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Barriers to implementing simulation-based surgical training for improving quality and safety in developing countries:
Abdullah Saeed Khan1, Selina Hasan2, Faisal Wasim Ismail1
1Centre for Innovation in Medical Education, The Aga Khan University, Karachi, Pakistan.
JPMA. the Journal of the Pakistan Medical Association
|June 27, 2026
Summary
Simulation-based surgical training can improve surgical outcomes in developing nations. Overcoming financial, infrastructural, and cultural barriers is key to its successful implementation and enhancing patient care.
Area of Science:
- Medical Education
- Surgical Training
- Global Health
Background:
- Simulation-based surgical training offers significant potential for improving surgical outcomes.
- Developing countries face unique challenges in implementing this training.
Purpose of the Study:
- To explore the challenges and strategic approaches for implementing simulation-based surgical training in developing countries.
- To identify methods for overcoming barriers to adoption.
Main Methods:
- Literature review and analysis of existing implementation strategies.
- Identification of common challenges such as cost, infrastructure, and cultural resistance.
Main Results:
- Key barriers include financial constraints, limited technology access, and resistance to new methods.
- Low-fidelity simulators, partnerships, and faculty development are viable solutions.
Conclusions:
- Strategic implementation is crucial for leveraging simulation-based surgical training in resource-limited settings.
- Addressing specific challenges can enhance surgical education and patient care globally.
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