Structured hernia surgery training program for general practitioners in Rwanda - feasibility and evaluation.

IF 2.6 2区 医学 Q1 SURGERY
Hernia Pub Date : 2025-01-23 DOI:10.1007/s10029-025-03260-8
Ralph Lorenz, Lea Hubert, Christoph Paasch, Joachim Conze, Chris Oppong, Jacob A Akoh, David M Sedgwick, Venuste Nsabimana, René Mantke
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引用次数: 0

Abstract

Background: Hernias are among the most common surgical conditions worldwide, with significant prevalence in Africa. However, according to recent WHO statistics, Africa faces a critical shortage of trained surgeons. Structured surgical training programs are also scarce. Since 2016, Surgeons for Africa in collaboration with Operation Hernia have developed structured training course on hernia surgery specifically for surgeons in Rwanda. Due to the severe shortage of surgeons, a new initiative was launched in 2023 to train general practitioners (GPs) to support the country's surgical care needs. This study aims to assess the feasibility and effectiveness of these training programs for general practitioners.

Methodology: Six standardized questionnaires were used to evaluate the structured training program before, during, and after the one-and-a-half-week courses conducted in Rwanda. Both trainees and trainers completed the relevant evaluations. The results were anonymized, ummarized using descriptive statistics, and statistically analysed. Trainers also assessed the surgical competence of each participant at the end of the course.

Results: Between 2023 and 2024, 47 general practitioners received hernia surgery training in several Rwandan hospitals. The course significantly improved both the theoretical knowledge and practical surgical skills of the participants. Of the 47 GPs, 22 were able to independently perform simple inguinal hernia surgeries after the training. Three were able to perform complex inguinal hernia repairs independently. 12 participants required minimal supervision, while 22 required full supervision.

Conclusion: This study confirms the feasibility and effectiveness of a standardized hernia surgery training program for general practitioners in Rwanda. The results demonstrate the rogramme's potential to address the surgical care gap by enabling GPs to perform basic hernia surgeries.

卢旺达全科医生疝气手术结构化培训计划的可行性和评估。
背景:疝是世界范围内最常见的外科疾病之一,在非洲发病率很高。然而,根据世卫组织最近的统计数据,非洲面临着训练有素的外科医生严重短缺的问题。有组织的外科培训项目也很少。自2016年以来,非洲外科医生组织与疝手术组织合作,专门为卢旺达的外科医生开发了疝气手术的结构化培训课程。由于外科医生严重短缺,2023年启动了一项新举措,培训全科医生(gp),以支持该国的外科护理需求。本研究旨在评估这些培训计划对全科医师的可行性和有效性。方法:在卢旺达进行为期一周半的课程之前、期间和之后,使用了六份标准化问卷来评估结构化培训计划。学员和培训者都完成了相关评价。结果被匿名化,使用描述性统计进行汇总,并进行统计分析。培训师还在课程结束时评估了每位参与者的手术能力。结果:2023年至2024年间,47名全科医生在卢旺达几家医院接受了疝气手术培训。该课程显著提高了参与者的理论知识和实际手术技能。在47名全科医生中,22名在训练后能够独立进行简单的腹股沟疝手术。其中三人能够独立进行复杂的腹股沟疝修补。12名参与者需要最低限度的监督,22名参与者需要完全监督。结论:本研究证实了卢旺达全科医生疝气手术标准化培训计划的可行性和有效性。结果表明,通过使全科医生能够进行基本的疝气手术,该方案具有解决外科护理差距的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Hernia
Hernia SURGERY-
CiteScore
4.90
自引率
26.10%
发文量
171
审稿时长
4-8 weeks
期刊介绍: Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.
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