Premium
AfHNS fellowship: Model to improve access to head and neck cancer care in Africa and developing countries
Author(s) -
Fagan Johannes J.,
Otiti Jeff,
Onakoya Paul A.,
Diom Evelyne,
Konney Anna,
Gebeyehu Melesse,
Aswani Joyce,
Baidoo Kenneth,
Koch Wayne M.
Publication year - 2021
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.26770
Subject(s) - outreach , accreditation , head and neck cancer , summative assessment , medicine , developing country , head and neck , medical education , family medicine , nursing , cancer , surgery , psychology , political science , economic growth , formative assessment , pedagogy , law , economics
Background Head and neck cancers occur predominantly in developing countries where access to care is poor. Sub‐Saharan Africa has <20 head and neck surgeons for >1 billion people and has only two fellowship training programs. Methods and results The AfHNS Head and Neck Fellowship is being introduced to accelerate training of African surgeons to improve access to resource appropriate cancer care. By avoiding fixed time‐in‐training and single training sites, training can be offered at multiple centers in Africa, even with lower patient volumes. It also creates opportunities for accredited international surgical outreach programs to contribute to training. Conclusions Having prescribed reading and appropriate Entrustable Professional Activities that are assessed through Workplace Based Assessment, and having a summative virtual oral examination ensures that fellows are fit‐for‐purpose to practice in an African resource‐constrained setting. Other developing countries are encouraged to adopt a similar approach to expanding head and neck cancer services.