What does it take to have a PAACS program at your hospital?
While our training sites have a need for multiple disciplines, new sites usually begin with General Surgery programs.
You will need the following to start the program:
Three surgeons (at a minimum) who will be the surgical faculty
Required – Three surgeons (at a minimum) who will be the surgical faculty. On occasion, we will start with two if the third can be added by the fifth year.
Each surgeon must be:
- A mature Christian who can disciple others
- An excellent surgeon with a broad range of surgical skills
- Someone with a strong calling to train surgeons in a resource-poor settings
- At least three years out of training and willing to stay for at least five years
- A fellow of an internationally recognized college of surgery and/or board eligible/certified in their specialty
- In agreement with the PAACS doctrinal statement.
At least two of the three surgeons should:
- Have academic experience in running a training program
- Be of the specialty being taught (and the third enthusiastic).
- Have experience with the North American training paradigm (as compared to the British, European, or African paradigm).
A hospital which will meet all the requirements of a training site
The hospital must meet all the requirements of a training site for the West African College of Surgeons (WACS) or the College of Surgeons of East, Central, and Southern Africa (COSECSA) as well as:
- Actively promote the teaching of the Gospel.
- Be in agreement with the PAACS doctrinal statement.
- Be willing to sign an MOU with PAACS.
- There must be a sufficient number of surgical cases for training.
- There must be satisfactory numbers of anesthesia providers.
- Have housing and facilities for faculty, trainees, and short-term faculty.
An Administrative Team
An administrative team who values the addition of a training program, is able to overcome obstacles, makes charitable care for the poor a high priority, and has a flexible approach to problem-solving. They must realize that adequate administrative support of the program and personnel by reinvesting profits for the first decade of service is critical.
Initially, PAACS provides approximately 75% of the total cost of training the resident but, by year six, the hospital will increasingly provide more of the cost of training until there is a 50/50 split at year 10. However, the hospital often has to invest a few hundred thousand dollars in infrastructure before or during the first few years of the program (housing; updates to the operating theaters, recovery rooms, intensive care units, casualty department; outpatient department and any required improvement to other supporting departments). PAACS does not provide money for infrastructure.
If you think your hospital is a good possibility as a training site and that God would have you do this, please contact us at firstname.lastname@example.org. We will discuss in detail each step and walk you through it. We will do a long-distance assessment, arrange for an on-site visit to make more specific recommendations, and then together, try to jump the hurdles. All along the way, we will pray together for God’s hand upon the effort.