollars annually.

That's crucial. "It's very important to be able to talk about cost-effectiveness" as hospitals look to curb expenses, Dicker said.

Wed, 9 Dec 2015 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=62558 <![CDATA[Max Brondfield Wins First Prize for Presentation at XXVIII Panamerican Trauma Congress]]> Max Brondfield, UCSF School of Medicine '16, won first prize for his oral presentation in the student category at the XXVIII Panamerican Trauma Congress in Santa Cruz, Bolivia this past November. The Panamerican Trauma Society seeks to encourage the exchange of knowledge and information between and among physicians, nurses, prehospital providers, and other healthcare personnel who take care of injured patients in North, Central, and South America.

Using 2013 data from an urban Level 1 trauma center, Brondfield modeled rates of trauma at the individual and census tract level to understand the role of alcohol outlets relative to socioeconomic factors thought to influence injury. He projected injury event and alcohol outlet data onto a map of census tracts, which was then stratified according to age, intentionality, and blood alcohol level screening.

Positive blood alcohol levels were associated with higher injury severity score among trauma victims. At the census tract level, density of off-sale alcohol outlets per capital was the strongest correlated variable with all traumas and those for which blood alcohol level was elevated on admission. Violent trauma showed the strongest association with on-sale alcohol outlets per capita. Results of this study may inform policy measures to prevent trauma and create a safer urban environment.

- by Isabelle Feldhaus https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=62558
Fri, 30 Oct 2015 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=62183 <![CDATA[4th Annual Global Humanitarian Surgery Course at Stanford University]]> 2015 11 02 09 14 45

The Center for Innovation in Global Health at Stanford University School of Medicine (SUSM), CA, will host a one-and-a-half-day Continuing Medical Education (CME) course, February 27−28, on humanitarian surgery missions in developing countries. The fourth annual international humanitarian aid skills course will review common conditions encountered in resource-limited environment. Through a variety of techniques, including skill stations and simulation, the course will provide instruction on common procedures performed in resource-limited environments. The course also will offer the essential elements of surgical safety, ethics, and cultural considerations in such settings. Specific skill areas that will be taught include orthopaedic dislocations and fracture management with traction ins and external fixation, cesarean sections, post-partum hemorrhage, burn management and hand cutting of skin grafts, burr holes, and hysterectomy.

Register by January 24. Space is limited. SUSM designates this live activity for a maximum of 10.5 AMA PRA Category 1 Credits™. Find more information about the course online, including discounted hotel information. For registration assistance, e-mail stanfordcme@stanford.edu, for course questions email Dr. Sherry Wren: swren@stanford.edu.

- by

 Isabelle Feldhaus https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=62183 Mon, 28 Sep 2015 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=58904 <![CDATA[Join us for the annual "Bay Area Global Health Film Festival" ]]> Join the Institute for Global Orthopaedics and Traumatology (IGOT) for the upcoming annual Bay Area Global Health Film Festival! Through this advocacy event, IGOT's goal is to build community awareness around global health concerns that have a local and global impact. 

Bay area film festival

Wednesday, September 30th doors open at 5:30pm 

Public Works
161 Erie St.
San Francisco, 94103 

This year's theme is "The Art of Rehabilitation Locally and Globally". There will be a special performance by Axis Dance a professional dance company with handicap artists, amazing BBQ, DJ and cash bar! 

Films will highlight:

  • What life is like for amputees in the Bay Area
  • How simple surgical skills can save lives and limbs in Tanzania
  • What basic sewing skills can do to improve the lives of Kenyan Woman
  • How Crossfit challenges have changed the way people with disabilities are viewed by their community
  • What scuba diving has done for children who are wheelchair bound

and an expert panel for Q&A will end the night!

Raffle Prizes will be awarded and partner organization tables will have info and goodies on display! 

Make it a date night (this is a 21+ years only event)….HOPE TO SEE YOU ALL THERE!

