Harvard Medical School, Boston, Massachusetts.
Department of Radiology, Muhimbili National Hospital, Dar Es Salaam, Tanzania.
J Vasc Interv Radiol. 2024 Jul;35(7):1049-1056. doi: 10.1016/j.jvir.2024.03.015. Epub 2024 Mar 19.
To evaluate the growth and quality of an interventional radiology (IR) training model designed for resource-constrained settings and implemented in Tanzania as well as its overall potential to increase access to minimally invasive procedures across the region.
IR training in Tanzania began in October 2018 through monthly deployment of visiting teaching teams for hands-on training combined with in-person and remote lectures. A competency-based 2-year Master of Science in IR curriculum was inaugurated at the nation's main teaching hospital in October 2019, with the first 2 classes graduating in 2021 and 2022. Procedural data, demographics, and clinical outcomes were collected and analyzed throughout the duration of this program.
From October 2018 to July 2022, 1,595 procedures were performed in Tanzania: 1,236 nonvascular and 359 vascular, all with local fellows as primary interventional radiologists. Of these, 97.2% were technically successful, 95.2% were without adverse events, and 28.9% were performed independently by Tanzanian fellows and faculty with no difference in adverse event and technical success rates (P = .63 and P = .90, respectively), irrespective of procedural class. Ten IR physicians graduated from this program during the study period, followed by another 3 per year going forward. Partner training programs in Uganda and Rwanda mirroring this model commenced in 2023 and 2024, respectively.
The reported training model offers a practical and effective solution to meet many of the challenges associated with the lack of access to IR in sub-Saharan Africa.
评估在坦桑尼亚实施的一种资源有限环境下的介入放射学（IR）培训模式的发展和质量，以及其在整个地区增加微创程序可及性的总体潜力。
2018 年 10 月，坦桑尼亚开始进行 IR 培训，通过每月部署巡回教学团队进行实践培训，并结合现场和远程讲座。2019 年 10 月，在该国主要教学医院开设了为期 2 年的基于能力的 IR 理学硕士课程，前 2 个班级于 2021 年和 2022 年毕业。在此计划期间，收集并分析了程序数据、人口统计学和临床结果。
自 2018 年 10 月至 2022 年 7 月，坦桑尼亚共进行了 1595 例手术：1236 例非血管和 359 例血管，均由当地研究员担任主要介入放射科医生。其中，97.2%的手术技术成功，95.2%无不良事件，28.9%由坦桑尼亚研究员和教师独立完成，不良事件和技术成功率无差异（P=0.63 和 P=0.90），无论手术级别如何。在研究期间，有 10 名 IR 医生从该计划毕业，之后每年又有 3 名医生毕业。2023 年和 2024 年，乌干达和卢旺达的合作伙伴培训计划分别开始效仿这一模式。
报告的培训模式为解决撒哈拉以南非洲地区缺乏介入放射学服务的许多挑战提供了一种实用且有效的解决方案。
