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

Wild, Hannah ; Marfo, Chris ; Mock, Charles ; Gaarder, Tina ; Gyedu, Adam ; Wallis, Lee ; Makasa, Emmanuel ; Hagander, Lars LU orcid ; Reynolds, Teri and Hardcastle, Timothy , et al. (2023) In World Journal of Surgery 47(7). p.1662-1683
Abstract

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... (More)

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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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
World Journal of Surgery
volume
47
issue
7
pages
1662 - 1683
publisher
Springer
external identifiers
  • pmid:36988651
  • scopus:85151294111
ISSN
0364-2313
DOI
10.1007/s00268-023-06985-8
language
English
LU publication?
yes
id
4f54f208-9461-4a6b-8146-42d4e66b5c73
date added to LUP
2023-05-24 13:18:36
date last changed
2024-06-29 04:31:24
@article{4f54f208-9461-4a6b-8146-42d4e66b5c73,
  abstract     = {{<p>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.</p>}},
  author       = {{Wild, Hannah and Marfo, Chris and Mock, Charles and Gaarder, Tina and Gyedu, Adam and Wallis, Lee and Makasa, Emmanuel and Hagander, Lars and Reynolds, Teri and Hardcastle, Timothy and Jewell, Teresa and Stewart, Barclay}},
  issn         = {{0364-2313}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{1662--1683}},
  publisher    = {{Springer}},
  series       = {{World Journal of Surgery}},
  title        = {{Operative Trauma Courses : A Scoping Review to Inform the Development of a Trauma Surgery Course for Low-Resource Settings}},
  url          = {{http://dx.doi.org/10.1007/s00268-023-06985-8}},
  doi          = {{10.1007/s00268-023-06985-8}},
  volume       = {{47}},
  year         = {{2023}},
}