Optimal content for a surgical curriculum for general practice in Rwanda: A Delphi study.

Area of Science:

• Medical Education
• Surgical Training
• Global Health

Background:

• Rwanda faces a surgeon shortage, requiring general practitioners (GPs) to perform procedures.
• GPs have limited surgical preparation with only a 1-year internship.
• This study addresses the need for improved surgical training for Rwandan GPs.

Purpose of the Study:

• To assess essential content for a surgical curriculum for Rwandan interns.
• To better prepare GPs for performing common procedures and minor surgeries.
• To identify key knowledge and skills for general practice surgery.

Main Methods:

• A two-round Delphi survey was conducted with 56 practicing GPs in February 2023.
• The survey used anonymous electronic questionnaires.
• Round one gathered free-text suggestions, while round two refined content areas.

Main Results:

• 31 GPs completed both survey rounds.
• Key findings include commonly performed procedures, essential technical skills, and vital surgical knowledge.
• GPs highlighted the need for diverse exposure to surgical pathologies and interventions, especially in trauma, obstetrics/gynecology, and orthopedics.

Conclusions:

• GPs require broad exposure to acute surgical pathology and interventions across specialties.
• Foundational technical skills and surgical knowledge are crucial for general practice.
• A robust surgical education is necessary to provide a solid basis in surgical care.