Sage Clinical Medicine & Research
Jul 10, 2026 · 31 min · 9 segments
In this episode of the Cleft Palate Craniofacial Journal podcast series, Pat Chibbaro, Multimedia Specialist, interviews David Chong and Janina Kueper, authors of the CPCJ article entitled, "Program…
David ChongGuestPat ShavaroHost
Janina CooperGuest
And David and I ended up having a long conversation about one of the panels that had happened there, where there was a conversation about global surgical missions and about connecting with local practitioners specifically, because there were some practitioners from Mexico specifically in that room.
who were reporting on some of their experiences working with the consequences of some of these local surgical missions that come to Mexico that end up sort of, this is their language, pitching a tent in front of their hospitals and doing these types of procedures.
And we're expressing some alienation with that process of how that was working.
Now, obviously, Dr. Chang has extensive experience in the global surgical realm.
And we decided that this should really serve as an impetus to write something up and to think about how can we think more critically about the work that is being done and what is an accessible way of bringing that to the people.
It also, as I was looking at it, it seemed to me to be sort of a guideline for anyone who was interested in becoming part of one of the programs.
Because I think one of the things that you really highlight in this, and I'd love for you to go through, explain the scale framework, it's so comprehensive.
You know, what's the what's the long term consequence for those patients? You know, and you address it so well in this.
And I think for anyone that is thinking about joining one of these programs, you know, just really being able to because there's so many of them now around the country.
Do you have a handle now on how many different programs there are, David, when you did your research on this? Because it seems like there's some very, very well-developed programs, and there are others that are institution-based, that once a year, this group goes to one country, to one hospital for a week, and then they leave.
Look, I think this is part of such a wonderful subspecialty of people across multidisciplinary, everyone in the team.
And, you know, really as a craft group of clinicians and who look after cleft lip and palate, you wouldn't find a subspecialty that's more represented in terms of wanting to give back.
You know, the reason that we go is because we're basically a group of people who've dedicated ourselves to looking and advocating for a group of people who are born either visibly or potentially functionally different in the way they speak.
But one of the interesting things about life is that a good intention isn't necessarily enough.
And David and I ended up having a long conversation about one of the panels that had happened there, where there was a conversation about global surgical missions and about connecting with local practitioners specifically, because there were some practitioners from Mexico specifically in that room.
who were reporting on some of their experiences working with the consequences of some of these local surgical missions that come to Mexico that end up sort of, this is their language, pitching a tent in front of their hospitals and doing these types of procedures.
And we're expressing some alienation with that process of how that was working.
Now, obviously, Dr. Chang has extensive experience in the global surgical realm.
And we decided that this should really serve as an impetus to write something up and to think about how can we think more critically about the work that is being done and what is an accessible way of bringing that to the people.
It also, as I was looking at it, it seemed to me to be sort of a guideline for anyone who was interested in becoming part of one of the programs.
Because I think one of the things that you really highlight in this, and I'd love for you to go through, explain the scale framework, it's so comprehensive.
You know, what's the what's the long term consequence for those patients? You know, and you address it so well in this.
And I think for anyone that is thinking about joining one of these programs, you know, just really being able to because there's so many of them now around the country.
Do you have a handle now on how many different programs there are, David, when you did your research on this? Because it seems like there's some very, very well-developed programs, and there are others that are institution-based, that once a year, this group goes to one country, to one hospital for a week, and then they leave.
Look, I think this is part of such a wonderful subspecialty of people across multidisciplinary, everyone in the team.
And, you know, really as a craft group of clinicians and who look after cleft lip and palate, you wouldn't find a subspecialty that's more represented in terms of wanting to give back.
You know, the reason that we go is because we're basically a group of people who've dedicated ourselves to looking and advocating for a group of people who are born either visibly or potentially functionally different in the way they speak.
But one of the interesting things about life is that a good intention isn't necessarily enough.
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