Evidence map›Paper›PMID 42437366›Full record

ArticleWorld journal of surgery2026

Training Global Leaders in Perioperative Equity: An Evaluation of the CHESA Fellowship.

Hudson Lin, Rachel Schwartz, Megha R Aepala, Nour M Aissaoui, Jacob Serrano, Fred Bulamba, Aleena Jacob, Cathy Kilyewala, Phyllis Kisa, Michael S Lipnick and 6 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Hudson LinCenter for Health Equity in Surgery and Anesthesia, University of California, San Francisco, California, USA.
Rachel SchwartzCenter for Health Equity in Surgery and Anesthesia, University of California, San Francisco, California, USA.
Megha R AepalaCenter for Health Equity in Surgery and Anesthesia, University of California, San Francisco, California, USA.
Nour M AissaouiCenter for Health Equity in Surgery and Anesthesia, University of California, San Francisco, California, USA.
Jacob SerranoCenter for Health Equity in Surgery and Anesthesia, University of California, San Francisco, California, USA.
Fred BulambaCenter for Health Equity in Surgery and Anesthesia, University of California, San Francisco, California, USA.
Aleena JacobCenter for Health Equity in Surgery and Anesthesia, University of California, San Francisco, California, USA.
Cathy KilyewalaCenter for Health Equity in Surgery and Anesthesia, University of California, San Francisco, California, USA.
Phyllis KisaCenter for Health Equity in Surgery and Anesthesia, University of California, San Francisco, California, USA.
Michael S LipnickCenter for Health Equity in Surgery and Anesthesia, University of California, San Francisco, California, USA.
Mary T NabukenyaCenter for Health Equity in Surgery and Anesthesia, University of California, San Francisco, California, USA.
Patti OrozcoCenter for Health Equity in Surgery and Anesthesia, University of California, San Francisco, California, USA.
Doruk OzgedizCenter for Health Equity in Surgery and Anesthesia, University of California, San Francisco, California, USA.
Sriranjani P PadmanabhanCenter for Health Equity in Surgery and Anesthesia, University of California, San Francisco, California, USA.
Cornelius SendagireCenter for Health Equity in Surgery and Anesthesia, University of California, San Francisco, California, USA.ORCID https://orcid.org/0000-0002-9039-7325
Lia JacobsonCenter for Health Equity in Surgery and Anesthesia, University of California, San Francisco, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew programs exist to train learners in advancing equity in perioperative care. In response, the UCSF Center for Health Equity in Surgery and Anesthesia (CHESA) launched the CHESA Fellowship in 2021. This 18-month, non-ACGME fellowship uses asynchronous modules, expert-led seminars, mentored research, and community building to equip fellows with the skills to advance perioperative equity worldwide.

methodsThis report describes the fellowship's structure and evaluates its early impact on alumni career development. We conducted a mixed-methods fellowship evaluation comprising alumni and end-of-year surveys, focus groups, and a list of fellow-authored publications. Surveys assessed skill development, scholarly output, and satisfaction with curriculum elements. Qualitative data from focus groups were coded to highlight fellows' experiences and identify areas for improvement.

resultsSince 2021, CHESA has trained 80 fellows across 18 countries and 12 specialties; 71.3% are from LMICs and 48.8% are female. Surveys demonstrated strong satisfaction with faculty mentorship, project work, and community-building. Fellows reported acquiring skills in academic writing, mentorship, and leadership, with 53.8% developing new collaborations with co-fellows and 75.0% integrating fellowship learning into their clinical practice. Among alumni, 76.5% reported advancement into new leadership roles or clinical positions. Across cohorts, alumni published 364 manuscripts during or after the fellowship, with 58.8% focusing on health equity. Fellow and faculty feedback identified needs for enhanced research support and faculty development, which were incorporated into subsequent program iterations.

conclusionThe CHESA Fellowship offers an innovative model for building global perioperative leadership. The part-time, virtual format allows fellows to complete the program alongside clinical duties, while seed grants for LMIC fellows support locally driven scholarly projects. By prioritizing cross-border collaborations between fellows, building long-term partnerships with LMIC institutions, and ensuring diversity across geography, specialty, and sex, the fellowship balances accessibility with mentorship and community-building. Alumni report high satisfaction and translate their training into academic, clinical, and advocacy outcomes that advance perioperative equity.

Indexed as

Fellowships and ScholarshipsGlobal HealthHealth EquityLeadershipPerioperative CareAcademiaCurriculumFemaleFocus GroupsHumansMaleMentorsProgram Evaluationglobal healthleadershipmentorshipperioperative equityprogram evaluation

Identifiers

PMID42437366
PMCPMC13460455

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.