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坦桑尼亚的神经外科学教育:达累斯萨拉姆全球神经外科学课程。

Neurosurgical Education in Tanzania: The Dar es Salaam Global Neurosurgery Course.

机构信息

Department of Neurosurgery, Muhimbili Orthopaedic Institute, Dar es Salaam, Tanzania.

Department of Neurosurgery, Muhimbili Orthopaedic Institute, Dar es Salaam, Tanzania; Department of Neurosurgery, Weill Cornell Medicine, New York, New York, USA; Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.

出版信息

World Neurosurg. 2023 Dec;180:42-51. doi: 10.1016/j.wneu.2023.08.111. Epub 2023 Sep 1.

DOI:10.1016/j.wneu.2023.08.111
PMID:37659749
Abstract

BACKGROUND

Postgraduate neurosurgical training is essential to develop a neurosurgical workforce with the skills and knowledge to address patient needs for neurosurgical care. In Tanzania, the number of neurosurgeons and neurosurgical services offered have expanded in the past 40 years. Training opportunities within the country, however, are not sufficient to meet the needs of residents, specialists, and nurses in neurosurgery, forcing many to train outside the country incurring associated costs and burdens. We report on the Dar es Salaam Global Neurosurgery Course, which aims to provide local training to neurosurgical health care providers in Tanzania and surrounding countries.

METHODS

We report the experience of the Global Neurosurgery Course held in March 2023 in Dar es Salaam, Tanzania. We describe the funding, planning, organization, and teaching methods along with participant and faculty feedback.

RESULTS

The course trained 121 participants with 63 faculty-42 from Tanzania and 21 international faculty. Training methods included lectures, hands-on surgical teaching, webinars, case discussions, surgical simulation, virtual reality, and bedside teaching. Although there were challenges with equipment and Internet connectivity, participant feedback was positive, with overall improvement in knowledge reported in all topics taught during the course.

CONCLUSIONS

International collaboration can be successful in delivering topic-specific training that aims to address the everyday needs of surgeons in their local setting. Suggestions for future courses include increasing training on allied topics to neurosurgery and neurosurgical subspecialty topics, reflecting the growth in neurosurgical capacity and services offered in Tanzania.

摘要

背景

研究生神经外科学培训对于培养具有技能和知识的神经外科学劳动力以满足患者对神经外科护理的需求至关重要。在坦桑尼亚,过去 40 年来,神经外科医生和神经外科服务的数量有所增加。然而,该国的培训机会不足以满足神经外科医生、专家和护士的需求,迫使许多人在国外培训,从而产生相关费用和负担。我们报告了达累斯萨拉姆全球神经外科学课程,该课程旨在为坦桑尼亚和周边国家的神经外科医疗保健提供者提供当地培训。

方法

我们报告了 2023 年 3 月在坦桑尼亚达累斯萨拉姆举行的全球神经外科学课程的经验。我们描述了资金、计划、组织和教学方法以及参与者和教师的反馈。

结果

该课程培训了 121 名参与者,其中 63 名教师-42 名来自坦桑尼亚,21 名国际教师。培训方法包括讲座、手术实践教学、网络研讨会、病例讨论、手术模拟、虚拟现实和床边教学。尽管设备和互联网连接存在挑战,但参与者的反馈是积极的,报告称在课程中教授的所有主题的知识都有所提高。

结论

国际合作可以成功地提供特定主题的培训,旨在满足当地外科医生的日常需求。未来课程的建议包括增加对神经外科和神经外科亚专业的相关主题的培训,反映出坦桑尼亚神经外科能力和服务的增长。

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