Experiences and Perceptions of Ophthalmic Simulation-Based Surgical Education in Sub-Saharan Africa
Simulation-based surgical education (SBSE) can positively impact trainee surgical competence. However, a detailed qualitative study of the role of simulation in ophthalmic surgical education has not previously been conducted. To explore the experiences of trainee ophthalmologists and ophthalmic surg...
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| Veröffentlicht in: | Journal of surgical education 2021-11, Vol.78 (6), p.1973-1984 |
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| container_end_page | 1984 |
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| container_issue | 6 |
| container_start_page | 1973 |
| container_title | Journal of surgical education |
| container_volume | 78 |
| creator | Annoh, Roxanne Banks, Lena Morgon Gichuhi, Stephen Buchan, John Makupa, William Otiti, Juliet Mukome, Agrippa Arunga, Simon Burton, Matthew J. Dean, William H. |
| description | Simulation-based surgical education (SBSE) can positively impact trainee surgical competence. However, a detailed qualitative study of the role of simulation in ophthalmic surgical education has not previously been conducted.
To explore the experiences of trainee ophthalmologists and ophthalmic surgeon educators’ use of simulation, and the perceived challenges in surgical training.
A multi-center, multi-country qualitative study was conducted between October 2017 and August 2020. Trainee ophthalmologists from six training centers in sub-Saharan Africa (SSA) (in Kenya, Uganda, Tanzania, Zimbabwe and South Africa) participated in semi-structured interviews, before and after an intense simulation training course in intraocular surgery. Semi-structured interviews were also conducted with experienced ophthalmic surgeon educators. Interviews were anonymized, recorded, transcribed and coded. An inductive, bottom-up, constant comparative method was used for thematic analysis.
Twenty-seven trainee ophthalmologists and 12 ophthalmic surgeon educators were included in the study and interviewed. The benefits and challenges of conventional surgical teaching, attributes of surgical educators, value of simulation in training and barriers to implementing ophthalmic surgical simulation were identified as major themes. Almost all trainees and trainers reported patient safety, a calm environment, the possibility of repetitive practice, and facilitation of reflective learning as beneficial aspects of ophthalmic SBSE. Perceived barriers in surgical training included a lack of surgical cases, poor supervision and limited simulation facilities.
Simulation is perceived as an important and valuable model for education amongst trainees and ophthalmic surgeon educators in SSA. Advocating for the expansion and integration of educationally robust simulation surgical skills centers may improve the delivery of ophthalmic surgical education throughout SSA. |
| doi_str_mv | 10.1016/j.jsurg.2021.04.005 |
| format | Article |
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To explore the experiences of trainee ophthalmologists and ophthalmic surgeon educators’ use of simulation, and the perceived challenges in surgical training.
A multi-center, multi-country qualitative study was conducted between October 2017 and August 2020. Trainee ophthalmologists from six training centers in sub-Saharan Africa (SSA) (in Kenya, Uganda, Tanzania, Zimbabwe and South Africa) participated in semi-structured interviews, before and after an intense simulation training course in intraocular surgery. Semi-structured interviews were also conducted with experienced ophthalmic surgeon educators. Interviews were anonymized, recorded, transcribed and coded. An inductive, bottom-up, constant comparative method was used for thematic analysis.
Twenty-seven trainee ophthalmologists and 12 ophthalmic surgeon educators were included in the study and interviewed. The benefits and challenges of conventional surgical teaching, attributes of surgical educators, value of simulation in training and barriers to implementing ophthalmic surgical simulation were identified as major themes. Almost all trainees and trainers reported patient safety, a calm environment, the possibility of repetitive practice, and facilitation of reflective learning as beneficial aspects of ophthalmic SBSE. Perceived barriers in surgical training included a lack of surgical cases, poor supervision and limited simulation facilities.
