Issues in surgical training in central Africa
Seance of wednesday 04 february 2026 (Communications libres)
DOI number : 1026299/zaqj-3470/emem.2026.06.05
Abstract
Surgical training is undergoing profound changes linked to a better understanding of adult learning, technological innovation (AI, simulation, etc.) and regulatory constraints. In light of this, we felt it would be useful to examine surgical training in Central Africa.
Following the principle of educational alignment, we examined the learning objectives, training techniques and assessment system currently in place.
Our results reveal that, in terms of learning objectives, the current model is out of touch because it is unsuited to the needs of the population, particularly with regard to essential surgery performed in district hospitals. As for training techniques, they are obsolete, as only mentoring remains. Finally, it should be noted that assessments are not consistent with the need to verify skills.
We therefore propose revising the surgical training curricula in order to establish tiered objectives for the general medicine and specialisation cycles and to develop centres of excellence. Learning must be based on three competency frameworks, the most urgent of which is the ‘public health’ or essential surgery framework for practice in isolated and poorly equipped environments such as health districts. This approach should give effect to the resolution of the National Academy of Surgery, which proclaims that ‘surgery is a fundamental human right’. Central African countries must implement a national strategy for the development of surgery.
Following the principle of educational alignment, we examined the learning objectives, training techniques and assessment system currently in place.
Our results reveal that, in terms of learning objectives, the current model is out of touch because it is unsuited to the needs of the population, particularly with regard to essential surgery performed in district hospitals. As for training techniques, they are obsolete, as only mentoring remains. Finally, it should be noted that assessments are not consistent with the need to verify skills.
We therefore propose revising the surgical training curricula in order to establish tiered objectives for the general medicine and specialisation cycles and to develop centres of excellence. Learning must be based on three competency frameworks, the most urgent of which is the ‘public health’ or essential surgery framework for practice in isolated and poorly equipped environments such as health districts. This approach should give effect to the resolution of the National Academy of Surgery, which proclaims that ‘surgery is a fundamental human right’. Central African countries must implement a national strategy for the development of surgery.