Competency‐Based Education in Low Resource Settings: Development of a Novel Surgical Training Program

• DOI: 10.1007/s00268-017-4205-2
• Publication Date: 2017-09-07T01:13:47Z
• Authors: Meghan McCullough; Alex Campbell; Armando Siu; Libby Durnwald; Shubha Kumar; William P. Magee; Jordan Swanson
• Keywords: Specialty

Abstract Background The unmet burden of surgical disease represents a major global health concern, and lack trained providers is critical component the inadequacy care worldwide. Competency‐based training has been advanced in high‐income countries, improving technical skills decreasing time, but it poorly understood how this model might be applied to low‐ middle‐income countries. We describe development competency‐based program accelerate specialty in‐country cleft surgery techniques. Methods was designed piloted among eight trainees at five international lip palate mission sites Latin America Africa. A evaluation form, for program, utilized grade general procedure‐specific competencies, pre‐ post‐training scores were analyzed using paired t test. Results Trainees demonstrated improvement average competency both repairs (60.4–71.0%, p < 0.01) (50.6–66.0%, 0.01). General also improved (63.6–72.0%, Among procedural competencies assessed, markings showed greatest (19.0 22.8% palate, respectively), followed by nasal floor/mucosal approximation (15.0%) hard dissection (17.1%). Conclusion Surgical delivery models LMICs are varied, trade‐offs often exist between goals case throughput, quality training. Pilot results show that can over relatively short time demonstrate feasibility incorporating such into outreach missions.