Assessing a partnership-based model of surgical education in the Global South: a mixed methods study of the University of Global Health Equity, Rwanda

Abstract Background Workforce shortages, resource limitations, and inadequate capacity in African higher education institutions are significant challenges that hinder their global competitiveness in generating knowledge products. Academic partnerships have been established to address these gaps. It...

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Main Authors: Naol Belema Gemechu, Gatwiri Murithi, Derbew Fikadu Berhe, Betel Amdeslassie Fenta, Amanuel Adane Bitew, Tairu Fofanah, Barnabas Tobi Alayande, Abebe Bekele, Geoffrey Anderson, Robert Riviello
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Surgery
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Online Access:https://doi.org/10.1186/s12893-025-02996-5
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author Naol Belema Gemechu
Gatwiri Murithi
Derbew Fikadu Berhe
Betel Amdeslassie Fenta
Amanuel Adane Bitew
Tairu Fofanah
Barnabas Tobi Alayande
Abebe Bekele
Geoffrey Anderson
Robert Riviello
author_facet Naol Belema Gemechu
Gatwiri Murithi
Derbew Fikadu Berhe
Betel Amdeslassie Fenta
Amanuel Adane Bitew
Tairu Fofanah
Barnabas Tobi Alayande
Abebe Bekele
Geoffrey Anderson
Robert Riviello
author_sort Naol Belema Gemechu
collection DOAJ
description Abstract Background Workforce shortages, resource limitations, and inadequate capacity in African higher education institutions are significant challenges that hinder their global competitiveness in generating knowledge products. Academic partnerships have been established to address these gaps. It is essential to evaluate these partnerships to ensure they align with principles of ethics, equity, reciprocity, and the achievement of shared goals. The University of Global Health Equity (UGHE) is an institution that employs a partnership-based model to deliver high-quality surgical education. The aim of the study was to assess its partnership based surgical education programs. Methods This study was conducted at UGHE using a sequential exploratory mixed-methods design that incorporates perspectives of learners, facility and partners. Qualitative interviews were conducted with students, faculty, and partners involved in UGHE’s surgical education programs within the last three years. Thematic analysis was employed to interpret the interview data. Quantitative data were summarized using descriptive statistics and presented in charts and tables with integration in a joint display. Results Twenty-one interviews were conducted, revealing 4 key themes from the thematic analysis: (1) A needs-based approach is used to determine the suitability of partnerships (2), UGHE and its partners worked towards equitable outcomes (3), Positive outcomes of the partnership model (4) Challenges faced in delivering surgical education using a partnership model and proposed solutions. Most participants viewed the model positively, identifying benefits such as diverse exposure, improved student experiences, faculty development, and technology transfer. However, institutional and systemic gaps that limit maximum benefits were noted. The quantitative survey had a 42% response rate with 31 responses from undergraduate and postgraduate students. All students agreed that didactic and simulation sessions led by UGHE partners enhanced their learning. A significant difference (p <.001) was found between postgraduate and undergraduate students’ responses regarding the adequacy of time for partner-facilitated sessions. Conclusions The results underscore the significant positive impact of UGHE’s institutional partnership-based model in delivering surgical education, especially in enhancing student learning and faculty capacity. However, communication gaps, lack of resources, and time prevent the partnership-based model from reaching full potential.
