Satellite - Global program
MAP Global Urology
Satellite Network
A cognitively driven educational intervention — exporting the intellectual rigour of US academic urology into settings where that rigour can transform patient lives at scale. Not a technology transfer programme. A partnership of equals.
Centres
Centres
Budget
Formats
The deficit is not volume.
It is structure.
Across India and the developing world, urology training programs suffer not from a lack of clinical exposure — surgical volumes are often high — but from a profound deficit in structured educational architecture. Residents may perform hundreds of procedures without ever experiencing a rigorous case analysis, an evidence-based conference, or a systematically facilitated mortality review.
The MAP Urology Training Network proposes to establish 10 satellite partnerships — primarily in India, with selected centres in Africa, Southeast Asia, and Latin America — anchored with an existing network of high-powered US academic centres.
"This is not a technology transfer program. It is a cognitively driven educational intervention — one that exports the intellectual rigor of US academic urology into settings where that rigor can transform patient lives on a scale."
Strengths matched to needs.
A genuinely symbiotic collaboration.
US centres collaborate on the merit of their strength in a particular area; the Foundation finds a match with similar interest and high patient volume. The collaboration is designed to be mutually enriching — not a one-way transfer of knowledge.
US Anchor Centres
- Subspecialty expertise across all domains
- Evidence-based systematic practice culture
- Standardisation of training and practice
- Publication & research methodology
- Structured simulation curriculum
- M&M facilitation experience
India Satellites (6–7)
- High surgical volume, diverse case mix
- Strong resident cohort motivation
- Locally relevant disease patterns
- Low-resource innovation potential
- Unstructured real-world outcome data
Global Satellites (3–4)
- Africa, Latin America, SE Asia, Middle East
- High patient burden, low structured training
- Motivated faculty leadership in place
- English-language capacity for sessions
- Opportunity to scale quality care via technology
Six formats.
Every satellite commits to at least four per year.
Sessions are accessible to the entire regional/national resident and fellow cohort — recorded and archived on the MAP shared platform.
What the Fishbone
actually examines
| Domain | What is examined | Example question |
|---|---|---|
| Patient factors | Comorbidities, compliance, presentation delay, social context | Would earlier presentation have changed outcome? |
| Decision-making | Diagnostic reasoning, treatment selection, intervention timing | At what point was the critical decision made, and why? |
| Surgical technique | Intraoperative choices, technical errors, anatomical variation | Was the complication preventable with a different approach? |
| System & environment | Equipment availability, staffing, theatre time, protocols | Did system constraints force a suboptimal choice? |
| Team & communication | Handover quality, escalation, team dynamics | Was there a moment where better communication would have changed course? |
| "What if" analysis | Counterfactual review of each key decision point | If we had done X instead of Y at step 3, what is the plausible alternative trajectory? |
A disciplined cadence that creates
lasting academic culture.
These mechanisms maintain continuity across all 10 partnerships without material additional expenditure.
The MAP Resident Fellow
Each satellite nominates one resident annually as the MAP Resident Fellow — the operational engine of the collaboration. They receive named recognition in all programme communications, a letter of collaboration for applications, priority co-authorship in joint publications, and eligibility for a purpose-specific observership at the US anchor centre. Duration decided case by case.
$200,000 total.
50% goes directly to satellites.
$10,000 / centre $100,000
$1,500 / pair $15,000
Allocation Breakdown
Measured in care delivered
to patients we will never meet.
Training Metrics
- Case conferences conducted per year
- M&M fishbone reviews completed
- Surgical video critiques with written feedback
- Simulation sprints with benchmarking data
- MAPP Resident Fellow retention
- Participants' feedback on behavioural change
Research Metrics
- Joint publications or abstracts per year
- Culture of collaboration documented
- Patient records in outcome databases
- Ethics approvals at satellite sites
- Registry enrolments across network
- Innovation proposals implemented
Patient Impact Metrics
- 12-month functional outcome data per cohort
- Documented pathway improvements per site
- Patient education initiatives delivered
- Consent quality audits completed
- Community outreach sessions conducted
Every fishbone from a satellite centre carries lessons that no Hopkins conference room has seen. Every video critique shapes a surgeon who will operate on thousands of patients we will never meet. The true return on this investment is measured in the quality of care delivered to patients in Chennai, Nairobi, and Lima by urologists who were trained, challenged, and mentored through this programme.
MAPP Satellite Urology Training Network · Programme Design Note · 2025–2026