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  • Wild, HannahUniversity of Washington (author)

Operative Trauma Courses : A Scoping Review to Inform the Development of a Trauma Surgery Course for Low-Resource Settings

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • 2023-03-29
  • Springer Science and Business Media LLC,2023

Numbers

  • LIBRIS-ID:oai:lup.lub.lu.se:4f54f208-9461-4a6b-8146-42d4e66b5c73
  • https://lup.lub.lu.se/record/4f54f208-9461-4a6b-8146-42d4e66b5c73URI
  • https://doi.org/10.1007/s00268-023-06985-8DOI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:for swepub-publicationtype
  • Subject category:ref swepub-contenttype

Notes

  • Background: A multitude of operative trauma courses exist, most of which are designed for and conducted in high-resource settings. There are numerous barriers to adapting such courses to low- and low-middle-income countries (LMICs), including resource constraints and contextual variations in trauma care. Approaches to implementing operative trauma courses in LMICs have not been evaluated in a structured manner. Methods: We conducted a scoping review of the literature including databases (e.g., PubMed, Web of Science, EMBASE), grey literature repositories, and structured queries of publicly available course materials to identify records that described operative trauma courses offered since 2000. Results: The search identified 3,518 non-duplicative records, of which 48 relevant reports were included in analysis. These reports represented 23 named and 11 unnamed operative trauma courses offered in 12 countries. Variability existed in course format and resource requirements, ranging from USD 40 to 3,000 per participant. Courses incorporated didactic and laboratory components, which utilized simulations, cadavers, or live animals. Course content overlapped significantly but was not standardized. Data were lacking on course implementation and promulgation, credentialing of instructors, and standardized evaluation metrics. Conclusions: While many operative trauma courses have been described, most are not directly relatable to LMICs. Barriers include cost-prohibitive fees, lack of resources, limited data collection, and contextual variability that renders certain surgical care inappropriate in LMICs. Gaps exist in standardization of course content as well as transparency of credentialing and course implementation strategies. These issues can be addressed through developing an open-access operative trauma course for low-resource settings.

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  • Marfo, ChrisUniversity of Washington (author)
  • Mock, CharlesUniversity of Washington (author)
  • Gaarder, TinaOslo university hospital (author)
  • Gyedu, AdamKwame Nkrumah University of Science and Technology (author)
  • Wallis, LeeWorld Health Organization Centre for Health Development (author)
  • Makasa, EmmanuelUniversity of the Witwatersrand (author)
  • Hagander, LarsLund University,Lunds universitet,Barnkirurgi,Forskargrupper vid Lunds universitet,Pediatric surgery,Lund University Research Groups(Swepub:lu)med-lhd (author)
  • Reynolds, TeriWorld Health Organization Centre for Health Development (author)
  • Hardcastle, Timothy (author)
  • Jewell, TeresaUniversity of Washington (author)
  • Stewart, BarclayUniversity of Washington (author)
  • University of WashingtonOslo university hospital (creator_code:org_t)

Related titles

  • In:World Journal of Surgery: Springer Science and Business Media LLC47:7, s. 1662-16830364-23131432-2323

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