General Thoracic Surgery in Rwanda: An Assessment of Surgical Volume and of Workforce and Material Resource Deficits
Ramirez A, Nuradin N, Byiringiro F, Ntakiyiruta G, Giles A, Riviello R. General Thoracic Surgery in Rwanda: An Assessment of Surgical Volume and of Workforce and Material Resource Deficits. World Journal Of Surgery 2018, 43: 36-43. PMID: 30132227, PMCID: PMC6318006, DOI: 10.1007/s00268-018-4771-y.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overAnesthesiologyChildChild, PreschoolEquipment and Supplies, HospitalFemaleHealth WorkforceHospitals, PrivateHospitals, UniversityHumansInfantInfant, NewbornMaleMiddle AgedNeeds AssessmentRetrospective StudiesRwandaSimulation TrainingThoracic SurgeryThoracic Surgical ProceduresYoung AdultConceptsUniversity Teaching HospitalHuman Resources for Health (HRH) ProgramThoracic casesSurgical volumeSimulation trainingUniversity Teaching Hospital of KigaliUniversity Teaching Hospital of ButareWorld Health Organization formBaseline patient characteristicsOperative volumeRetrospective cohort studyGeneral surgery proceduresThoracic surgical careGeneral thoracic surgeryOperating room registriesHRH ProgramPearson chi-square testKing Faisal HospitalAddress barriersCapacity building programsChi-square testKruskal-Wallis testNeeds assessmentPatient accessReferral centerLong-Term Skills Retention Following a Randomized Prospective Trial on Adaptive Procedural Training
Ramirez A, Hu Y, Kim H, Rasmussen S. Long-Term Skills Retention Following a Randomized Prospective Trial on Adaptive Procedural Training. Journal Of Surgical Education 2018, 75: 1589-1597. PMID: 29803772, PMCID: PMC6252163, DOI: 10.1016/j.jsurg.2018.03.007.Peer-Reviewed Original ResearchConceptsCentral venous catheter placementRandomized controlled trialsMedical studentsControlled trialsLong-term skill retentionSurvey assessed confidenceSimulation-based trainingTraining armChi-square testAssess confidenceSkill retentionInvestigate long-term outcomesTraining hospitalsTertiary care centerConventional trainingPractice volumeCare centerTrial completionVenous catheter placementRandomized prospective trialLong-term outcomesTrial outcomesStudy objectiveAverage scorePractice timeCreation, Implementation, and Assessment of a General Thoracic Surgery Simulation Course in Rwanda
Ramirez A, Nuradin N, Byiringiro F, Ssebuufu R, Stukenborg G, Ntakiyiruta G, Daniel T. Creation, Implementation, and Assessment of a General Thoracic Surgery Simulation Course in Rwanda. The Annals Of Thoracic Surgery 2018, 105: 1842-1849. PMID: 29476717, PMCID: PMC5964001, DOI: 10.1016/j.athoracsur.2018.01.043.Peer-Reviewed Original ResearchConceptsGeneral surgery residentsThoracic proceduresSurgery residentsLow-middle income country settingFellowship training opportunitiesSimulation courseDiaphragm repairLow-middle income countriesIncome country settingsStatistically significant improvementUnivariate analysisResident knowledge baseSecondary objectivesSimulated surgeryLocal facultyIncome countriesCountry settingsKnowledge assessmentTraining levelTraining opportunitiesResident feedbackParticipants' responsesLikert scaleEnhance confidenceSignificant improvement