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Dr. Michael Haglund will speak on the development of a comprehensive neurosurgery effort in Africa that focuses on the 4Ts: Twinning, Training, Technology, and the Top-Down Approach. His effort over the last 12 years in collaboration with the Duke Global Health Institute and the Department of Neurosurgery has led to the launching of the first in the nation Division of Global Neurosurgery and Neurology. The Division which had its foundation with 2 DGHI graduate students was founded in 2014 and now counts over 75 members including faculty, fellows, neurosurgery residents, graduate students, and staff both at Duke and in Uganda. The group has published over 50 manuscripts on global health in the last three years. Dr. Haglund will describe how the 4Ts has been vital to the success of the global neurosurgery division both at home and in Uganda. This presentation is sponsored by the John Hope Franklin Center and Africa Initiative.