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Tamara Noel Fitzgerald

Associate Professor of Surgery
Surgery, Pediatric General Surgery

Overview


My academic interest is global pediatric surgery.  There are millions of children worldwide who do not have access to safe surgery for congenital anomalies and acquired conditions.  As a result, many children in low-middle income countries live with chronic disability or die before they can access surgical care.  In many cultures, congenital problems may also lead to social isolation or catastrophic health expenditure for families.

Many countries in sub-Saharan Africa have just a handful of qualified surgeons.  For example, in Uganda, the country where I have most frequently worked, there are 4 general pediatric surgeons for a country of 39 million people.  This would be the equivalent of 32 pediatric surgeons serving the entire United States.  There are neighboring countries with no pediatric surgeons.

My work focuses on surgical capacity building - empowering and working with local surgeons in low-middle income countries to increase numbers of surgical providers, improve quality and increase surgical support services such as intensive care and anesthesia services.  I have several ongoing projects regarding the burden of surgical disease for patients and their families in low-middle income countries, surgical training and capacity building.

Current Appointments & Affiliations


Associate Professor of Surgery · 2021 - Present Surgery, Pediatric General Surgery, Surgery
Associate Research Professor of Global Health · 2020 - Present Duke Global Health Institute, University Institutes and Centers

In the News


Published October 21, 2024
In Uganda, an Effort to Improve Surgical Care
Published September 24, 2024
Making It Work In Uganda
Published July 3, 2024
Student's Project in Uganda is All About Family

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Recent Publications


Indexing Healthcare Access and Quality for Surgically Amenable Causes of Death: A Global Analysis of 204 Countries and Territories in 2019.

Journal Article World J Surg · November 20, 2025 BACKGROUND: We analyzed the healthcare access and quality (HAQ) index for surgically amenable causes, its progress since 1990, and the gap compared to non-surgical HAQ across 204 countries and territories in 2019 for children (up to 14 years) and overall p ... Full text Link to item Cite

Global Utilization of Minimally Invasive Surgery: Practice and Challenges.

Journal Article J Surg Res · September 2025 INTRODUCTION: Uptake of minimally invasive surgery (MIS) in low- and middle-income countries (LMICs) has been slow due to various barriers. This study examined the experiences of surgeons across multiple countries, highlighting the complications and challe ... Full text Link to item Cite

Review of Trauma Data in Conflict Middle East and North Africa Nations: An Appeal for Registry Sharing.

Journal Article J Surg Res · June 2025 INTRODUCTION: Traumatic injury is a global health burden. 90% of injury related deaths occur in low- and middle-income countries (LMICs) and this unequal distribution is worsened in countries operating within conflict, especially the Middle East and North ... Full text Link to item Cite
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Recent Grants


KeyScope: The Key to Sustainable Cancer Diagnosis and Treatment in Uganda

ResearchPrincipal Investigator · Awarded by National Institutes of Health · 2022 - 2027

Saving Intestines at Birth: Mobilizing Midwives & Low-Cost Silos to Improve Gastroschisis Mortality in Uganda

ResearchPrincipal Investigator · Awarded by Association for Academic Surgery · 2024 - 2026

KeySuite Manufacturing, Testing, Regulatory Approval, and Business Development Model in Uganda

ResearchPrincipal Investigator · Awarded by Makerere University College of Health Sciences · 2023 - 2025

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Education, Training & Certifications


Boston University, School of Medicine · 2004 M.D.
Boston University · 2004 Ph.D.
Boston University · 1997 B.S.