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A Simulation-Based Approach to Procedural Education in Resource-Limited Settings: Designing an Abdominal Trainer for
Alexander Hayden1, Sifat M Alam2, Elena M Willow3
1School of Medicine, Frank H. Netter MD School of Medicine, Quinnipiac University, North Haven, USA.
Cureus
|February 17, 2026
Summary
Medical simulation training enhances procedural skills. A new, cost-effective simulator improves access to training for paracentesis and lumbar puncture in low-resource settings, boosting clinician confidence and patient care.
Area of Science:
- Medical Education
- Surgical Simulation
- Global Health
Background:
- Medical simulation advancements improve clinician skills and patient outcomes in high-income countries.
- Paracentesis and lumbar puncture are common procedures, but high-quality training is costly and inaccessible in low- and middle-income countries (LMICs).
- Financial constraints and supply chain issues limit access to simulators in LMICs.
Purpose of the Study:
- To design and implement a customizable, cost-effective, and reusable simulator for paracentesis and lumbar puncture.
- To enhance procedural training accessibility for clinicians in remote areas and LMICs.
- To improve procedural confidence, speed, accuracy, and comfort among clinicians in under-resourced settings.
Main Methods:
- Development of a low-cost, reusable medical simulator.
- Focus on enabling practice of paracentesis and lumbar puncture.
- Customizable design for adaptability to different needs.
Main Results:
- The designed simulator provides a cost-effective solution for procedural training.
- It aims to improve access to essential skills development for clinicians in LMICs.
- Potential to enhance patient care through better-trained providers.
Conclusions:
- The developed simulator addresses the critical need for accessible procedural training in LMICs.
- It offers a sustainable solution to overcome financial and logistical barriers.
- Implementation can lead to improved clinical performance and patient outcomes globally.
Keywords:
abdominal paracentesiseducational equity and accessemergency medicinegeneral internal medicineglobal health educationlow- and middle-income countries (lmic)lumbar puncture (lp)medical simulationprocedural educationresource-limited setting
