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Jani & Lane

Pankaj Jani, Kenia and Robert Lane, United Kingdom

Prof. Pankaj Jani has been in practice for 30 years and he holds a MBChB and MMed (Surgery) from the University of Nairobi, FRCS from the Royal College of Surgeons. He has formerly worked at New Nyanza Provincial Hospital, Busia District Hospital, Kenyatta National Hospital, Glasgow Royal Infirmary and the University of Nairobi. He is the Secretary General of COSECSA. Pankaj Jani will talk about the foundations, achievements and challenges ahead for COSECSA.

Dr.  Robert  Lane  is  a  retired  colorectal  surgeon,  writer  and  mentor.  For  12  years,  on  behalf  of  the   Association  of  Surgeons  of  Great  Britain  &  Ireland  (ASGBI),  he  has  organized  basic  surgical  skills   courses  and  the  management  of  surgical  emergencies  for  surgeons  and  clinical  officers  in  sub-­‐ Saharan  Africa.  Dr.  Lane  was  past  president  of  the  Association  of  Surgeons  of  Great  Britain  &  Ireland   (ASGBI)  at  the  Royal  Society  of  Medicine.  He  is  Secretary  General  of  the  International  Federation  of   Surgical  Colleges  (IFSC),  Surgical  Advisor  to  The  Tropical  Health  &  Education  Trust  (THET)  and  co-­‐ founder  of  the  International  Collaboration  of  Essential  Surgery.   He  will  do  the  second  part  of  the  presentation  about  development,  execution  and  outcomes   from  running  a  new  surgical  training  course  for  COSECSA  members

Training of Surgeons in East, Central and Southern Africa (ECSA).

There is a desperate shortage of surgically trained personnel in the ECSA Region, particularly in rural areas where the mortality from injury, obstructed labour, neglected surgical emergencies (such as peritonitis, obstructed bowel and burns) is totally unacceptable in this day and age, especially when prompt treatment could be lifesaving.

It was recognised over many year that the quality and quantity of surgical services available to the people of the ECSA Region was inadequate. Training of specialist surgeons in the Region was restricted to the M. Med Surgery Programmes (or equivalent) in University Teaching Hospitals with only limited numbers and a variable training programme.

The College of Surgeons of East, Central and Southern Africa was founded in 1999 as an independent body to formulate a common surgical training programme and surgical qualifications alongside the University Teaching Hospital Programmes. These could be undertaken in accredited training institutions in central as well as peripheral hospitals in the Region with a common examination and the award of an internationally recognised Fellowship for specialist surgeons (FCS) and Membership for surgically trained doctors (MCS).

The College has come a long way over the past 16 years and has been supported by Johnson & Johnson, the Royal Colleges of Surgeons of Edinburgh and in Ireland together with Irish Aid.

This year 75 candidates have registered for the MCS and 44 for the FCS Programmes. There are now 74 accredited training hospitals, 857 Members and Fellows and 118 accredited Trainers.

This presentation outlines the development of training programmes that have led to this success and also our plans for the future.