The History and Evolution of the West African College of Surgeons/Jos University Teaching Hospital Trauma Management Course

Author:

Sule Augustine Z.1,Alayande Barnabas T.123,Ojo Emmanuel O.1,Taiwo Femi O.4,Riviello Robert R.235,Chirdan Lohfa B.1,Ezeome Emmanuel R.6,Mshelbwala Philip M.7,Ugwu Benjamin T.1,Yawe King‐David T.7

Affiliation:

1. Department of Surgery Jos University Teaching Hospital Jos Nigeria

2. Center for Equity in Global Surgery University of Global Health Equity, Kigali Heights Plot 772, KG 7 Ave., 5Th Floor, PO Box 6955 Kigali Rwanda

3. Program in Global Surgery and Social Change Harvard Medical School Boston MA USA

4. Department of Orthopaedics and Trauma Jos University Teaching Hospital Jos Nigeria

5. Centre for Surgery and Public Health Brigham and Women's Hospital Boston MA USA

6. Department of Surgery, College of Medicine University of Nigeria Enugu Nigeria

7. Department of Surgery, College of Health Sciences University of Abuja Abuja Nigeria

Abstract

AbstractBackgroundInadequate trauma care training opportunities exist in Low‐ and Middle‐Income Countries. Jos University Teaching Hospital and the West African College of Surgeons (WACS) have synergized, over the past 15 years, to introduce a yearly, certified, multidisciplinary Trauma Management Course. We explore the history and evolution of this course.MethodsA desk review of course secretariat documents, registration records, schedules, pre‐ and post‐course test records, post‐course surveys, and account books complemented by organizer interviews was carried out to elaborate the evolution of the Trauma Management Course.ResultsThe course was started as a local Continuing Medical Education program in 2005 in response to recurring cycles of violence and numerous mass casualty situations. Collaborations with WACS followed, with inclusion of the course in the College's yearly calendar from 2010. Multidisciplinary faculty teach participants the concepts of trauma care through didactic lectures, group sessions, and hands‐on simulation within a one‐week period. From inception, there has been a 100% growth in lecture content (from 15 to 30 lectures) and in multidisciplinary attendance (from 23 to 133 attendees). Trainees showed statistically significant knowledge gain yearly, with a mean difference ranging from 10.1 to 16.1% over the past 5 years. Future collaborations seek to expand the course and position it as a catalyst for regional emergency medical services and trauma registries.ConclusionsMultidisciplinary trauma management training is important for expanding holistic trauma capacity within the West African sub‐region. The course serves as an example for Low‐ and Middle‐Income contexts. Similar contextualized programs should be considered to strengthen trauma workforce development.

Publisher

Wiley

Subject

Surgery

Reference50 articles.

1. Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development;Meara JG;The Lancet,2015

2. Trauma: a major cause of death among surgical inpatients of a Nigerian tertiary hospital

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