]]> - by Amber Caldwell, Ghazel Waiz  https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=58904
Mon, 28 Sep 2015 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=58909 <![CDATA[How Surgery Can Fight Global Poverty ]]> Last week, The New York Times published an Op-Ed discussing the inherent need for improving surgical systems and building reliable surgical infrastructure as a way to strengthen the health care system. While HIV, tuberculosis, and malaria continues to be the main focus of global health policies, access to surgical care remains limited for most of the world. 

Surgery is more than just facial tumors, breast cancer and trauma; it is a crosscutting intervention, involved in every disease category from infections to blindness, from congenital abnormalities to maternal conditions, from the neurological to the cardiac to the neoplastic. To put this in perspective, H.I.V., tuberculosis and malaria — which have captured the global conversation — currently make up less than one-tenth of the global disease burden, combined.

Why, then, has surgery been ignored? In part, because expanding surgery seems daunting and expensive. Why not just focus global energy on vaccines, for example, which can be mass-produced and delivered to the population, rather than scaling up an entire health infrastructure? After all, providing surgery requires reliable electricity, water, suction, sterilization, oxygen — as well as surgeons, anesthesiologists, nurses and biomedical technicians.

But this is exactly what makes improving surgery ideal. Improve a surgical system, and you improve the very things that are necessary for the delivery of health care in general. Doing so is less costly than it might initially seem. The cost of scaling up a surgical system in resource-poor countries — about $300 billion over 18 years — represents only about 5 percent of the total combined expenses that governments in low- and lower-middle-income countries spend on health annually, and pales in comparison with the $12.3 trillion cost of inaction. And spending that money now will not only lower the current surgical disease burden and allow patients to return to economic productivity, but it will also make the health system itself more resilient when shocks like Ebola hit.

Tue, 15 Sep 2015 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=55294 <![CDATA[Spotlight: Adam Laytin, MD, MPH]]> Adam Laytin, MD, MPH, a former UCSF General Surgery Resident, spent his final research year, 2014-2015, in Addis Ababa, Ethiopia as a Global Health Equity Scholar with the Fogarty International Center, an NIH branch devoted to international health research.  

Dr. Laytin partnered with surgeons and emergency physicians at several of the public teaching hospitals, such as Tikur Anbessa Specialized Hospital (pictured below), to develop and strengthen research infrastructure to address the burden of injury in Ethiopia. He helped to establish several trauma registries and analyzed data about patterns of injuries and clinical outcomes of trauma patients. Emergency medicine and trauma care are still in their infancy in much of sub-Saharan Africa and the data that they collect will be invaluable in quality improvement and advocacy efforts. He also piloted a novel protocol for collecting data about the long-term clinical outcomes of trauma patients in sub-Saharan Africa.  

In addition to his research activities, Dr. Laytin held an academic role in the Department of Emergency Medicine at Tikur Anbessa Specialized Hospital, teaching residents about study design and data analysis and advising senior residents designing their own research protocols. 


- by Isabelle Feldhaus https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=55294
Tue, 7 Jul 2015 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=52523 <![CDATA[CUGH Webinar | The Global Surgery Deficit]]> "Approximately 5 billion out of 7 billion people in the world have no or little access to basic surgical care."

On Monday, July 20th, the Consortium of Universities for Global Health (CUGH) will be hosting a webinar to describe the magnitude of the global surgery deficit. Discussion will include exploring the magnitude of the surgery deficit, current international priorities, and will provide a chance to share ideas for opportunities on how to tackle this challenge. Speakers include Dr. Girma Tefera, Medical Director of Operation Giving Back, and Dr. Fizan Abdullah, Chair of the Global Surgery Initiative at Johns Hopkins University. The session will be moderated by Dr. Keith Martin, Executive Director of CUGH.

Join us on July 20th at 10:30 – 11:30 AM PST. Register here.

