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

Michael Kirsch1, Christophe Mpirimbanyi2, Songnan Wang3

  • 1Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado.

Journal of Surgical Education
|March 12, 2025
PubMed
Summary

A new surgical skills curriculum significantly improved Rwandan medical interns' confidence in surgical knowledge and techniques. This training is recommended to enhance surgical care provided by general practitioners in Rwanda.

Keywords:
curriculumglobal surgeryglobal surgical educationsurgical simulationsurgical training

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Area of Science:

  • Medical Education
  • Surgical Training
  • Global Health

Background:

  • Rwanda has a shortage of surgical specialists.
  • General practitioners in Rwanda are expected to perform common surgical procedures.
  • There is a need for enhanced surgical training for medical interns.

Purpose of the Study:

  • To develop and implement a standardized surgical training curriculum for Rwandan medical interns.
  • To assess the curriculum's impact on surgical knowledge and technical skills.
  • To identify areas for curriculum improvement.

Main Methods:

  • A 2-day curriculum combining didactics and simulation-based skills training was developed.
  • 35 Rwandan medical interns participated in the pilot program.
  • Pre- and post-curriculum surveys evaluated participants' confidence in surgical topics and skills.

Main Results:

  • Participants showed significant improvements in confidence in surgical knowledge and techniques.
  • Simulation was identified as a valuable training method.
  • Barriers included limited access to simulation resources, but the curriculum was deemed beneficial and recommendable.

Conclusions:

  • The pilot surgical skills curriculum shows potential to address the need for expanded surgical practice by general practitioners in Rwanda.
  • Further refinement and broader implementation are planned to enhance surgical care.
  • The curriculum aims to better prepare interns for general practice at district hospitals.