Pilot Implementation of a Simulation-Based Surgical Curriculum for Rwandan Medical Interns

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-03-11 DOI:10.1016/j.jsurg.2025.103475

Michael Kirsch MD, MSCR , Christophe Mpirimbanyi MD, MMed , Songnan Wang BS , Grace Kansayisa MD, MMed , Miguel Gasakure MD, MMed , Faustin Ntirenganya MD, MMed , Yihan Lin MD, MPH

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引用次数: 0

Abstract

Objectives

Develop and implement a standardized surgical training curriculum for Rwandan medical interns to better prepare them for general practice at district hospitals. Assess the curriculum's impact on participants surgical knowledge and technical skills and identify areas for iterative improvement.

Design

A 2-day surgical curriculum combining theory-based didactics and hands-on, simulation-based skills training was developed and implemented. Rwandan medical interns were surveyed before and after participation to evaluate their comfort with various core surgical topics and skills.

Setting

The study was conducted in Kigali, Rwanda.

Participants

35 participated, Rwandan medical interns who had completed or were completing their surgical rotations were enrolled in the study.

Results

Significant improvements were observed in participants’ confidence in both surgical knowledge and techniques after completing the curriculum. Participants identified simulation as a valuable training technique but reported barriers such as limited access to simulation resources. Most participants reported that the curriculum was beneficial, realistic, and something they would recommend to others.

Conclusions

Rwanda faces a shortage of surgical specialists necessitating an expanded scope of practice for general practitioners, including performing common surgical procedures. Our pilot surgical skills curriculum for Rwandan interns demonstrates potential in addressing this need. Future iterations will refine the curriculum and expand its implementation to all Rwandan medical interns to enhance the surgical care that they will provide as general practitioners.

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在卢旺达医学实习生中试点实施模拟外科课程

目标：为卢旺达医疗实习生制定和实施标准化外科培训课程，使他们更好地为地区医院的全科医生做好准备。评估课程对参与者外科知识和技术技能的影响，并确定需要迭代改进的领域。设计了一个2天的外科课程，结合了基于理论的教学和实践，基于模拟的技能培训。在卢旺达医疗实习生参加之前和之后进行了调查，以评估他们对各种核心手术主题和技能的适应程度。该研究在卢旺达基加利进行。已完成或即将完成外科轮转的卢旺达医学实习生被纳入研究。结果完成课程后，参与者对外科知识和技术的信心均有显著提高。参与者认为模拟是一种有价值的培训技术，但也报告了诸如获取模拟资源有限等障碍。大多数参与者报告说，课程是有益的，现实的，他们会推荐给其他人。结论：卢旺达面临外科专家的短缺，需要扩大全科医生的执业范围，包括执行普通外科手术。我们为卢旺达实习生开设的试点外科技能课程显示了解决这一需求的潜力。今后将改进课程，并将其推广到所有卢旺达医疗实习生，以加强他们作为全科医生提供的外科护理。

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

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.