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

• Published in: World journal of surgery 2023-08, Vol.47 (8), p.1919-1929
• Main Authors: Sule, Augustine Z., Alayande, Barnabas T., Ojo, Emmanuel O., Taiwo, Femi O., Riviello, Robert R., Chirdan, Lohfa B., Ezeome, Emmanuel R., Mshelbwala, Philip M., Ugwu, Benjamin T., Yawe, King-David T.
• Format: Article
• Language: English
• Subjects: Abdominal Surgery; Cardiac Surgery; Catalysts; Curriculum; Emergency medical services; Evolution; General Surgery; Hospitals, Teaching; Humans; Income; Low income groups; Medicine; Medicine & Public Health; Nigeria; Statistical analysis; Surgeons; Surgery; Surgery in Low and Middle Income Countries; Teaching; Teaching hospitals; Thoracic Surgery; Training; Trauma; Trauma care; Universities; Vascular Surgery
• ISSN: 0364-2313; 1432-2323
• DOI: 10.1007/s00268-023-07004-6

Background Inadequate 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. Methods A 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. Results The 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. Conclusions Multidisciplinary 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.