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Developing a Surgical Simulation Curriculum for the Rwandan Context
Journal
Journal of Surgical Education
ISSN
1931-7204
Date Issued
2023-09
Author(s)
Matthew T. Hey
Barnabas T. Alayande
Ornella Masimbi
Natnael Shimelash
Callum Forbes
Jonas Twizeyimana
Radzi Hamzah
Yihan Lin
Robert Riviello
Abebe Bekele
Geoffrey A. Anderson
DOI
10.1016/j.jsurg.2023.06.007
Abstract
OBJECTIVE: We report on the development and implementation of a surgical simulation curriculum for undergraduate medical students in rural Rwanda.
DESIGN: This is a narrative report on the development of scenario and procedure-based content for a junior surgical clerkship simulation curriculum by an interdisciplinary team of simulation specialists, surgeons, anesthesiologists, medical educators, and medical students.
SETTING: University of Global Health Equity, a new medical school located in Butaro, Rwanda.
PARTICIPANTS: Participants in this study consist of simulation and surgical educators, surgeons, anesthesiologists, research fellows and University of Global Health
Equity medical students enrolled in the junior surgery clerkship.
RESULTS: The simulation training schedule was designed to begin with a 17-session simulation-intensive week, followed by 8 sessions spread over the 11-week clerkship. These sessions combined the use of high-fidelity mannequins with improvised, bench-top surgical simulators like the GlobalSurgBox, and low-cost gelatin-based models to effectively replace resource intensive options.
CONCLUSIONS: Emphasis on contextualized content generation, low-cost application, and interdisciplinary design of simulation curricula for low-income settings is essential. The impact of this curriculum on students’ knowledge and skill acquisition is being assessed in an ongoing fashion as a substrate for iterative improvement.
ABBREVIATIONS: LMIC, Low- and Middle-Income Country HIC, High-Income Country ADW, Activity Development Worksheet FSG, Faculty Scenario Guide WHO,
World Health Organization LA, Local Anesthesia FAST Focused Assessment with Sonography in Trauma
KEY WORDS: Surgical Simulation, Surgical Education, Global Surgery, Global Health
COMPETENCIES: Medical Knowledge, Practice-Based Learning and Improvement
DESIGN: This is a narrative report on the development of scenario and procedure-based content for a junior surgical clerkship simulation curriculum by an interdisciplinary team of simulation specialists, surgeons, anesthesiologists, medical educators, and medical students.
SETTING: University of Global Health Equity, a new medical school located in Butaro, Rwanda.
PARTICIPANTS: Participants in this study consist of simulation and surgical educators, surgeons, anesthesiologists, research fellows and University of Global Health
Equity medical students enrolled in the junior surgery clerkship.
RESULTS: The simulation training schedule was designed to begin with a 17-session simulation-intensive week, followed by 8 sessions spread over the 11-week clerkship. These sessions combined the use of high-fidelity mannequins with improvised, bench-top surgical simulators like the GlobalSurgBox, and low-cost gelatin-based models to effectively replace resource intensive options.
CONCLUSIONS: Emphasis on contextualized content generation, low-cost application, and interdisciplinary design of simulation curricula for low-income settings is essential. The impact of this curriculum on students’ knowledge and skill acquisition is being assessed in an ongoing fashion as a substrate for iterative improvement.
ABBREVIATIONS: LMIC, Low- and Middle-Income Country HIC, High-Income Country ADW, Activity Development Worksheet FSG, Faculty Scenario Guide WHO,
World Health Organization LA, Local Anesthesia FAST Focused Assessment with Sonography in Trauma
KEY WORDS: Surgical Simulation, Surgical Education, Global Surgery, Global Health
COMPETENCIES: Medical Knowledge, Practice-Based Learning and Improvement
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