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Related Experiment Video

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How I Do It: Designing A Scalable, Low-Cost Simulation Platform for Global Laparoscopic Training.

Erin Kim1, Madeleine C Lee1, Andrea O Orji1

  • 1University of Michigan Medical School, Ann Arbor, Michigan; Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, Michigan.

Journal of Surgical Education
|May 30, 2026
PubMed
Summary

A low-cost laparoscopic training program improved surgical skills and confidence in low-resource settings. This sustainable model, developed through partnerships, enhances diagnosis, management, and procedural abilities for global surgical education.

Keywords:
global surgerylaparoscopic surgerylow-resource settingssurgical educationsustainability

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Area of Science:

  • Global Health
  • Surgical Education
  • Minimally Invasive Surgery

Background:

  • Laparoscopic surgical training in low-resource settings requires scalable and sustainable educational materials.
  • The ALL-SAFE program was developed to address educational gaps through collaborative curriculum design.

Purpose of the Study:

  • To evaluate the effectiveness of the ALL-SAFE program in enhancing laparoscopic surgical skills and confidence.
  • To assess the sustainability and adaptability of low-cost simulation models in diverse global settings.

Main Methods:

  • The ALL-SAFE program utilized case-based learning and low-cost simulation modules.
  • Learners were assessed using Objective Structured Assessment of Technical Skills checklists.
  • Exit surveys and qualitative data (COM-B, TDF) analyzed learner confidence, competence, and experiences.

Main Results:

  • 146 learners completed 215 surveys, with high confidence/competence in diagnosis (76%/73%) and management (77%/76%).
  • Laparoscopic skills confidence and competence were lower (42%/35%) but increased with prior experience.
  • Qualitative data indicated improved suturing, tissue handling, and reduced practice barriers via a low-cost model.

Conclusions:

  • A low-cost simulation platform effectively improved diagnostic, management, and laparoscopic skills across various settings.
  • Stakeholder partnerships are crucial for developing sustainable surgical education programs in resource-limited environments.