{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T22:28:33Z","timestamp":1791757713937,"version":"4.3.4"},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Simulation\u2010based education (SBE) is widely adopted in high\u2010income countries to enhance surgical training, but opportunities remain limited in low\u2010 and middle\u2010income countries (LMICs). Emergency Urology Simulation Training (EUST) was developed to address knowledge and skill gaps in managing urological emergencies in sub\u2010Saharan Africa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>EUST courses were delivered in Ethiopia, Uganda and Malawi using a single\u2010day format combining pre\u2010course online learning, didactic teaching with hands\u2010on simulation. Locally, sourced animal tissue models were employed to replicate ureteric, bladder, renal, scrotal and penile injury repairs. Pre\u2010 and post\u2010course assessments included multiple\u2010choice questions (MCQs) and confidence surveys. Post\u2010course composite scores were compared across sites using the Kruskal\u2013Wallis test. Faculty feedback evaluated preparedness and sustainability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 46 participants completed EUST across four sites, baseline knowledge was low (mean pre\u2010course MCQ scores: 8.0\u201310.75\/15). Post\u2010course scores improved (10.63\u201312.72\/15), with knowledge gains of 15%\u201332%. Confidence in managing rare emergencies, such as penile fracture and ureteric reimplantation, increased universally; 100% of delegates recommended integrating EUST into national training curricula. Faculty anxiety about SBE delivery decreased post\u2010training, and senior trainees transitioned well into faculty roles, supporting ongoing sustainability. Cost\u2010effectiveness was achieved by using animal tissue and donated instruments, reducing reliance on expensive synthetic models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>EUST is an affordable, scalable and effective model for surgical education in LMICs. The \u2018See one, run one\u2019 approach enables replication across both specialty and international boundaries and fosters sustainable local faculty development. EUST demonstrates a significant positive educational impact and offers a sustainable programme for improving emergency urology care in resource\u2010limited settings. Partnering with COSECSA facilitates a reduction in UK faculty requirement long\u2010term.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bco2.70189","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T02:36:17Z","timestamp":1773196577000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Developing sustainable Emergency Urology Simulation Training in sub\u2010Saharan Africa"],"prefix":"10.1002","volume":"7","author":[{"given":"William James Gladstone","family":"Finch","sequence":"first","affiliation":[{"name":"Norfolk and Norwich University Hospital  Norwich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tilaneh Leyeh","family":"Demilow","sequence":"additional","affiliation":[{"name":"Hawassa University Comprehensive Specialized Hospital  Hawassa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramzi","family":"Yesuf","sequence":"additional","affiliation":[{"name":"St. Paul's Hospital Millennium Medical College  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chales","family":"Mabedi","sequence":"additional","affiliation":[{"name":"Kamuzu Central Hospital  Lilongwe Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Kayange","sequence":"additional","affiliation":[{"name":"Kamuzu Central Hospital  Lilongwe Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Medeyi","sequence":"additional","affiliation":[{"name":"Mengo Hospital  Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Getaneh Tesfaye","family":"Teferi","sequence":"additional","affiliation":[{"name":"Hawassa University Comprehensive Specialized Hospital  Hawassa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6260-8201","authenticated-orcid":false,"given":"Fitsum Gebreegziabher","family":"Gebrehiwot","sequence":"additional","affiliation":[{"name":"St. Paul's Hospital Millennium Medical College  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0942-1946","authenticated-orcid":false,"given":"Folk\u2010Man","family":"Wong","sequence":"additional","affiliation":[{"name":"MetaGlobe Academy Inc.  New York City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0131-8064","authenticated-orcid":false,"given":"Matthew","family":"Trail","sequence":"additional","affiliation":[{"name":"Western General Hospital  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5359-1877","authenticated-orcid":false,"given":"Stephen R.","family":"Payne","sequence":"additional","affiliation":[{"name":"Manchester University NHS Foundation Trust  Manchester UK"},{"name":"Urolink British Association of Urological Surgeons  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3443-8425","authenticated-orcid":false,"given":"Chandra Shekhar","family":"Biyani","sequence":"additional","affiliation":[{"name":"St James's University Hospital  Leeds UK"},{"name":"Co\u2010Director CADSIM (Advanced Cadaveric Surgical Simulation Program), HEE Yorkshire &amp; Humber, Level 9, Anatomy Department University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2024.01.021"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2019.0693"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-24-00187"},{"key":"e_1_2_8_5_1","article-title":"Scaling surgical education: Assessing the impact and replicability of emergency urology skills training in Ethiopia","author":"Demilow TL","journal-title":"Scott Med J"},{"key":"e_1_2_8_6_1","unstructured":"Urolinkhttps:\/\/www.baus.org.uk\/professionals\/urolink\/visit_details_2017.aspx[Accessed on 17th January 2026]."},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.afju.2017.03.002"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2014.17.315.4211"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1478-4491-7-64"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/wjs.12350"},{"key":"e_1_2_8_11_1","first-page":"32","volume-title":"Transforming and scaling up health professionals' education and training","author":"World Health Organization (WHO)","year":"2013"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/RRU.S237808"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2021.10.044"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmhg.2006.01.004"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.48083\/EYBS1051"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15731"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12191968"}],"container-title":["BJUI Compass"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bco2.70189","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/bco2.70189","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bco2.70189","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T06:28:09Z","timestamp":1774852089000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1002\/bco2.70189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/bco2.70189"],"URL":"https:\/\/doi.org\/10.1002\/bco2.70189","archive":["Portico"],"relation":{},"ISSN":["2688-4526","2688-4526"],"issn-type":[{"value":"2688-4526","type":"print"},{"value":"2688-4526","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2026-02-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70189"}}