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spelling doaj-art-1a4ffb9dcf8b4b61abb1f5f04a4af4442025-08-20T03:45:27ZengBMCBMC Surgery1471-24822025-07-0125111510.1186/s12893-025-02996-5Assessing a partnership-based model of surgical education in the Global South: a mixed methods study of the University of Global Health Equity, RwandaNaol Belema Gemechu0Gatwiri Murithi1Derbew Fikadu Berhe2Betel Amdeslassie Fenta3Amanuel Adane Bitew4Tairu Fofanah5Barnabas Tobi Alayande6Abebe Bekele7Geoffrey Anderson8Robert Riviello9Center for Equity in Global Surgery, University of Global Health EquityCenter for Equity in Global Surgery, University of Global Health EquityCenter for Equity in Global Surgery, University of Global Health EquityCenter for Equity in Global Surgery, University of Global Health EquityCenter for Equity in Global Surgery, University of Global Health EquityCenter for Equity in Global Surgery, University of Global Health EquityCenter for Equity in Global Surgery, University of Global Health EquityCenter for Equity in Global Surgery, University of Global Health EquityCenter for Equity in Global Surgery, University of Global Health EquityCenter for Equity in Global Surgery, University of Global Health EquityAbstract Background Workforce shortages, resource limitations, and inadequate capacity in African higher education institutions are significant challenges that hinder their global competitiveness in generating knowledge products. Academic partnerships have been established to address these gaps. It is essential to evaluate these partnerships to ensure they align with principles of ethics, equity, reciprocity, and the achievement of shared goals. The University of Global Health Equity (UGHE) is an institution that employs a partnership-based model to deliver high-quality surgical education. The aim of the study was to assess its partnership based surgical education programs. Methods This study was conducted at UGHE using a sequential exploratory mixed-methods design that incorporates perspectives of learners, facility and partners. Qualitative interviews were conducted with students, faculty, and partners involved in UGHE’s surgical education programs within the last three years. Thematic analysis was employed to interpret the interview data. Quantitative data were summarized using descriptive statistics and presented in charts and tables with integration in a joint display. Results Twenty-one interviews were conducted, revealing 4 key themes from the thematic analysis: (1) A needs-based approach is used to determine the suitability of partnerships (2), UGHE and its partners worked towards equitable outcomes (3), Positive outcomes of the partnership model (4) Challenges faced in delivering surgical education using a partnership model and proposed solutions. Most participants viewed the model positively, identifying benefits such as diverse exposure, improved student experiences, faculty development, and technology transfer. However, institutional and systemic gaps that limit maximum benefits were noted. The quantitative survey had a 42% response rate with 31 responses from undergraduate and postgraduate students. All students agreed that didactic and simulation sessions led by UGHE partners enhanced their learning. A significant difference (p <.001) was found between postgraduate and undergraduate students’ responses regarding the adequacy of time for partner-facilitated sessions. Conclusions The results underscore the significant positive impact of UGHE’s institutional partnership-based model in delivering surgical education, especially in enhancing student learning and faculty capacity. However, communication gaps, lack of resources, and time prevent the partnership-based model from reaching full potential.https://doi.org/10.1186/s12893-025-02996-5Academic partnershipsSurgical educationPartnership-based medical educationGlobal surgeryEquityMedical
spellingShingle Naol Belema Gemechu
Gatwiri Murithi
Derbew Fikadu Berhe
Betel Amdeslassie Fenta
Amanuel Adane Bitew
Tairu Fofanah
Barnabas Tobi Alayande
Abebe Bekele
Geoffrey Anderson
Robert Riviello
Assessing a partnership-based model of surgical education in the Global South: a mixed methods study of the University of Global Health Equity, Rwanda
BMC Surgery
Academic partnerships
Surgical education
Partnership-based medical education
Global surgery
Equity
Medical
title Assessing a partnership-based model of surgical education in the Global South: a mixed methods study of the University of Global Health Equity, Rwanda
title_full Assessing a partnership-based model of surgical education in the Global South: a mixed methods study of the University of Global Health Equity, Rwanda
title_fullStr Assessing a partnership-based model of surgical education in the Global South: a mixed methods study of the University of Global Health Equity, Rwanda
title_full_unstemmed Assessing a partnership-based model of surgical education in the Global South: a mixed methods study of the University of Global Health Equity, Rwanda
title_short Assessing a partnership-based model of surgical education in the Global South: a mixed methods study of the University of Global Health Equity, Rwanda
title_sort assessing a partnership based model of surgical education in the global south a mixed methods study of the university of global health equity rwanda
topic Academic partnerships
Surgical education
Partnership-based medical education
Global surgery
Equity
Medical
url https://doi.org/10.1186/s12893-025-02996-5
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