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

Ralph Lorenz1,2, Lea Hubert3, Christoph Paasch3

  • 13+CHIRURGEN Hernia Center, Klosterstrasse 34/35, 13581, Berlin, Germany. lorenz@3chirurgen.de.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|January 23, 2025
PubMed
Summary
This summary is machine-generated.

Training general practitioners (GPs) in Rwanda to perform hernia surgery proved feasible and effective. This initiative enhances surgical care by equipping GPs with essential skills to address the surgeon shortage.

Keywords:
Competency assessmentGeneral practitionersHernia trainingLow and middle income countriesSelf assessmentSurgical education

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Area of Science:

  • Global Surgery
  • Surgical Education
  • Public Health in Africa

Background:

  • Hernias are common globally, with high prevalence in Africa, which suffers from a critical shortage of trained surgeons and limited structured training programs.
  • Initiatives since 2016 have provided hernia surgery training for surgeons in Rwanda.
  • A 2023 program expanded training to general practitioners (GPs) to bolster surgical capacity.

Purpose of the Study:

  • To evaluate the feasibility and effectiveness of a structured hernia surgery training program for general practitioners (GPs) in Rwanda.
  • To assess the impact of the training on GPs' theoretical knowledge and practical surgical skills.

Main Methods:

  • A one-and-a-half-week structured training course was implemented in Rwandan hospitals.
  • Six standardized questionnaires evaluated the program before, during, and after the course.
  • Trainee competence was assessed by trainers, and data were analyzed using descriptive statistics.

Main Results:

  • 47 general practitioners (GPs) completed the hernia surgery training between 2023 and 2024.
  • The training significantly improved GPs' knowledge and practical skills.
  • Post-training, 22 GPs could perform simple inguinal hernia repairs independently, and 3 could perform complex repairs with minimal supervision.

Conclusions:

  • The standardized hernia surgery training program for GPs in Rwanda is feasible and effective.
  • This program demonstrates potential to mitigate the surgical care gap by enabling GPs to perform essential hernia surgeries.