In 1996, at a continuing medical education conference in Kenya, Dr.Thompson shared his vision with a group of missionary surgeons from several African mission hospitals. They responded with enthusiasm and formed a steering committee. Initially ten mission hospitals expressed interest, but then the realities of the magnitude of implementing this vision became evident – only three hospitals were able to start training residents. Sadly, for various reasons, two of the programs had to close shortly. The fledgling program at Bongolo limped on, graduating its first surgeon in 2002. Prior to the graduation of the first fully-trained resident, Loma Linda University had agreed in principle to provide a diploma to PAACS graduates but the loose organizational structure of PAACS was of concern. In response, CMDA created a new organizational concept and PAACS became a council of CMDA in 2001.

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