Global Surgical Training Challenge (GSTC) inicijativa je u tijeku koju financira Zaklada Intuitive Foundation i provodi se u partnerstvu s Challenge Works , MIT Solve , Kraljevskim koledžem kirurga u Irskoj (RCSI) i Appropedia . Izazov ima za cilj učiniti kiruršku obuku temeljenu na simulaciji pristupačnom putem jeftinih modula obuke otvorenog koda. Ovi moduli otvorenog koda pomažu kirurškim liječnicima da nauče i procijene nove vještine kako bi poboljšali zdravlje svojih zajednica.
Izazov ima za cilj stvoriti promjenu paradigme u tome kako kirurški praktičari uče i procjenjuju kirurške tehnike. Potvrđeni moduli bit će besplatni za preuzimanje i jeftini za reprodukciju u različitim globalnim postavkama. Svaki model kirurške simulacije popraćen je okvirom za samoprocjenu, što omogućuje kirurškim liječnicima da testiraju svoje novostečene vještine, a svim modulima bit će slobodan pristup upravo ovdje na Appropediji.
Challenge je podržao razvoj nekoliko modula obuke tako da svatko u svijetu može kreirati i dijeliti nove module na Appropediji.
Timovi kirurga, edukatora i tehnologa stvorili su module koji pomažu kirurškim liječnicima da nauče i procijene specifične vještine. Sljedeći moduli dobili su sredstva i podršku za izradu prototipa svojih modula.
ALL-SAFE , AmoSmile , CrashSavers Trauma i Tibial Fracture Fixation priznati su od strane stručnog žirija kao dobitnici nagrade Finalist Award. Nakon godinu dana usavršavanja i potvrđivanja svojih modula obuke, četiri tima su odabrana kao dobitnici nagrade Finalist. Svaki će tim dobiti do 500.000 USD za daljnji razvoj i validaciju svojih modela kirurške obuke. Dodatni moduli sudjelovali su u fazi izazova Discovery Award.
Kurikulum AMPATH Surgical App usmjeren je na poboljšanje kirurške skrbi fokusiranjem na otvorenu apendektomiju, uobičajeni postupak za stanje koje može biti opasno po život. Tečaj je osmišljen kako bi pomogao liječnicima koji nisu završili formalnu kiruršku obuku da postanu sigurni i kompetentni u izvođenju otvorene apendektomije. Kurikulum uključuje četiri temeljna modula: prezentaciju slučaja, izradu modela, cjelovitu praksu postupka i samoprocjenu.
CrashSavers Trauma is focused on teaching firefighter first responders in Guatemala how to stop bleeding in injured individuals and prevent mortality from hemorrhagic shock. Low- and middle-income countries lack an organized prehospital infrastructure. This, coupled with the absence of formal medical training for prehospital providers, creates suboptimal conditions for providers and patients. Improvement in provider competence and thus, patient safety, are at a standstill until formalized training in hemorrhage control techniques is provided.
The ETALO project responds to the high prevalence of osteomyelitis and open fractures in low and middle-income countries, often caused by vehicular trauma and require early intervention to prevent complications. This module contains a low-cost simulator and training course for medical students, clinical officers, and non-orthopaedic surgeons to learn the basic surgical skills required to treat these conditions, including drilling bone.
The GlobalSurgBox, the Universal Surgical Simulator that fits in a toolbox, is a surgical simulator that fits in a 12.5-inch toolbox, is capable of teaching trainees valuable surgical skills such as: knot tying, basic and advanced suturing, bowel and vascular anastomoses, aortic valve replacement, and numerous other new and emerging possibilities.
This module allows medical officers and surgeons who are not orthopedic specialists to become confident and competent in irrigation and debridement, powered and manual drilling, positioning and correctly inserting Schanz screws, and constructing the rod-to-rod modular frame as part of external fixation procedures for open humeral shaft fractures performed in regions without specialist coverage.
This module allows surgical practitioners to become more confident and competent in Orthoplastic reconstruction by removing contaminated debris and all devitalized tissue, stabilizing the skeleton and covering the soft tissue defect. This should reduce the bacterial burden and available substrate for microbial colonization, resulting in fewer deep surgical site infections.
This module allows traditional bone setters, pre-hospital providers, clinical officers, nurses, nurse practitioners, and medical officers to become confident and competent in performing point-of-care ultrasound diagnostic imaging to rule out the presence of a pediatric distal forearm fracture and distinguish between buckle (torus) fractures and cortical break fractures to make appropriate referrals as part of the management of closed pediatric (< 16 years of age) distal forearm fractures in regions without access to X-ray imaging and orthopedic specialist coverage.
The Sexual and Reproductive Health and Rights (STARS) - Cervical Cancer Screening and Treatment module allows nurses, midwives, clinical officers, and medical officers to become confident and competent in performing visual inspection with acetic acid (VIA), and thermal ablation of cervical pre-cancer lesions as part of cervical cancer screening and treatment procedures performed in primary health care facilities and mobile units in resource-constrained settings.
This STARS (Sexual and Reproductive Health and Rights) - Intrauterine Device (IUD) Insertion module allows nurses, midwives and clinical officers to become confident and competent in maintaining aseptic technique in sounding the uterus, loading the IUD in the sterile package, setting the gauge to the sounded depth, and gently inserting and deploying the IUD as part of copper and hormonal IUD insertion procedures for long-acting reversible contraception services performed in low to middle income countries.
This module allows medical officers and surgeons who are not orthopedic specialists to become confident and competent in irrigation and debridement, powered and manual drilling, positioning and correctly inserting Schanz screws, and constructing the rod-to-rod modular frame as part of external fixation procedures for open tibial shaft fractures performed in regions without specialist coverage.
This module allows medical officers and surgeons who are not orthopedic specialists to become confident and competent in irrigation and debridement, powered and manual drilling, positioning and correctly inserting Schanz screws, and constructing the uniplanar external fixator frame as part of external fixation procedures for open tibial shaft fractures performed in regions without specialist coverage.
The V-Y Advancement Flap training module will help surgeons become more confident and competent in using this technique for reconstructing small- to medium-cutaneous defects, mainly to release scars and closing defects in Sub-Saharan Africa. The module combines virtual and physical simulation to provide learners with knowledge and skills for clinical competency in V-Y advancement.
Create Your Own Module
Want to create your own training module to help surgical practitioners learn and assess new skills?
- Creating and editing content on Appropedia
- Designing an effective training module
- Getting technical support
- Adding special features to a module
For a more extensive walk through setting up an account and making your own banner, work through the GSTC/Getting Started exercises. However, if you already have an account and want to dive right in, you can make a GSTC page using with any of these templates. Simply type the name you want for the page in the Name field and click "Create". It will make you a new GSTC page with the basic formatting filled in. You can always modify the formatting later if you want to change the structure of the page, including adding your own banner across the top. You will be able to link to this new page using the name.