Surgery and Healing in the Developing World - Dartmouth-Hitchcock

Training Surgeons in the Developing World
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F. Establishing a systematic textbook-based reading program
G. Providing yearly certificates following promotion
H. Insuring the health and well-being of residents and their families
3. Working with visiting surgeons (faculty)
4. The weekly work schedule
5. The chain of command
A. When the Program Director is present at the hospital
B. When the Program Director is away
C. With the Administrative Director (if there is one)
D. With other hospital physicians
E. With hospital personnel
F. Disciplinary procedures
6. Outlines for monthly written case reports or research projects
7. The printed reading schedule
8. Requirements for spiritual and ethical development
9. English language training requirements (where applicable)
10. Time off and vacations
11. Requirements for promotion and graduation
The yearly contract should be between a resident and the Training Center. It
should include a statement to the effect that the undersigned understand what is
written in the document and agree to abide by it, followed by the date, their signatures,
and the signature of a witness. It should probably cover the following subjects:
For the Resident:
• An agreement to abide by the hospital’s written rules and chain of command;
• An agreement to respect the hospital’s employees;
• An agreement to abide by the rules, duties, and responsibilities laid out in
the Resident’s Manual;
• An agreement on the amount of salary, health, and housing benefits to be
provided by the hospital;
• An agreement to abide by the Program Director’s decision in regards to
promotion or dismissal.
For the Training Center:
• An agreement to abide by the hospital’s written rules and chain of command;
• An agreement to abide by the rules, duties and responsibilities laid out in
the Resident’s Manual;
• An agreement on the amount of salary, health benefits, and housing benefits
to be provided by the hospital;
• An agreement about the procedures to be followed if the Program Director
sees that a resident is behaving unethically, is insubordinate, or is falling
behind academically or in the development of his clinical and surgical
skills.
The contract should be signed by the resident, his Program Director, and the
hospital administrator. Spelling out these responsibilities in writing will avoid misunderstandings,
provide stability and discipline, and enhance everyone’s performance.
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