Delivery of Subspecialty Surgical Care in Low-Resource Settings

White, Russell E.; Parker, Robert K.

doi:10.1007/978-3-319-49482-1_5

Cited by 9 publications

(8 citation statements)

References 212 publications

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“…9 The flipped-classroom instructional design with the incorporation of active learning techniques applies current best educational practices to this surgical curriculum. Further, online content helps supplement the gaps in education within various disciplines of surgery 32 and creates context specificity. The successful implementation of a standardized surgical curriculum is a crucial step in advancing global surgical education and closing the surgical access gap.…”

Section: Discussionmentioning

confidence: 99%

An Online, Modular Curriculum Enhances Surgical Education and Improves Learning Outcomes in East, Central, and Southern Africa: A Mixed-Methods Study

Parker

Steffes

Hill

et al. 2022

Annals of Surgery Open

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scale curriculum development project, there are several important contributors. All authors have given final approval of the version to be submitted. A.S.P. made substantial contributions to the conception and design of this study, the collection, analysis, and interpretation of data, and to writing the manuscript. B.C.S. made substantial contributions to the acquisition of data related to the examination scores and assessment of module-and non-module-related questions and has critically revised the manuscript. K.H. made substantial contributions to the conception and design this study, specifically relating to the acquisition of user feedback. She was instrumental in the analysis and interpretation of data and has critically revised the manuscript. D.M. and N.B. made substantial contributions to the acquisition of data relating to trainee engagement and tracking of learner participation and have critically revised the manuscript. M.M. and A.B., as membersObjective: We aimed to determine the impact of a standardized curriculum on learning outcomes for surgical trainees in East, Central, and Southern Africa (ECSA). Background: As surgical education expands throughout ECSA, there is a recognized need for a standardized curriculum. We previously described the design of a novel, large-scale, flipped-classroom, surgical curriculum for trainees in ECSA. Methods: In January 2020, the first year of curricular content for trainees of the College of Surgeons of ECSA was released, containing 11 monthly thematic topics, each with 2 to 5 weekly modular subtopics. We aimed to evaluate 3 outcomes utilizing data sources incorporated into the curriculum structure. Learner engagement was assessed by the number of trainees completing curriculum topics. User experience was evaluated using quantitative and qualitative feedback responses to embedded surveys for each content week. Curriculum impact on trainee examination performance was assessed by comparing certification examination scores stratified by the number of curricular topics each trainee completed. Results: Two hundred seventy-one trainees (96%) in 17 countries accessed at least 1 weekly module. Trainees completed a median of 9 topics (interquartile range: 6-10). The feedback survey response rate was 92% (5742/6233). Quantitative and qualitative responses were positive in overall module value (93.7% + 2.6%), amount of learning experienced (97.9% + 1.4%), confidence in achieving learning objectives (97.1% + 2.4%), and ease of use of the module (77.6% + 5.98%). Topic-related certification examination performance improved significantly with increased completion of thematic topics. Conclusions: A standardized surgical curriculum in ECSA demonstrated excellent trainee usage, positive feedback, and improved examination scores.

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Section: Discussionmentioning

confidence: 99%

An Online, Modular Curriculum Enhances Surgical Education and Improves Learning Outcomes in East, Central, and Southern Africa: A Mixed-Methods Study

Parker

Steffes

Hill

et al. 2022

Annals of Surgery Open

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“…3). As some countries and regions have other subspecialties that contribute to addressing the burden of operative disease [32] (such as gynecology or orthopedics), there is a reduced requirement of general surgeons to fulfill those areas. Furthermore, within individual countries, there are also regional differences in urban as compared to rural care and case distributions [2, 25].…”

Section: Discussionmentioning

confidence: 99%

Operative Case Volume Minimums Necessary for Surgical Training Throughout Rural Africa

et al. 2020

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Background Resident operative case volumes are an important aspect of surgical education, and minimums are required in Accreditation Council for Graduate Medical Education (ACGME) programs. Minimum operative case volumes for training do not exist in rural Africa. Our objective was to determine the optimal minimum operative case volume necessary for general surgery training in rural Africa. Methods A cross‐sectional census electronic survey was conducted among faculty (N = 24) and graduates (N = 56) of Pan‐African Academy of Christian Surgeons training programs. Three equally weighted exposures (median minimum case volume suggested by participants, operative experience of prior graduates, and comparisons with ACGME minimums), adjusted from responses to targeted questions, were utilized to construct an optimal minimum operative case volume for training. Results Sixty‐four surgeons were contacted and 40 (13 faculty, 24 graduates, and 3 graduates who became faculty) participated. All participants thought operative case minimums were necessary, and the majority (98%) felt current training adequately prepared surgeons for their setting. Constructed optimal case volumes included 1000 major cases with fewer required cases than ACGME in abdomen, breast, thoracic, vascular, endoscopy, and laparoscopy and more required cases than ACGME for alimentary tract, endocrine, operative trauma, skin and soft tissue, pediatric, and plastic surgery. Other categories (gynecology, orthopedics, and urology) were deemed necessary for surgical training, with regional differences. Prior graduates satisfied the overall, but not category‐specific, proposed minimums. Conclusions The surveyed surgeons highlighted the need for diverse surgical training with minimum exposures. They described increased need for cases reflecting regional variations with a desire for more experience in categories less common at their institutions.

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“…Improved intensive care unit capacity benefits all critical care patients and improves anesthesia for all surgical patients. Enhanced screening facilitates optimal community health care as well as primary care (6).…”

Section: Institution Levelmentioning

confidence: 99%

Establishing Surgical Care Sustainability in Sub-Saharan Africa for Global Child Health: Insights From Pediatric Cardiac Surgical Capacity-Building Programs in Ethiopia and Côte d'Ivoire

Park

Heo

2022

Front. Pediatr.

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The global surgery research team of the JW LEE Center for Global Medicine, Seoul National University College of Medicine, introduced team-based health workforce training programs for pediatric cardiac surgery in Ethiopia and Côte d'Ivoire. A team-based collaborative capacity-building model was implemented in both countries, and details of the program design and delivery were documented. The research team shared their experiences and identified achievements, lessons, and challenges for cardiac surgical interventions in Sub-Saharan Africa. Future directions were put forward to advance and strengthen the low-and middle-income countries “Safe Surgery.”

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Delivery of Subspecialty Surgical Care in Low-Resource Settings

Cited by 9 publications

References 212 publications

An Online, Modular Curriculum Enhances Surgical Education and Improves Learning Outcomes in East, Central, and Southern Africa: A Mixed-Methods Study

An Online, Modular Curriculum Enhances Surgical Education and Improves Learning Outcomes in East, Central, and Southern Africa: A Mixed-Methods Study

Operative Case Volume Minimums Necessary for Surgical Training Throughout Rural Africa

Establishing Surgical Care Sustainability in Sub-Saharan Africa for Global Child Health: Insights From Pediatric Cardiac Surgical Capacity-Building Programs in Ethiopia and Côte d'Ivoire

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