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Objectives: Develop and implement a standardized surgical training curriculum for Rwandan medical interns to better prepare them for general practice at district hospitals. Assess the curriculum's impact on participants surgical knowledge and technical skills and identify areas for iterative improvement.
Design: A 2-day surgical curriculum combining theory-based didactics and hands-on, simulation-based skills training was developed and implemented. Rwandan medical interns were surveyed before and after participation to evaluate their comfort with various core surgical topics and skills.
Setting: The study was conducted in Kigali, Rwanda.
Participants: 35 participated, Rwandan medical interns who had completed or were completing their surgical rotations were enrolled in the study.
Results: Significant improvements were observed in participants' confidence in both surgical knowledge and techniques after completing the curriculum. Participants identified simulation as a valuable training technique but reported barriers such as limited access to simulation resources. Most participants reported that the curriculum was beneficial, realistic, and something they would recommend to others.
Conclusions: Rwanda faces a shortage of surgical specialists necessitating an expanded scope of practice for general practitioners, including performing common surgical procedures. Our pilot surgical skills curriculum for Rwandan interns demonstrates potential in addressing this need. Future iterations will refine the curriculum and expand its implementation to all Rwandan medical interns to enhance the surgical care that they will provide as general practitioners.
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http://dx.doi.org/10.1016/j.jsurg.2025.103475 | DOI Listing |
Diabetes Metab Syndr Obes
September 2025
Department of Primary Health, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Republic of Rwanda.
Background: While psychological stress cannot be dissociated from chronic diseases, the extent to which it impacts the management of chronic diseases is poorly understood. This cross-sectional study investigated the prevalence and impact of psychological stress among Rwandan patients with chronic diseases, particularly hypertension, heart failure, malignancies, diabetes, and kidney failure.
Methods: This cross-sectional study was conducted among internal medicine patients receiving treatment for chronic diseases at the University Teaching Hospital of Kigali (n = 81) and the University Teaching Hospital of Butare (CHUB) (n = 78) between May 1 and June 30, 2024.
World J Surg
September 2025
Department of Surgery, Northwestern Quality Improvement Education & Research (NQUIRES), Northwestern University, Evanston, Illinois, USA.
Background: Non-technical skills for Surgeons (NOTSS) lead to safer intraoperative patient care. There is a need to understand how to sustain the implementation of NOTSS training programs. The study aims were (1) to quantitatively assess perioperative care providers perceptions of the hospitals' readiness to sustain implementation of a NOTSS training program, and (2) to qualitatively investigate factors associated with hospitals' readiness to implement a NOTSS training program.
View Article and Find Full Text PDFInt J Health Geogr
August 2025
African Center of Excellence in Data Science (ACE-DS), College of Business and Economics, University of Rwanda, 4285, Kigali, Rwanda.
Background: The optimal placement of ambulances is critical for ensuring timely emergency medical responses, especially in regions with high accident frequencies. In Rwanda, where road accidents are a leading cause of injury and death, the strategic positioning of ambulances can significantly reduce response times and improve survival rates. The national records of Rwanda reveal a rising trend in the number of road accidents and deaths.
View Article and Find Full Text PDFPLOS Digit Health
August 2025
Center for One Health, University of Global Health Equity, Butaro, Rwanda.
The Rwandan veterinary health system lacks reliable animal disease surveillance data, hindering effective response to zoonotic diseases and other animal health events, including pathogen spillovers with pandemic potential. To address this gap, we piloted a mobile phone reporting system among veterinarians to (1) collect data on animal and human health events and (2) gather insights for future implementations, strengthening the reporting system's operationalization. A multi-method approach was employed with 14 veterinarians equipped with smartphones.
View Article and Find Full Text PDFEnviron Res
August 2025
Department of Public Health, Policy and Systems, University of Liverpool, Liverpool, United Kingdom. Electronic address:
School meals across Sub-Saharan Africa are typically prepared using biomass on inefficient stoves, resulting in high air pollution levels that might affect learners and staff. However, there is a paucity of air pollution health-related research in African schools. This study, conducted in seven schools in Rwanda and four schools in Kenya, assessed 1) levels of carbon monoxide (CO) and fine particulate matter (PM) in school kitchens, classrooms (three, at different distances from the kitchen), playgrounds and personal among learners and catering staff; and 2) the prevalence of acute air pollution health-related symptoms and knowledge and perceptions of air pollution among learners and staff.
View Article and Find Full Text PDF