- by Ghazel WaizIsabelle Feldhaus https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=52523
Mon, 22 Jun 2015 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=52319 <![CDATA[Video Release: Launch of Center for Global Surgical Studies]]> The launch of the Center for Global Surgical Studies at UCSF marks a high point for 2015, "a year when the stars for global surgery seem to be aligned," said Haile Debas, Director of the UC Global Health Institute. The event highlighted the path to realizing surgery for all as an integral part universal health coverage as a global health community as well as fostering multidisciplinary collaborations across UCSF. 

For those of you not able to attend, you can now view recordings of the event at your convenience.

Hear directly from leaders in global surgery:

Haile Debas 
Jaime Sepulveda
Dean Jamison
Gavin Yamey

More videos will be added soon. Subscribe to our channel here for updates.

- by Neha Shah, Isabelle Feldhaus https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=52319
Fri, 29 May 2015 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=51825 <![CDATA[Launch of Center for Global Surgical Studies at UCSF]]> DCP3 series editor Dr. Dean Jamison joined Essential Surgery volume lead editor Dr. Haile Debas, Communications Technical Advisory Group member Dr. Gavin Yamey, and Advisory Committee member Dr. Jaime Sepulveda for an event launching the Center for Global Surgical Studies at the University of California, San Francisco.

See the full story here.

Fri, 1 May 2015 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=51639 <![CDATA[ Center for Global Surgical Studies to Launch May 28, 2015]]> The Center for Global Surgical Studies at UCSF officially announces its launch on Thursday, May 28, 2015. The event will feature the recently released findings of the Lancet Commission on Global Surgery with words from Commissioner Gavin Yamey and editors of Disease Control Priorities 3, Volume 1: Essential Surgery, Dean Jamison and Haile Debas.

The launch of the Center proves to be timely and appropriate given the considerable momentum and mounting evidence for increased action, investment, and research for global surgery as an integral component of health care and health systems towards universal health coverage. The event marks yet another milestone for global health and global surgery at UCSF, bringing together key players for greater potential innovation and collaboration across institutions.

See the launch agenda here.

Screen Shot 2015 04 21 At 22719 PM

Please RSVP to Ghazel.Waiz@ucsf.edu

Letter from the Directors Announcing Program Launch

Dear Colleague,

Through the generous support of the Department of Surgery under the leadership of Nancy L. Ascher, M.D., Ph.D., the Department Chair, we have had the opportunity to formalize our global surgery efforts under a new Center for Global Surgical Studies.

In its current fledgling form, the Center for Global Surgical Studies is a Department of Surgery endeavor; however, we envision growing a strong multidisciplinary collaboration across all surgically related disciplines. We also look forward to joining forces with colleagues in Global Health Sciences and the professional schools at UCSF.

We cordially invite you to join us at our launch on Thursday, May 28th from 4:00 to 6:00 pm to celebrate future research and collaboration for global surgery at UCSF and the Center for Global Surgical Studies as well as the recent accomplishments of the Lancet Commission on Global Surgery.

Rochelle Dicker, MD
Catherine Juillard, MD, MPH
Co-Directors, Center for Global Surgical Studies

- by Isabelle Feldhaus https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=51639
Thu, 30 Apr 2015 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=51632 <![CDATA[Launch of Lancet Commission on Global Surgery Report]]> On April 27, 2015, the Lancet Commission on Global Surgery released Global Surgery 2030: evidence and solutions for achieving health, welfare and economic development, the much anticipated report presenting the Commission's assessment of the current state of global surgery and its recommendations on how to improve surgical care delivery around the world.

Gavin Yamey, MBBS, MPH, MA, MRCP, who leads the Evidence-to-Policy Initiative (E2Pi) of the Global Health Group at UCSF is one of 25 commissioners. The Commission's Report, alongside the recently released Disease Control Priorities 3, Volume 1: Essential Surgery edited by the Founding Director of UC Global Health Institute and UCSF Professor Haile Debas, MD, provides strong evidence for action and investment in global surgery.

