We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Critique |

Quantifying Surgical Capacity in Sierra Leone—Invited Critique

Diana Lee Farmer, MD
Arch Surg. 2009;144(2):128. doi:10.1001/archsurg.2008.541.
Text Size: A A A
Published online


While volunteerism and short-term medical missions have made tremendous contributions to many needy individuals, the real path to sustainable change and capacity building with the goal of reducing the global burden of surgical disease is through critical analysis and committed ongoing partnerships.

Kingham and colleagues present a clear, concise, and succinct method for analyzing the surgical capacity of a single small African country, Sierra Leone. As they eloquently describe, the first step to making a meaningful improvement in the delivery of surgical care is to be able to assess and quantify the current capacity in terms of infrastructure and workforce in a reproducible and reliable manner. The authors nicely demonstrate the use of the World Health Organization's simple but rigorous assessment tool for achieving this result. They also highlight the staggeringly adverse conditions in which our African surgical colleagues struggle to provide basic surgical care for common disorders such as appendicitis, incarcerated hernias, and obstetric complications.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles