Developing sustainable Emergency Urology Simulation Training in sub‐Saharan Africa
William James Gladstone Finch, Tilaneh Leyeh Demilow, Ramzi Yesuf, Chales Mabedi, Linda Kayange, Vincent Medeyi, Getaneh Tesfaye Teferi, Fitsum Gebreegziabher Gebrehiwot, Folk‐Man Wong, Matthew Trail, Stephen R. Payne, Chandra Shekhar Biyani
TL;DR
A simulation-based training program for emergency urology was developed and successfully implemented in sub-Saharan Africa to improve surgical skills and knowledge in resource-limited settings.
Contribution
The paper introduces a sustainable and cost-effective simulation-based training model for emergency urology in low-resource settings.
Findings
Participants showed significant knowledge improvement after the training, with gains of 15%–32%.
100% of participants recommended integrating the training into national curricula.
The use of animal tissue and donated instruments made the program cost-effective and sustainable.
Abstract
Simulation‐based education (SBE) is widely adopted in high‐income countries to enhance surgical training, but opportunities remain limited in low‐ and middle‐income countries (LMICs). Emergency Urology Simulation Training (EUST) was developed to address knowledge and skill gaps in managing urological emergencies in sub‐Saharan Africa. EUST courses were delivered in Ethiopia, Uganda and Malawi using a single‐day format combining pre‐course online learning, didactic teaching with hands‐on simulation. Locally, sourced animal tissue models were employed to replicate ureteric, bladder, renal, scrotal and penile injury repairs. Pre‐ and post‐course assessments included multiple‐choice questions (MCQs) and confidence surveys. Post‐course composite scores were compared across sites using the Kruskal–Wallis test. Faculty feedback evaluated preparedness and sustainability. A total of 46…
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Taxonomy
TopicsGlobal Health and Surgery · Surgical Simulation and Training · Simulation-Based Education in Healthcare