The Commission's Report (Overview) highlights five key messages:

  1. Five billion people do not have access to safe, affordable surgical and anesthesia care when needed.
  2. 143 million additional surgical care procedures are needed in low- and middle-income countries (LMICs) each year to save lives and prevent disability.
  3. 33 million individuals face catastrophic health expenditure due to payment for surgery and anesthesia care each year.
  4. Investing in surgical services in LMICs is affordable, saves lives, and promotes economic growth.
  5. Surgery is an "indivisible, indispensable part of health care."

In the report, the findings of four working groups focused on 1) health care delivery and management, 2) workforce, training, and education, 3) economics and finance, and 4) information management describe the current situation and the way forward for global surgery.

Because of substantial deficits in global surgery research focus, practice, and capacity, the Commission also identified five areas with the greatest need for research as 1) cost and financing, 2) quality and safety, 3) care delivery innovations, 4) burden, and 5) determinants and barriers.

With the understanding that "[s]urgical and anesthesia care must become an integral component of health care and health systems in LMICs to realize our vision of universal access to safe, affordable surgical and anesthesia care," the Commission urges that "[a]s a new era of global health begins in 2015, the focus should be on the development of broad-based health-systems solutions, and resources should be allocated accordingly."

Related articles:

Global surgery—going beyond the Lancet Commission

Finding surgery's place on the global health agenda

Global access to surgical care: a modelling study

- by Isabelle Feldhaus https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=51632
Thu, 16 Apr 2015 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=51568 <![CDATA[Join us for "Save Limbs & Lives" Pub Night]]> Join the Institute for Global Orthopaedics and Traumatology (IGOT) for an upcoming Pub Night to learn how its International SMART Course helps to save about 2500 limbs annually!


Southern California Pub Night at Monty Bar
Saturday, April 18th 7-10pm

Join us in Los Angeles at Monty Bar to help raise support for IGOT's SMART Course.

We will show a short video of IGOT's work, sell some gear & raise donations for the campaign.

Monty Bar
1222 W. 7th Street
Los Angeles, CA 90017



San Francisco Pub Night at The Homestead
Saturday, April 25th 7-10pm

Join us in San Francisco at The Homestead where IGOT was founded!

Share some pints & peanuts to raise support for the campaign.

The Homestead
2301 Folsom Street
San Francisco, CA 94110

- by Amber Caldwell, Isabelle Feldhaus https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=51568
Tue, 31 Mar 2015 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=50691 <![CDATA[Disease Control Priorities, 3rd Edition Releases First Volume: Essential Surgery]]> DCP3 PRESS RELEASE

The Disease Control Priorities Network at the University of Washington's Department of Global Health has released its first volume of the Disease Control Priorities, 3rd edition (DCP3) series, focused on essential surgery. Volume editor and UCSF Professor, Haile T. Debas, says that it identifies and defines 44 procedures that should be available in low- and middle-income countries based on their ability to address population needs, cost-effectiveness, and feasibility. Volume contents are available for download here.

Members of the UCSF community have been heavily involved in the production of the volume, listed below.

Haile T. Debas
Volume Editor
Director of the University of California Global Health Institute based at UCSF

Dean T. Jamison
Senior Researcher and Series Editor
Senior Fellow in Global Health Sciences at UCSF and Emeritus Professor of Global Health at the University of Washington

Jessica H. Beard
Contributor, Chapter 4: General Surgical Emergencies, Chapter 9: Hernia and Hydrocele
General Surgery Resident, Department of Surgery, UCSF

Richard A. Gosselin
Contributor, Chapter 3: Surgery and Trauma Care
Associate Clinical Professor, Department of Orthopedic Surgery, UCSF

Renee Hsia
Contributor, Chapter 14: Prehospital and Emergency Care
San Francisco General Hospital
Associate Professor, Department of Emergency Medicine, UCSF

William P. Schecter
Contributor, Chapter 9: Hernia and Hydrocele, Chapter 20: Global Surgery and Poverty
San Francisco General Hospital
Professor Emeritus, Department of Surgery, UCSF

Jaime Sepúlveda
Member of Advisory Committee to the Editors
Executive Director, Global Health Sciences, UCSF

John S. Greenspan
Professor and Associate Dean for Global Oral Health, Department of Orofacial Sciences, UCSF

