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¹Hand and Reconstructive Microsurgery, KK Women's and Children's hospital, Singapore Royal Hospital for Children and Young People, Edinburgh, UK.

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|November 15, 2024

Summary

This review details a sustainable framework for congenital hand surgery training in developing nations. It highlights a community-oriented curriculum and mentorship to improve pediatric hand care globally.

Keywords:

Cambodia Children surgical centre Congenital hand Low to middle income country Radial longitudinal deficiency Syndactyly

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Area of Science:

Global health
Surgical education
Pediatric surgery

Background:

Surgical conditions, especially congenital hand anomalies, pose a growing challenge in developing countries.
Congenital hand surgery requires specialized skills, a multidisciplinary approach, and management of diverse cases.
Limited access to specialized surgical care impacts patient outcomes in resource-limited settings.

Purpose of the Study:

To share experiences in establishing congenital hand surgery practice in Cambodia.
To assess the feasibility of a sustainable and meaningful training program for this specialty in developing countries.
To propose a replicable model for surgical education in low-resource environments.

Main Methods:

A collaborative team of hand surgeons and therapists conducted regular visits to Cambodia starting in 2013.
A community-oriented curriculum was developed based on initial assessments of local needs and surgeon skill sets.
Pareto analysis and competency-based procedures were used to define entrustable professional activities (EPAs) for training.

Main Results:

Common pediatric hand conditions were identified and incorporated into the training curriculum.
Local surgeons received targeted education and skill development in congenital hand surgery.
The program emphasized measurable outcomes, clear educational objectives, and long-term partnerships.

Conclusions:

A structured, community-based approach is feasible for teaching congenital hand surgery in developing countries.
Sustainable training requires clear goals, measurable outcomes, strong partnerships, and technological support.
This model can enhance pediatric surgical capacity and improve patient care in resource-limited regions.