Abstract
Introduction
In 2020 the University of Botswana launched a novel in-country Obstetrics and Gynaecology specialty training programme. Low and middle-income country programmes face inherent challenges due to resource limitations including unpredictability in access to services, system inefficiencies, and human resource shortages for training, especially subspecialists.
Methods
In order to meet training needs in the face of these challenges, we have utilized creative teaching methods, including novel technologies and maximizing sustainable international partnerships. We have encouraged the use of technology including online resources, simulations, and artificial intelligence to enhance training for ultrasound and minimally invasive surgery. Remote lectures and imaging review engage subspecialists in sustained academic partnerships to build skills and knowledge. Finally, we conceived a departmental wellness program to address provider burnout.
Results
Our trainees have gained needed skills in laparoscopy and ultrasound using technology. We are achieving subspeciality training through collaboration with our international academic partners. A new wellness program has started and been well-received.
Discussion
Using these methods we have not only met trainee needs, but improved patient care and service access. Challenges still remain to encourage programme sustainability. Implementation of laparoscopy and ultrasound will require adequate continued training and system support for quality assurance. Subspeciality training needs on-going bolstering and requires building in-country sub-specialization pathways. Wellness programs need to be broadened.
Conclusion
By utilizing creative solutions involving collaboration and technology, our trainees gain skills needed despite context limitations. We believe our programme has been successful in part because it has been dynamic during its initial rollout, and will continue to be as the programme continues to evolve.