Consultant General Surgeon and Urologist, PCEA Chogoria Hospital, Chogoria, Kenya.
Consultant Urological Surgeon, Western General Hospital, Edinburgh, UK.
World J Surg. 2024 Oct;48(10):2471-2476. doi: 10.1002/wjs.12350. Epub 2024 Sep 19.
Urologic emergencies are common and complications from their management are high. Simulation-based education (SBE) is a highly effective training method, allowing trainees to learn both technical and nontechnical skills in a safe environment. Training in the management of urological emergencies is limited in many healthcare settings, so we performed a needs assessment for a urological emergencies SBE course in Ethiopia.
This study presents data from a descriptive cross-sectional, survey-based survey of consultants and residents in the Ethiopian surgical community. The survey was disseminated using online Google Forms, through social media (WhatsApp), and to colleagues in the College of Surgeons of East, Central and Southern Africa (COSECSA) via email and social media.
One hundred-seven results were received; two were discarded due to incomplete data. Fifty three of the respondents were general surgeons and 38 of the respondents were urologists. Sixty nine respondents strongly agreed that simulation-based training was important for first-year surgical residents, whereas twenty-five respondents agreed and nine respondents strongly disagreed; one respondent disagreed and one was neutral. Eighty seven respondents suggested a 3-day training course, whereas 17 respondents suggested a two-day course. More than 80 of the respondents rated training in the management of acute urinary retention, acute scrotum, urethral, and suprapubic catheterization as extreme or very important and 79 respondents wanted education about urologic trauma and Fournier's gangrene.
Surgical and urology residents in Ethiopia have expressed a need for, and a strong interest in, simulation-based urological emergency training.
泌尿科急症很常见，其处理并发症的发生率很高。基于模拟的教育（SBE）是一种非常有效的培训方法，它允许受训者在安全的环境中学习技术和非技术技能。在许多医疗保健环境中，泌尿科急症的管理培训受到限制，因此我们在埃塞俄比亚进行了泌尿科急症 SBE 课程的需求评估。
本研究介绍了一项针对埃塞俄比亚外科界顾问和住院医师的描述性横断面、基于调查的调查数据。该调查通过在线 Google 表格、社交媒体（WhatsApp）以及通过电子邮件和社交媒体向东、中非和南非外科医生学院（COSECSA）的同事分发。
共收到 107 份结果，其中两份因数据不完整而被丢弃。53 名受访者为普通外科医生，38 名受访者为泌尿科医生。69 名受访者强烈认为模拟培训对第一年的外科住院医师很重要，而 25 名受访者同意，9 名受访者强烈不同意；1 名受访者不同意，1 名受访者持中立态度。87 名受访者建议进行为期 3 天的培训课程，而 17 名受访者建议进行为期 2 天的课程。超过 80%的受访者认为急性尿潴留、急性阴囊、尿道和耻骨上导尿的管理培训是极端或非常重要的，79 名受访者希望接受泌尿科创伤和 Fournier 坏疽的教育。
埃塞俄比亚的外科和泌尿科住院医师已经表示需要并对基于模拟的泌尿科急症培训表现出浓厚的兴趣。
