• Burns · Dec 2022

    Review

    Surgical training for burns care in low-income countries: A literature review and critical appraisal.

    • Tiffanie-Marie Borg, Anand Krishna, and Ali Ghanem.
    • Department of Plastic Surgery, James Cook University Hospital, Middlesborough, United Kingdom. Electronic address: Tiffanie.Borg@nhs.net.
    • Burns. 2022 Dec 1; 48 (8): 177317821773-1782.

    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.Copyright © 2022 Elsevier Ltd and International Society of Burns Injuries. All rights reserved.

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