Abstract:
Background: With the widespread implementation of screening programs internationally,
there will be an increase in early stage cervical cancer cases. In response to this, the Ministry
of Health in each country will need to plan strategies to provide care such as radical surgery
or radiation for this potentially curable group of women.
Methods: The Gynaecologic Oncologists of Canada created a teaching module to intensively train a small number of locally identified gynecologists to perform radical hysterectomy and pelvic lymphadenectomy. The process was based on adult learning principles;
it involved a Canadian gynecologic oncologist working in the low- or middle-resource
country with the gynecologists and problem-solving local issues in health care delivery.
Results: The teaching process included a pretest and a posttest on the basis of the
objectives of the module. There were 7 modules including preoperative evaluation of the
patient, cone biopsy, radical hysterectomy, pelvic lymphadenectomy, ureteric injury, vascular
injury, and follow-up after surgery. Each module was divided into background information,
techniques, and complications. There were video clips imbedded in the modules. After the
educational modules had been reviewed, the learners were walked through the surgical procedures repeatedly including a detailed assessment of performance after each case. Participants had the opportunity to provide feedback on the training program. The module was
reviewed in Mongolia and implemented in Kenya.
Conclusions: In low- and middle-resource countries where there is an urgent need to
provide a curative surgical option for the management of early cervical cancer, a focused
high-intensity curriculum delivered by a trained surgeon can translate into immediate
change in clinical and surgical practice.
