Approximately 5 billion out of 7 billion people in the world lack safe and timely access to basic surgical care. Lack of access to surgical care results in more death and disability than HIV/AIDS, tuberculosis, and malaria combined. For general surgeons traveling to low and middle income countries, there are courses that teach obstetric, orthopedic, and basic anesthesia skills. However, there is a paucity of this training for our non-surgical resident counterparts.

The role of the health provider in a resource limited setting is drastically different than in a resource rich setting. Rather than subspecialization being the norm, the resource limited setting requires the return of the rapidly vanishing general practitioner.

The training of residents in Global Health should incorporate basic surgical and anesthesia care. A review of the literature shows no curriculum development and, more specifically, no curriculum development of simulation based training in basic surgical and anesthesia care.

Simulators provide controlled and safe environments for training and an appropriate method for both formative and summative assessments of trainees. Simulation-based education has been shown to be an effective method to develop the clinical skills of postgraduate medical trainees for managing complex situations, especially when compared to traditional lecture-based training. The use of simulation in education provides learners with immersive experiences and opportunities for active learning.

This NTSI research project seeks to evaluate the short- and long- term effectiveness of basic surgery, anesthesia, and trauma first responders skills training courses, and provide the means of continual improvement and development of our current course material.