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Transcript of Surgical Skills training in Africa - UEMS - Home Skills training in Africa COSECSA professional...
COSECSA professional development & practice
Disease Burden WHO 2006
56 20
24
Africa
Europe & USA
ROW
COSECSA professional development & practice
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
COSECSA professional development & practice
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
COSECSA professional development & practice
Governance
• cross–college
collaboration
• funded
– Irish Aid €500,000
– RCSI €630,000 (In
kind)
• joint steering committee
RCSI (6), COSECSA (6),
external (2)
COSECSA professional development & practice
RCSI programmes
Online learning
Simulation-based operative skills
Human Factors
e-logbook
Examinations
Inservice assessment
CAPA
Corporate capacity
Leadership &
faculty development
Research methodology
COSECSA professional development & practice
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
COSECSA professional development & practice
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
COSECSA professional development & practice
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)
COSECSA professional development & practice
Examinations
Examiners exchange Examiners workshop
External Examiners
COSECSA professional development & practice
Examinations
Examiners exchange Examiners workshop
Exam logistics
COSECSA professional development & practice
Courses
• Faculty development
• Basic science faculty
• Trauma
• FCS seminars
• Partnerships
COSECSA professional development & practice
Simulation - Nairobi
3,500 in 5 years
http://www.nssc.co.ke/
COSECSA professional development & practice
Simulation - Accra
Bull Am Coll Surg. 2010 Jun;95(6):23-30
COSECSA professional development & practice
Simulation – the future?
Shaikh et al Simul Healthc. 2011
COSECSA professional development & practice
Clinical Officer training
“Building capacity at the
district hospital is the key to
health systems strengthening
in Africa”