Surgical training for burns care in low-income countries: A literature review and critical appraisal |
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| Affiliation: | 1. Department of Plastic Surgery, James Cook University Hospital, Middlesborough, United Kingdom;2. Emergency Medicine, Royal London Hospital, London, United Kingdom;3. Cranley Clinic, 35 Devonshire Place, London, United Kingdom;1. Institute of Regenerative Medicine, Affiliated Hospital of Jiangsu University, Jiangsu University, Zhenjiang 212001, Jiangsu Province, China;2. Department of Dermatology, Affiliated Hospital of Jiangsu University, Jiangsu University, Zhenjiang, Jiangsu 212001, China;3. School of Medicine, Jiangsu University, Zhenjiang, Jiangsu 212001, China;4. Inner Mongolia Medical University, Hohhot, Inner Mongolia 010050, China;1. The Welsh Centre for Burns & Plastic Surgery, Morriston Hospital, Swansea SA6 6NL, United Kingdom;2. Department of Trauma & Orthopaedic Surgery, Morriston Hospital, Swansea SA6 6NL, United Kingdom;1. Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Egypt;2. Rehabilitation Health Science Department, College of Applied Medical Sciences, King Saudi University, Saudi Arabia;3. Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, Najran University, Najran, Saudi Arabia;4. Department of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia;1. Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, Canada;2. Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Canada;1. School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA;2. Department of Surgery, Georgetown University School of Medicine, Washington DC 20007, USA;3. The Burn Center, MedStar Washington Hospital Center, Georgetown University School of Medicine, Washington DC 20007, USA;4. Department of Biochemistry, University of Vermont, Department of Biochemistry, Larner College of Medicine, Burlington, VT 05405, USA;5. United States Army Institute of Surgical Research, JBSA Fort Sam, Houston, TX 78234, USA;6. Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA |
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| Abstract: | IntroductionLow- and middle-income countries account for over 90% of burns worldwide. Though mission trips, public health interventions and educational strategies have been introduced in recent years, a disparity remains in treatment provided between high- and low -income countries. This analysis aims to review available literature pertaining to strategies for training in burns management, with a focus on those applicable to low-income countries.MethodologyMesh terms including “burns”, “burns care”, “burns management”, “training”, “teaching” and “education” were inputted into Medline and EMBase. Studies were included on the basis that they include an educational intervention to train doctors to provide surgical burns care in low-income countries. Included literature was analysed using scoring tools then a critical appraisal was performed.ResultsFourteen studies were included in this analysis. These describe e-learning (n = 1), video-based teaching (n = 1), lecture-based teaching (n = 1), simulation training (n = 8) and hospital-based training achieved through collaborative efforts between high and low-income countries such as mission trips and fellowship programmes (n = 3). The strategies described have been summarised and presented.ConclusionBurns care training should be accessible at a global scale and so, involve training methods including simulation, courses and fellowship programmes that are affordable and accessible to surgeons in low-income countries. |
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| Keywords: | Burns Burns care Training Emergency management of severe burns Global teaching |
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