Teaching Surgical Skills Using Video Internet Communication in a Resource-Limited Setting

Abstract

II.

Effective Strategies for Global Health Training Programs A Systematic Review of Training Outcomes in Low and Middle Income Countries

“…Sample sizes ranged from 12 to 12795. Samples included physicians/healthcare workers being trained and clusters of regions where trainings were conducted (Ajuwon et al, 2008;Arreola-Risa et al, 2007;Autry et al, 2013;Baig et al, 2008;Bedada et al, 2015;Brown et al, 2000;Dizon et al, 2014;Dodani et al, 2008;Goodwin et al, 2011;Goudar et al, 2011;Hashmi et al, 2013;Hoban et al, 2013;Husum et al, 2003a;Husum et al, 2003b;Kauye et al, 2014;Kebede et al, 2012;Kulier et al, 2012;Levine et al, 2011;Lewin et al, 2005;Makanjuola et al, 2012;Tomatis et al, 2011;van Heng et al, 2008;Wang et al, 2014;Wee etal., 2011). Intervention duration ranged from one day to three years.…”

“…Twelve of the studies were pre-post-test design (Ajuwon et al, 2008;Brown et al, 2000;Dizon et al, 2014;Hashmi et al 2013;Hoban et al, 2013;Husum et al, 2003a;Husum et al, 2003b;Kebede et al, 2012;Levine et al, 2005;Makanjuola et al, 2012;Tomatis et al, 2011;vanHeng et al, 2008), 5 were quasi-experimental design (Arreola-Risa et al, 2007;Baig et al, 2008;Bedada et al, 2015;Dodani et al, 2008;Wang et al, 2014), three were Cluster randomized control trials (Goudar et al, 2011;Kulier et al, 2012;Lewin et al, 2011). 2 were cross-sectional design (Kauye et al, 2014;Wee et al, 2011), 1 randomized control trial (Autry et al, 2013), and 1 prospective comparison study (Goodwin et al, 2011).…”

“…Out of the 24 articles, four measured knowledge (Ajuwon et al, 2008;Baig et al, 2008;Dodani et al, 2008;Goodwin et al, 2011), eight measured skill (Brown et al, 2000;Goudar et al, 2011;Hashmi et al, 2013;Husum et al, 2003a;Husum et al, 2003b;Kauye et al, 2014;Kebede et al, 2012;Lewin et al, 2005), seven measured knowledge and skill (Autry et al, 2013;Dizon et al, 2014;Hoban et al, 2013;Kulier et al, 2012;Levine et al, 2011;Wang et al, 2014;Wee et al, 2011), two measured mortality and skill (van Heng et al, 2008;Arreola-Risa et al, 2007), one measured knowledge and attitudes (Makanjuola et al, 2012), and two measured knowledge, skill, and attitudes (Kulier et al, 2012;Tomatis et al, 2011). Table 4 provides a comparison of the training methods used in eligible studies.…”

Population-level scale-up of surgery platforms for women’s cancer care in low- and middle-income countries

“…Training would take place at a central training center under the tutelage of surgical and gynecologic oncology faculty. Classic bedside and intraoperative teaching could be enhanced with computer-based learning, telementoring, low-cost simulations, and post mortem anatomic dissections (if allowable) to optimize the training experience and training time [15]. For remaining members of the multidisciplinary team training would be aimed at enhancing their capacity to support the delivery of surgical cancer care in district hospital settings, under the leadership of the newly trained cadres of surgeons.…”

Efforts towards erasing borders in gynecologic cancer?

“…Novel platforms including online education curriculum and video surgical teachings have been developed to overcome challenges imposed in LMIC which include budget constraints and unstable infrastructures (Autry et al, 2013). Onsite teaching programs have been developed in LMIC to teach residents on gynecologic oncology (Schmeler et al, 2013, Chuang et al, 2014).…”