Simulation is perceived as an important and valuable model for education amongst trainees and ophthalmic surgeon educators in SSA. Advocating for the expansion and integration of educationally robust simulation surgical skills centers may improve the delivery of ophthalmic surgical education throughout SSA.</description><identifier>ISSN: 1931-7204</identifier><identifier>EISSN: 1878-7452</identifier><identifier>DOI: 10.1016/j.jsurg.2021.04.005</identifier><identifier>PMID: 33985925</identifier><language>eng</language><publisher>NEW YORK: Elsevier Inc</publisher><subject>africa, simulation ; Clinical Competence ; Computer Simulation ; education ; Education & Educational Research ; Education, Scientific Disciplines ; Humans ; Life Sciences & Biomedicine ; ophthalmology ; Original Reports ; Science & Technology ; Simulation Training ; Social Sciences ; Surgeons ; Surgery ; Tanzania ; training</subject><ispartof>Journal of surgical education, 2021-11, Vol.78 (6), p.1973-1984</ispartof><rights>2021 The Author(s)</rights><rights>Copyright © 2021 The Author(s). Published by Elsevier Inc. All rights reserved.</rights><rights>2021 The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>6</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000756457000058</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c459t-c483916f31bc1242b2b672bd08ba824053f006086767009d4e69f4fbcd21384a3</citedby><cites>FETCH-LOGICAL-c459t-c483916f31bc1242b2b672bd08ba824053f006086767009d4e69f4fbcd21384a3</cites><orcidid>0000-0002-6487-292X ; 0000-0003-3457-2042 ; 0000-0003-1005-7011 ; 0000-0003-1872-9169 ; 0000-0002-4585-1103</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jsurg.2021.04.005$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,315,781,785,886,3551,27929,27930,39263,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33985925$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Annoh, Roxanne</creatorcontrib><creatorcontrib>Banks, Lena Morgon</creatorcontrib><creatorcontrib>Gichuhi, Stephen</creatorcontrib><creatorcontrib>Buchan, John</creatorcontrib><creatorcontrib>Makupa, William</creatorcontrib><creatorcontrib>Otiti, Juliet</creatorcontrib><creatorcontrib>Mukome, Agrippa</creatorcontrib><creatorcontrib>Arunga, Simon</creatorcontrib><creatorcontrib>Burton, Matthew J.</creatorcontrib><creatorcontrib>Dean, William H.</creatorcontrib><title>Experiences and Perceptions of Ophthalmic Simulation-Based Surgical Education in Sub-Saharan Africa</title><title>Journal of surgical education</title><addtitle>J SURG EDUC</addtitle><addtitle>J Surg Educ</addtitle><description>Simulation-based surgical education (SBSE) can positively impact trainee surgical competence. However, a detailed qualitative study of the role of simulation in ophthalmic surgical education has not previously been conducted.
To explore the experiences of trainee ophthalmologists and ophthalmic surgeon educators’ use of simulation, and the perceived challenges in surgical training.
A multi-center, multi-country qualitative study was conducted between October 2017 and August 2020. Trainee ophthalmologists from six training centers in sub-Saharan Africa (SSA) (in Kenya, Uganda, Tanzania, Zimbabwe and South Africa) participated in semi-structured interviews, before and after an intense simulation training course in intraocular surgery. Semi-structured interviews were also conducted with experienced ophthalmic surgeon educators. Interviews were anonymized, recorded, transcribed and coded. An inductive, bottom-up, constant comparative method was used for thematic analysis.
Twenty-seven trainee ophthalmologists and 12 ophthalmic surgeon educators were included in the study and interviewed. The benefits and challenges of conventional surgical teaching, attributes of surgical educators, value of simulation in training and barriers to implementing ophthalmic surgical simulation were identified as major themes. Almost all trainees and trainers reported patient safety, a calm environment, the possibility of repetitive practice, and facilitation of reflective learning as beneficial aspects of ophthalmic SBSE. Perceived barriers in surgical training included a lack of surgical cases, poor supervision and limited simulation facilities.
