Surgical Skills training in Africa - UEMS - Home Skills training in Africa COSECSA professional development & practice Pathology COSECSA professional development & practice Disease

COSECSA professional development & practice

Surgical Skills training in Africa


Pathology


Disease Burden WHO 2006

56 20

24

Africa

Europe & USA

ROW


Health Workers WHO 2006

25

72

3

Africa

Europe & USA

ROW


Expenditure WHO 2006

14

85

1

Africa

Europe & USA

ROW


Surgical disease burden

Source: Disease Control Priorities, June 2008

19%

4%5%6%

9%

19%

38%

11% of the global disease burden is surgical

Surgical

Injuries

Obstetric complications

Perinatal conditions

Congenital abnormalities

Malignant tumours

Cataracts and glaucoma

Other


The Surgeons

http://epubs.rcsi.ie/cosecsarcsiproc/4/

• 1,604 surgeons (in

COSECSA region)

• 320M population

• 0.5 surgeons /100,000

population

• 1/25th of OECD norms

http://epubs.rcsi.ie/cosecsarcsiproc/4/


Collaboration 2007


Governance

• cross–college

collaboration

• funded

– Irish Aid €500,000

– RCSI €630,000 (In

kind)

• joint steering committee

RCSI (6), COSECSA (6),

external (2)


RCSI programmes

Online learning

Simulation-based operative skills

Human Factors

e-logbook

Examinations

Inservice assessment

CAPA

Corporate capacity

Leadership &

faculty development

Research methodology


Schoolforsurgeons.net







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ICT infrastructure

• Africa-centric surgical e-

learning platform.

• 25+ IT labs equipped

and supported in 10

countries.

• Creation and

distribution of training

material on DVD


ICT infrastructure

• Africa-centric surgical e-

learning platform.

• 25+ IT labs equipped

and supported in 10

countries.

• Creation and

distribution of training

material on DVD


Faculty involvement


Examinations

2 years 3 years

Syllabus

Generality of surgery

Trauma course

Basic skills course

Basic science course

Logbook

In-service assessments

University or

district hospitals

MCS(ECSA)

General Surgery

T&O Surgery

Paediatric Surgery

Plastic Surgery

NeuroSurgery

Urology

ENT

FCS(ECSA)


Examinations

Examiners exchange Examiners workshop

External Examiners


Examinations

Examiners exchange Examiners workshop

Exam logistics


Courses

• Faculty development

• Basic science faculty

• Trauma

• FCS seminars

• Partnerships


Partnerships - trauma


Operative experience


E-logbook


Simulation - Nairobi

3,500 in 5 years

http://www.nssc.co.ke/


Simulation - Accra

Bull Am Coll Surg. 2010 Jun;95(6):23-30


Simulation – the future?

Shaikh et al Simul Healthc. 2011

https://www.youtube.com/watch?v=PEeFNTcDjww


On the road


Clinical Officer training


Clinical Officer training

“Building capacity at the

district hospital is the key to

health systems strengthening

in Africa”


Results


Partnership

Surgical Skills training in Africa - UEMS - Home Skills training in Africa COSECSA professional development & practice Pathology COSECSA professional development & practice Disease

Documents