Sage Journals: Discover world-class research

Abstract

Background

To deliver and evaluate two Emergency Urology Skills Training (EUST) courses in Ethiopia, aimed at equipping surgical and urology residents with hands-on skills and confidence in managing urological emergencies in resource-limited settings.

Methods

Two one-day, practical training courses were held in Hawassa and Addis Ababa in November 2024 and May 2025. Pre-course questionnaires assessed delegates’ baseline confidence, prior training and the utility of a pre-course manual. A blended curriculum comprising didactic lectures, skill stations and one-to-one mentorship was delivered by a collaborative team of local and international faculty. Post-course evaluations measured improvements in knowledge, confidence and satisfaction.

Results

Twenty-three participants from each centre completed matched pre- and post-course multiple-choice questionnaires assessing knowledge of emergency urology procedures. Pre-course exposure to structured skills training was limited (≤30%). Both groups showed statistically significant improvements in post-course scores (Hawassa: p = 0.002; Addis Ababa: p = 0.007). Self-rated confidence and knowledge improved significantly (p < 0.05) in six of eight core procedures.

Conclusions

The EUST model effectively improved trainees’ confidence and procedural competence in emergency urology. With adequate support, this model is scalable and applicable to other resource-limited countries seeking to strengthen urological emergency care and their training capacity.

Keywords

Renal ureteric trauma urology simulation

Get full access to this article

View all access options for this article.

References

Merga

Gebreegziabher

Getachew

, et al. Surgical capacity in public and private health facilities after a five-year strategic plan implementation in Ethiopia: a cross sectional study. Ann Glob Heal 2023; 89: 1–10.

Topaktaş

Altın

Aydın

, et al. Retrospective evaluation of urological admissions to emergency service of a training and research hospital. Turk Urol Derg 2014; 40: 216–220.

Hamza

Ahmed

Tolani

, et al. Spectrum of urological emergencies and surgical interventions in a single tertiary health center. African J Emerg Med 2021; 11: 223–226.

Kifle

Trail

Tsega

, et al. A needs assessment for simulation-based training in emergency urological skills in Ethiopia. World J Surg 2024 Oct; 48: 2471–2476.

Hanchanale

Biyani

Sevdalis

. I know how to help trainees but …:”—how to incorporate implementation science in design and delivery of a simulation program. In: Biyani

Van Cleynenbreugel

Mottrie

(eds) Practical simulation in urology. Cham, Switzerland: Springer International Publishing, 2022, pp.479–511.

Young

Lewis

Kailavasan

, et al. A systematic review of methodological principles and delivery of surgical simulation bootcamps. Am J Surg 2022 Jun; 223: 1079–1087.

. Horizontal learning. In: Bathelt

Cohendet

Henn

Simon

(eds) The Elgar companion to innovation and knowledge creation. Cheltenham, UK: Publisher Edward Elgar, 2017, pp.392–404.

Kifle

Biyani

Bogdanowicz

, et al. Urologist workforce and services in Ethiopia. World J Surg 2023 Nov; 47: 2628–2634.

World Health Organization. Increasing access to health workers in remote and rural areas through improved retention: global policy recommendations. Geneva, Switzerland: World Health Organization, 2010.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.02 MB