Evidence map›Paper›PMID 37600431›Full record

ArticleCureus2023

Determining Critical Topics for Undergraduate Surgical Education in Rwanda: Results of a Modified Delphi Process and a Consensus Conference.

Barnabas T Alayande, Callum W Forbes, Jules Iradakunda, Jean Paul Majyambere, Matthew T Hey, Brittany L Powell, Juliana Perl, Natalie McCall, Tomlin Paul, Jc Allen Ingabire and 22 more

Abstract read
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

32 authors.

Barnabas T AlayandeGeneral Surgery, Center for Equity in Global Surgery, University of Global Health Equity, Kigali, RWA.
Callum W ForbesAnesthesiology, Center for Equity in Global Surgery, University of Global Health Equity, Kigali, RWA.
Jules IradakundaSchool of Medicine, Center for Equity in Global Surgery, University of Global Health Equity, Kigali, RWA.
Jean Paul MajyambereGeneral Surgery, Center for Equity in Global Surgery, University of Global Health Equity, Kigali, RWA.
Matthew T HeyGlobal Health and Social Medicine, Program in Global Surgery and Social Change, Harvard Medical School, Boston, USA.
Brittany L PowellSurgery, Center for Equity in Global Surgery, University of Global Health Equity, Kigali, RWA.
Juliana PerlBiodesign, Center for Equity in Global Surgery, University of Global Health Equity, Kigali, RWA.
Natalie McCallDivision of Clinical Medicine, University of Global Health Equity, Kigali, RWA.
Tomlin PaulEducational Development and Quality Center, University of Global Health Equity, Kigali, RWA.
Jc Allen IngabireSurgery, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, RWA.
Natnael ShimelashBiodesign, Center for Equity in Global Surgery, University of Global Health Equity, Kigali, RWA.
Emmanuel MutabaziSurgery, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, RWA.
Emmanuel O KimtoResearch Unit, Surgical Equity and Research Centre, Jos, NGA.
Gambo Musa DanladiResearch Unit, Surgical Equity and Research Centre, Jos, NGA.
Ronald TubasiimeSurgery, Kibogora Hospital, Kibogora, RWA.
Jennifer RickardSurgery, University of Minnesota, Minneapolis, USA.
Claire KarekeziSurgery, Neurosurgery Unit, Rwanda Military Hospital, Kigali, RWA.
Gabriel MakiriroDivision of Clinical Medicine, University of Global Health Equity, Kigali, RWA.
Simon Pierre BigirimanaSchool of Medicine, Center for Equity in Global Surgery, University of Global Health Equity, Kigali, RWA.
James G HarelimanaSurgery, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, RWA.
Ahmed ElSayedSurgery, Alzaiem Alazhari University, Khartoum, SDN.
Alain Jules NdibanjeSurgery, University Teaching Hospital of Kigali, Kigali, RWA.
Christophe MpirimbanyiSurgery, Kibagabaga Level II Teaching Hospital, Kigali, RWA.
Ornella MasimbiSimulation, Center for Equity in Global Surgery, University of Global Health Equity, Kigali, RWA.
Mick NdayishimiyeSurgery, Kibagabaga Level II Teaching Hospital, Kigali, RWA.
Frederick NtabanaSurgery, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, RWA.
Billy Thomson HaongaOrthopaedic Surgery, Muhimbili University of Health and Allied Sciences, Dar es Salaam, TZA.
Geoffrey A AndersonTrauma, Burns, and Critical Care, Center for Equity in Global Surgery, University of Global Health Equity, Kigali, RWA.
Jean Claude ByringyiroSurgery, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, RWA.
Faustin NtirenganyaSurgery, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, RWA.
Robert R RivielloTrauma, Burns, and Critical Care, Center for Equity in Global Surgery, University of Global Health Equity, Kigali, RWA.
Abebe BekeleCardiothoracic Surgery, Center for Equity in Global Surgery, University of Global Health Equity, Kigali, RWA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Developing a contextually appropriate curriculum is critical to train physicians who can address surgical challenges in sub-Saharan Africa. An innovative modified Delphi process was used to identify contextually optimized curricular content to meet sub-Saharan Africa and Rwanda's surgical needs. Methods Participants were surgeons from East, Central, Southern, and West Africa and general practitioners with surgical experience. Delphi participants excluded or prioritized surgical topic areas generated from extensive grey and formal literature review. Surgical educators first screened and condensed identified topics. Round 1 screened and prioritized identified topics, with a 75% consensus cut-off based on the content validity index and a prioritization score. Topics that reached consensus were screened again in round 2 and re-prioritized, following controlled feedback. Frequencies for aggregate prioritization scores, experts in agreement, item-level content validity index, universal agreement and scale-level content validity index based on the average method (S-CVI/Ave) using proportion relevance, and intra-class correlation (ICC) (based on a mean-rating, consistency, two-way mixed-effects model) were performed. We also used arithmetic mean values and modal frequency. Cronbach's Alpha was also calculated to ascertain reliability. Results were validated through a multi-institution consensus conference attended by Rwanda-based surgical specialists, general practitioners, medical students, surgical educators, and surgical association representatives using an inclusive, participatory, collaborative, agreement-seeking, and cooperative,

Indexed as

consensusdelphimedical schoolrwandasurgery curriculum

Identifiers

PMID37600431
PMCPMC10433784

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.