Kirsch Michael, Mpirimbanyi Christophe, Wang Songnan, Kansayisa Grace, Gasakure Miguel, Ntirenganya Faustin, Lin Yihan
Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Kibagabaga Hospital, Kigali, Rwanda.
J Surg Educ. 2025 May;82(5):103475. doi: 10.1016/j.jsurg.2025.103475. Epub 2025 Mar 11.
Develop and implement a standardized surgical training curriculum for Rwandan medical interns to better prepare them for general practice at district hospitals. Assess the curriculum's impact on participants surgical knowledge and technical skills and identify areas for iterative improvement.
A 2-day surgical curriculum combining theory-based didactics and hands-on, simulation-based skills training was developed and implemented. Rwandan medical interns were surveyed before and after participation to evaluate their comfort with various core surgical topics and skills.
The study was conducted in Kigali, Rwanda.
35 participated, Rwandan medical interns who had completed or were completing their surgical rotations were enrolled in the study.
Significant improvements were observed in participants' confidence in both surgical knowledge and techniques after completing the curriculum. Participants identified simulation as a valuable training technique but reported barriers such as limited access to simulation resources. Most participants reported that the curriculum was beneficial, realistic, and something they would recommend to others.
Rwanda faces a shortage of surgical specialists necessitating an expanded scope of practice for general practitioners, including performing common surgical procedures. Our pilot surgical skills curriculum for Rwandan interns demonstrates potential in addressing this need. Future iterations will refine the curriculum and expand its implementation to all Rwandan medical interns to enhance the surgical care that they will provide as general practitioners.
为卢旺达医学实习生制定并实施标准化外科培训课程，以便他们更好地为地区医院的全科医疗工作做好准备。评估该课程对参与者外科知识和技术技能的影响，并确定迭代改进的领域。
开发并实施了一个为期两天的外科课程，该课程结合了基于理论的教学法和基于模拟的实践技能培训。在卢旺达医学实习生参与课程前后进行调查，以评估他们对各种核心外科主题和技能的掌握程度。
该研究在卢旺达基加利进行。
35名完成或正在完成外科轮转的卢旺达医学实习生参与了该研究。
完成课程后，参与者在外科知识和技术方面的信心有了显著提高。参与者认为模拟是一种有价值的培训技术，但报告了一些障碍，如模拟资源获取有限。大多数参与者表示，该课程有益、实用，并且会向他人推荐。
卢旺达面临外科专科医生短缺的问题，这就需要扩大全科医生的执业范围，包括开展常见外科手术。我们为卢旺达实习生开设的外科技能试点课程在满足这一需求方面显示出了潜力。未来的迭代将完善课程，并将其推广到所有卢旺达医学实习生，以提高他们作为全科医生提供的外科护理水平。