Dhruv S. Kazi
Assistant Professor, UCSF School of Medicine

Teri Reynolds
Assistant Professor, Department of Emergency Medicine, UCSF

Gavin Yamey
Lead, Evidence to Policy Initiative, Global Health Group, UCSF

Rachel Cox
Volume Coordinator
Education Program Analyst, Global Health Sciences (GHS), UCSF
Assistant to Molly Cooke, the GHS Director of Education, and to Haile T. Debas

Resources for Authors
Previous CGSS News on DCP3: Summary of Key Points

- by Isabelle Feldhaus https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=50691
Tue, 10 Mar 2015 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=50119 <![CDATA[Disease Control Priorities, 3rd Edition Focuses on Essential Surgery as Critical to Health Systems Strengthening]]> In 2015-2016, the World Bank will publish nine volumes of Disease Control Priorities, 3rd edition (DCP3). Volume 1, Essential Surgery discusses basic and emergency surgical care that can be provided by district hospitals, identifying and defining 44 procedures that are essential based on their ability to address population needs, cost-effectiveness, and feasibility. The volume includes chapters on the global burden of surgical disease, essential surgical interventions, surgical platforms and policies, and the economics of surgery. (1)

This report is released in the midst of growing recognition of the importance of surgery in health system development. Research over the last two decades refutes the common assumptions that surgery is costly and low in effectiveness. DCP, 2nd edition, published in 2006, dedicated a chapter to surgery and provided initial estimates of surgical disease burden. The dedication of a full volume to the topic in this most recent edition speaks to the burgeoning knowledge base and understanding of surgical need around the world. The work of the World Health Organization's Global Initiative for Emergency and Essential Surgical Care and the recent creation of the Lancet Commission on Global Surgery also demonstrate the increasing attention being paid to the role of surgical care in health systems strengthening.

Key messages from DCP3 on essential surgery (2):

  1. Provision of essential surgical procedures would avert about 1.5 million deaths a year, 6-7% of all avertable deaths in low- and middle-income countries.
  2. Essential surgical procedures rank among the most cost-effective of all health interventions.
  3. Measures to expand access to surgery have been shown to be safe and effective while countries make long-term investment in building surgical and anesthesia workforces.
  4. Substantial disparities remain in the safety of surgical care, driven by high perioperative mortality rates including anesthesia-related deaths in low- and middle-income countries.
  5. The large burden of surgical disorders, cost-effectiveness of essential surgery, and strong public demand for surgical services suggest that universal coverage of essential surgery should be financed early on the path to universal health coverage.


  1. Essential Surgery | DCP3 [Internet]. [cited 2015 Mar 6].
  2. Mock CN, Donkor P, Gawande A, Jamison DT, Kruk ME, Debas HT. Essential surgery: key messages from Disease Control Priorities, 3rd edition. The Lancet [Internet]. 2015 Feb [cited 2015 Feb 8].
- by Isabelle Feldhaus https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=50119
Tue, 6 Jan 2015 00:00:00 PSThttps://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=47422 <![CDATA[Department of Surgery to Create Center for Global Surgical Studies]]> The Department of Surgery has announced the creation of a new program, Center for Global Surgical Studies at UCSF, led by trauma surgeons, Rochelle Dicker, M.D.and Catherine Juillard, M.D., M.P.H.. The Center's mission is to address the significant global burden of surgical disease, in which trauma alone is responsible for more deaths annually than HIV, malaria, and TB combined. The Center seeks to improve global access to quality surgical care in low-resource settings through research and education. It will play a strong leadership role in academic global surgery and partner with organizations in low- and middle-income countries. The Center will also identify opportunities in research and education and promote resident and faculty exchange in these areas. Center faculty will provide intensive mentorship of students, residents, and faculty interested in academic global surgery, training them to serve as future leaders in this field with critical unmet medical needs.

- by Richard Barg https://global.surgery.ucsf.edu/news--events/ucsf-news.aspx?id=47422