Morrow Ellen, Bekele Abebe, Tegegne Ayalew, Kotisso Berhanu, Warner Elizabeth, Kaufman Jedediah, Amies Oelschlager Anne-Marie, Oelschlager Brant
Departments of Surgery and Obstetrics and Gynecology, School of Medicine, University of Washington, Seattle, Washington, USA.
Department of Surgery, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia.
Am J Surg. 2016 Oct;212(4):645-648. doi: 10.1016/j.amjsurg.2016.06.022. Epub 2016 Aug 1.
We aimed to develop and implement a laparoscopic skills curriculum in an Ethiopian surgical residency program. We hypothesized that residents would improve with practice.
We developed a laparoscopic curriculum by adapting existing training models. Six courses were conducted during 2012 and 2013 in a teaching hospital in Ethiopia. Eighty-eight surgical residents participated. Main outcome measures were laboratory task completion times and student survey responses.
Students showed improvement in time needed to complete skills tasks with practice. Mean times improved for all 5 tasks (P ≤ .01). Students uniformly reported that the course was valuable. The curriculum is now taught and sustained by local faculty.
The development and implementation of a collaborative and sustainable laparoscopic curriculum is possible in a low-resource environment. Such a curriculum can result in improved laparoscopic expertise, surgical trainee satisfaction, and may increase utilization of laparoscopy.
我们旨在为埃塞俄比亚的外科住院医师培训项目开发并实施腹腔镜技能课程。我们假设住院医师会通过练习得到提高。
我们通过改编现有的培训模式来开发腹腔镜课程。2012年至2013年期间，在埃塞俄比亚的一家教学医院举办了六期课程。88名外科住院医师参加。主要结局指标为实验室任务完成时间和学生调查反馈。
学生们通过练习在完成技能任务所需的时间上有所进步。所有5项任务的平均时间均有改善（P≤0.01）。学生们一致报告该课程很有价值。该课程目前由当地教员授课并持续开展。
在资源匮乏的环境中，开发并实施协作性且可持续的腹腔镜课程是可行的。这样的课程可以提高腹腔镜专业技能、提升外科实习生的满意度，并可能增加腹腔镜检查的使用率。
