The United Kingdom has shown how regional and national surgical networks can deliver snapshot studies. This can all be done at virtually no costs, as long as participants are motivated. Trainees and interested consultants/attending are at the heart of this; see our experience in a recent Lancet letter:

http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)62013-9/fulltext

The next step is to help develop similar networks in other developed and developing countries.  GlobalSurg is an ideal first project to help you develop and deliver such a network in your region.

These surgeon driven networks, by either trainees or consultants, can sit alongside any existing networks, and require no start-up costs.