Aims
Gastrointestinal and liver diseases are a major cause of morbidity and mortality in growing emerging markets (Africa, Middle East, Eastern Europe), where endoscopy capacity and training opportunities remain limited (1-2). We describe the implementation and reach of a mobile endoscopy training centre deployed in these regions.
Methods
We performed a descriptive analysis of activities delivered by a mobile endoscopy training centre since its inception. Programme records were reviewed to extract: (1) number and type of activities (lectures, workshops on simulators and live cases, fellowships, train-the-trainer courses); (2) numbers and professional profiles of participants; and (3) geographic coverage. We outline a collaboration in Kenya as an example of how the model can support a structured national endoscopy training programme.
Results
Over the observation period, the mobile training centre delivered 442 activities and trained more than 8,000 healthcare professionals in gastrointestinal (GI) endoscopy. Faculty from 38 countries delivered activities across multiple centres in Africa, the Middle East and Eastern Europe, combining didactic teaching, simulation-based training and supervised patient procedures. The curriculum covered diagnostic and therapeutic GI endoscopy and quality- and safety-related topics. In Kenya, the model was adapted into a dedicated school of endoscopy with a target to train 100 healthcare workers in its first year.
Conclusions
A mobile endoscopy training centre can support multi-country training and development of sustainable local programmes in growing and emerging markets. This model may complement existing initiatives by bringing structured, faculty-supported education directly to underserved regions; evaluation of learning and service outcomes is warranted.