Measuring the impact of medical education in resource limited settings: A scoping review.

The Lancet Commission on Global Surgery identified workforce training as a key area of investment to improve access to essential surgical care. Many non-governmental organizations and universities have attempted to contribute to training and upskilling of providers in resource limited settings throu...

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Main Authors: Emily M Jones, Eloise Stanton, Shervin Etemad, Alyssa Bautista, Jonathan Diaz, Elizabeth Cote, William P Magee Iii, Allyn Auslander
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLOS Global Public Health
Online Access:https://doi.org/10.1371/journal.pgph.0004637
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author Emily M Jones
Eloise Stanton
Shervin Etemad
Alyssa Bautista
Jonathan Diaz
Elizabeth Cote
William P Magee Iii
Allyn Auslander
author_facet Emily M Jones
Eloise Stanton
Shervin Etemad
Alyssa Bautista
Jonathan Diaz
Elizabeth Cote
William P Magee Iii
Allyn Auslander
author_sort Emily M Jones
collection DOAJ
description The Lancet Commission on Global Surgery identified workforce training as a key area of investment to improve access to essential surgical care. Many non-governmental organizations and universities have attempted to contribute to training and upskilling of providers in resource limited settings through educational programs. However, there are no widely agreed upon metrics for measuring the long-term success of these programs. A scoping review was conducted to assess varying methods used to measure impact, with a specific interest in patient-level impact. This scoping review was conducted in four databases (PubMed, Scopus, Embase, and Web of Science) following the PRISMA-ScR guidelines. The database search retrieved 1504 articles, of which 32 were included that quantitatively evaluated impact of medical education programs. Of the 32 articles, 6 measured patient-level impact defined by increased patient volumes after the education program or improved outcomes (decreased complications and mortality rates). The remaining 26 articles focused on provider-level impact primarily defined by skill acquisition and retention, as well as career advancement as a result of increased training. Provider-level impact was mostly assessed within 12 months of the program while patient-level impact was assessed longer after the program. There is a need to improve and standardize tools for measuring the impact of medical education. Patient impact should be the primary metric to evaluate the effectiveness of an educational program, and future tools should consider the long-term impact of training on the whole surgical workforce as opposed to a singular specialty.
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spelling doaj-art-4b1bd354517840149db93ad64ec811d32025-08-20T03:41:01ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752025-01-0158e000463710.1371/journal.pgph.0004637Measuring the impact of medical education in resource limited settings: A scoping review.Emily M JonesEloise StantonShervin EtemadAlyssa BautistaJonathan DiazElizabeth CoteWilliam P Magee IiiAllyn AuslanderThe Lancet Commission on Global Surgery identified workforce training as a key area of investment to improve access to essential surgical care. Many non-governmental organizations and universities have attempted to contribute to training and upskilling of providers in resource limited settings through educational programs. However, there are no widely agreed upon metrics for measuring the long-term success of these programs. A scoping review was conducted to assess varying methods used to measure impact, with a specific interest in patient-level impact. This scoping review was conducted in four databases (PubMed, Scopus, Embase, and Web of Science) following the PRISMA-ScR guidelines. The database search retrieved 1504 articles, of which 32 were included that quantitatively evaluated impact of medical education programs. Of the 32 articles, 6 measured patient-level impact defined by increased patient volumes after the education program or improved outcomes (decreased complications and mortality rates). The remaining 26 articles focused on provider-level impact primarily defined by skill acquisition and retention, as well as career advancement as a result of increased training. Provider-level impact was mostly assessed within 12 months of the program while patient-level impact was assessed longer after the program. There is a need to improve and standardize tools for measuring the impact of medical education. Patient impact should be the primary metric to evaluate the effectiveness of an educational program, and future tools should consider the long-term impact of training on the whole surgical workforce as opposed to a singular specialty.https://doi.org/10.1371/journal.pgph.0004637
spellingShingle Emily M Jones
Eloise Stanton
Shervin Etemad
Alyssa Bautista
Jonathan Diaz
Elizabeth Cote
William P Magee Iii
Allyn Auslander
Measuring the impact of medical education in resource limited settings: A scoping review.
PLOS Global Public Health
title Measuring the impact of medical education in resource limited settings: A scoping review.
title_full Measuring the impact of medical education in resource limited settings: A scoping review.
title_fullStr Measuring the impact of medical education in resource limited settings: A scoping review.
title_full_unstemmed Measuring the impact of medical education in resource limited settings: A scoping review.
title_short Measuring the impact of medical education in resource limited settings: A scoping review.
title_sort measuring the impact of medical education in resource limited settings a scoping review
url https://doi.org/10.1371/journal.pgph.0004637
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