Emilene Nazzal
Research Mentor: Dhanalakshmi Thiyagarajan
Mentor Department: Obstetrics and Gynecology, Medicine
Author(s): Emilene Nazzal, Dhanalakshmi Thiyagarajan, Zoe Zimmer
Session: Session 3 (11:00 AM – 11:50 AM)
Presentation Type: Oral Presentation
Abstract
Background: Gynecologic laparoscopy (LSC) is a minimally invasive surgical approach that reduces recovery time and surgical risks. One reason MIGS, the standard of care in high-income countries, remains underutilized in low- and middle-income countries like Ghana is limited training resources. This project seeks to address this gap by developing a simulation-based laparoscopic training program tailored to low-resource settings. Methods: The project began with extensive literature reviews on laparoscopic procedures to identify key learning objectives and create detailed instructional blueprints for specific surgical skills. Our team collected LSC procedural instructions from various articles on PubMed and Scopus. These blueprints formed the foundation of a structured LSC curriculum that integrates teaching and testing components to ensure participants achieve the outlined learning objectives. A low-cost simulation model will be incorporated into the program and is being designed to replicate the anatomical structures relevant to gynecologic laparoscopy. Alongside the model, a procedural checklist is being developed to standardize training and assessment of core laparoscopic skills, such as trocar placement and abdominal entry techniques. A comprehensive questionnaire will assess trainees’ progress and comfort with the program. Results: A cost-effective, simulation-based laparoscopic training program is in development. The curriculum outlines key learning objectives, emphasizing standardized skill assessment. The simulation model is being prototyped and will incorporate feedback from clinicians. The LSC procedural checklist will be developed to ensure alignment with best practices. Future steps include pilot testing the program with clinicians to evaluate training effectiveness through structured questionnaires and skill assessments. Conclusion: Our ultimate aim is to improve MIGS competency across clinicians and expand access to gynecologic laparoscopy in Ghana. These findings will help reduce disparities in surgical training and care, provide a scalable, practical solution for medical education in resource-constrained settings, and advance global health equity.