Simulation is perceived as an important and valuable model for education amongst trainees and ophthalmic surgeon educators in SSA. Advocating for the expansion and integration of educationally robust simulation surgical skills centers may improve the delivery of ophthalmic surgical education throughout SSA.</description><subject>africa, simulation</subject><subject>Clinical Competence</subject><subject>Computer Simulation</subject><subject>education</subject><subject>Education & Educational Research</subject><subject>Education, Scientific Disciplines</subject><subject>Humans</subject><subject>Life Sciences & Biomedicine</subject><subject>ophthalmology</subject><subject>Original Reports</subject><subject>Science & Technology</subject><subject>Simulation Training</subject><subject>Social Sciences</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Tanzania</subject><subject>training</subject><issn>1931-7204</issn><issn>1878-7452</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><recordid>eNqNkV2L1DAUhoso7rr6CwTJpSCtJx9N0wuFdRg_YGGF0euQpOlOhjapSbvqvzfz4aA34k0Scp73PTl5i-I5hgoD5q931S4t8a4iQHAFrAKoHxSXWDSibFhNHuZzS3HZEGAXxZOUdhlgLWkfFxeUtqJuSX1ZmPWPyUZnvbEJKd-hzzYaO80u-IRCj26n7bxVw-gM2rhxGdS-Ur5TyXZok7s7owa07hZzKCDn860uN2qrovLouo8ZeFo86tWQ7LPTflV8fb_-svpY3tx--LS6vikNq9s5r4K2mPcUa4MJI5po3hDdgdBKEAY17QE4CN7wBqDtmOVtz3ptOoKpYIpeFW-PvtOiR9sZ6-eoBjlFN6r4Uwbl5N8V77byLtxLwbkQDc4GL08GMXxbbJrl6JKxw6C8DUuSpCYCC4wpySg9oiaGlKLtz20wyH08cicP8ch9PBKYzL-fVS_-fOFZ8zuPDIgj8N3q0CdzCOaMAUBTc1bn8bObWLn58OursPg5S1_9vzTTb460zYHcOxvlSdG5aM0su-D-OckvYVbD-A</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Annoh, Roxanne</creator><creator>Banks, Lena Morgon</creator><creator>Gichuhi, Stephen</creator><creator>Buchan, John</creator><creator>Makupa, William</creator><creator>Otiti, Juliet</creator><creator>Mukome, Agrippa</creator><creator>Arunga, Simon</creator><creator>Burton, Matthew J.</creator><creator>Dean, William H.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6487-292X</orcidid><orcidid>https://orcid.org/0000-0003-3457-2042</orcidid><orcidid>https://orcid.org/0000-0003-1005-7011</orcidid><orcidid>https://orcid.org/0000-0003-1872-9169</orcidid><orcidid>https://orcid.org/0000-0002-4585-1103</orcidid></search><sort><creationdate>20211101</creationdate><title>Experiences and Perceptions of Ophthalmic Simulation-Based Surgical Education in Sub-Saharan Africa</title><author>Annoh, Roxanne ; 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However, a detailed qualitative study of the role of simulation in ophthalmic surgical education has not previously been conducted.
To explore the experiences of trainee ophthalmologists and ophthalmic surgeon educators’ use of simulation, and the perceived challenges in surgical training.
A multi-center, multi-country qualitative study was conducted between October 2017 and August 2020. Trainee ophthalmologists from six training centers in sub-Saharan Africa (SSA) (in Kenya, Uganda, Tanzania, Zimbabwe and South Africa) participated in semi-structured interviews, before and after an intense simulation training course in intraocular surgery. Semi-structured interviews were also conducted with experienced ophthalmic surgeon educators. Interviews were anonymized, recorded, transcribed and coded. An inductive, bottom-up, constant comparative method was used for thematic analysis.
Twenty-seven trainee ophthalmologists and 12 ophthalmic surgeon educators were included in the study and interviewed. The benefits and challenges of conventional surgical teaching, attributes of surgical educators, value of simulation in training and barriers to implementing ophthalmic surgical simulation were identified as major themes. Almost all trainees and trainers reported patient safety, a calm environment, the possibility of repetitive practice, and facilitation of reflective learning as beneficial aspects of ophthalmic SBSE. Perceived barriers in surgical training included a lack of surgical cases, poor supervision and limited simulation facilities.
Simulation is perceived as an important and valuable model for education amongst trainees and ophthalmic surgeon educators in SSA. Advocating for the expansion and integration of educationally robust simulation surgical skills centers may improve the delivery of ophthalmic surgical education throughout SSA.</abstract><cop>NEW YORK</cop><pub>Elsevier Inc</pub><pmid>33985925</pmid><doi>10.1016/j.jsurg.2021.04.005</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-6487-292X</orcidid><orcidid>https://orcid.org/0000-0003-3457-2042</orcidid><orcidid>https://orcid.org/0000-0003-1005-7011</orcidid><orcidid>https://orcid.org/0000-0003-1872-9169</orcidid><orcidid>https://orcid.org/0000-0002-4585-1103</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | africa, simulation Clinical Competence Computer Simulation education Education & Educational Research Education, Scientific Disciplines Humans Life Sciences & Biomedicine ophthalmology Original Reports Science & Technology Simulation Training Social Sciences Surgeons Surgery Tanzania training |
| title | Experiences and Perceptions of Ophthalmic Simulation-Based Surgical Education in Sub-Saharan Africa |
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