Objective:
To evaluate the effectiveness of an intensive phacoemulsification training program for Rwandan ophthalmologists and the necessary ecosystem for successful implementation.
Approach:
- The trainees performed 85 cases during the training and 754 cases in the following year with complication rates comparable to international standards.
- The training environment included high surgical volume, dedicated phaco machines, simulation training, and on-site experienced surgeons.
- Vitreoretinal (VR) support was crucial for managing complications and enhancing trainee confidence.
- The study involved only two surgeons at a single center, limiting generalizability.
- Further research is needed to assess the reproducibility of this training model in different contexts.
Key Findings:
Interpretation:
The training program was effective due to a supportive ecosystem that included mentorship and VR services, highlighting the importance of a comprehensive approach to surgical education.
Limitations:
Conclusion:
With the right infrastructure and support, advanced ophthalmic surgery can be effectively taught in sub-Saharan Africa, fostering a culture of local training and improving patient outcomes.
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