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Intro
Acknowledgments
Contents
1: Introduction
First, Do no Harm
Know Your Patients
Reach Your Objectives
Learn, Teach, and Serve with the Humility to Listen, Learn, and Grow
Support and Interactions
Specific Surgical Interventions
Surgical and Anesthesia Program Initiatives
Additional Challenges
References
Part I: System Strengthening
2: How to Prepare for Short- or Long-Term Surgical Practice in Low- and Middle-Income Countries
Scope of Medical Trainee or Practitioner in Global Health Involvement
Preparations

The Visitor's Role at the Host Facility
Availability of Supervision
Record Keeping
Impact of Global Health Experiences
Volunteer-Trainee Perspective
Host Institution Perspective
References
3: How to Maintain Ethical Standards of Global Surgery Practice and Partnerships
Introduction
Ethical Challenges in the History of Global Surgery
Frameworks for Global Surgery Ethics for Practice and Partnerships
The Ethical Fishing Principles
Projects - Guidelines for HIC Surgeons on Establishing Projects in Low-Income Countries

Partnerships - The Monette Principles Applicable to Global Surgery
Education - The Fair-Trade Learning Rubric and Principles Applicable to Global Surgery [18]
Practice - Mitigating the "Seven Sins of Humanitarian Medicine" Framework [12]
Practical Considerations
Ethical Considerations in Trans-Border Global Surgical Care Delivery
Ethical Engagement and Planning
Execution of Surgical Interventions and Missions
Ethical Quality Improvement Assessment
Ethical Adjustments
Ethical Considerations in Trans-Border Global Surgery Education

Ethical Considerations in Trans-Border Global Surgery Research
Ethics of Involvement of Partners in Research
Ethics of Authorship
Institutional Review Boards (IRB) and Permissions for Research
Data Management and Publishing
Photography, Publicity, and Social Media
Ethical Considerations in Trans-Border Global Surgery Partnerships and Collaborations
Conclusions
References
4: How to Develop Bidirectional Partnerships
Introduction
The Pan-African Academy of Christian Surgeons Experience
The Vanderbilt-Kijabe, Kenya Experience

Barriers to Bidirectional Partnership and a Call to Action
References
5: How to Strengthen Surgical Systems in Low- and Middle-Income Countries
Introduction
What Is Surgical System Strengthening?
What Are Health Systems?
What Is Health System Strengthening?
Why Is Global Surgery Health System Strengthening Important?
Key Steps in Surgical System Strengthening
Securing Political Commitment
Conducting Health System Assessments
Priority Setting and Planning
Designing and Implementing Locally Contextualized Interventions
Monitoring and Evaluation

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