Obstetrics and Gynecology Simulation and Global Health Initiatives
The increasing number of obstetrics and gynecology trainees and providers interested in global health experiences along with shortages of skilled health-care providers in lower resource settings creates important opportunities to incorporate simulation in global health work and in global health settings. Simulation can be used to prepare providers ethically, emotionally, and clinically for global health work. In addition, simulation can be used to augment the teaching of essential skills and introduce comparatively new technology to providers in resource-limited settings. Simulation aimed at lifesaving and quality-of-life measures has the potential to decrease maternal mortality and morbidity as well as deaths related to gynecologic cancers and unsafe abortions in any setting including areas with fewer resources. To ensure relevance and sustainability, factors to consider when adapting simulations and simulation curricula for any environment include making sure the supplies and content are adapted to the needs, culture, and resources of the specific health-care context. It is essential to coordinate with local partners in international settings to design simulation curricula both for preparations prior to international travel and for use in those settings.
KeywordsGlobal health Simulation Low-fidelity Lower resource setting Pre-departure preparation Obstetric simulation Gynecologic simulation
List of Abbreviations
Human immunodeficiency virus
Human papilloma virus
Long-acting reversible contraception
Loop electrosurgical excision procedure
Manual vacuum aspiration
Visual inspection with acetic acid
World Health Organization
Working Group on Ethics Guidelines for Global Health Training
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