{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T18:10:48Z","timestamp":1791051048460,"version":"4.1.0"},"reference-count":9,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"British Journal of Urology International","award":["This initiative was supported by the funding from"],"award-info":[{"award-number":["This initiative was supported by the funding from"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scott Med J"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To deliver and evaluate two Emergency Urology Skills Training (EUST) courses in Ethiopia, aimed at equipping surgical and urology residents with hands-on skills and confidence in managing urological emergencies in resource-limited settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Two one-day, practical training courses were held in Hawassa and Addis Ababa in November 2024 and May 2025. Pre-course questionnaires assessed delegates\u2019 baseline confidence, prior training and the utility of a pre-course manual. A blended curriculum comprising didactic lectures, skill stations and one-to-one mentorship was delivered by a collaborative team of local and international faculty. Post-course evaluations measured improvements in knowledge, confidence and satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty-three participants from each centre completed matched pre- and post-course multiple-choice questionnaires assessing knowledge of emergency urology procedures. Pre-course exposure to structured skills training was limited (\u226430%). Both groups showed statistically significant improvements in post-course scores (Hawassa:\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.002; Addis Ababa:\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.007). Self-rated confidence and knowledge improved significantly (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05) in six of eight core procedures.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The EUST model effectively improved trainees\u2019 confidence and procedural competence in emergency urology. With adequate support, this model is scalable and applicable to other resource-limited countries seeking to strengthen urological emergency care and their training capacity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00369330261416385","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T17:57:27Z","timestamp":1769536647000},"page":"68-75","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Scaling surgical education: Assessing the impact and replicability of emergency urology skills training in Ethiopia"],"prefix":"10.1177","volume":"71","author":[{"given":"Tilaneh Leyeh","family":"Demilow","sequence":"first","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"}],"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"}]},{"given":"Tizazu Tsega","family":"Abebayehu","sequence":"additional","affiliation":[{"name":"Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fitsum Gebreegziabher","family":"Gebrehiwot","sequence":"additional","affiliation":[{"name":"St. Paul's Hospital Millennium Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Folk-Man","family":"Wong","sequence":"additional","affiliation":[{"name":"MetaGlobe Academy, Inc, NYC, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Trail","sequence":"additional","affiliation":[{"name":"Western General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William James","family":"Gladstone Finch","sequence":"additional","affiliation":[{"name":"Norfolk and Norwich University Hospital, Norwich, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen R","family":"Payne","sequence":"additional","affiliation":[{"name":"Manchester University NHS Foundation Trust"},{"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":"Urolink, British Association of Urological Surgeons, London, UK"},{"name":"St James's University Hospital, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"1","article-title":"Surgical capacity in public and private health facilities after a five-year strategic plan implementation in Ethiopia: a cross sectional study","volume":"89","author":"Merga KH","year":"2023","unstructured":"Merga KH, Gebreegziabher SB, Getachew EM, et al. Surgical capacity in public and private health facilities after a five-year strategic plan implementation in Ethiopia: a cross sectional study. Ann Glob Heal 2023; 89: 1\u201310.","journal-title":"Ann Glob Heal"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.5152\/tud.2014.77861"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.afjem.2021.02.003"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/wjs.12350"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-88789-6_28"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2021.10.044"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.4337\/9781782548522.00033"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-023-07169-0"},{"key":"e_1_3_3_10_2","volume-title":"Increasing access to health workers in remote and rural areas through improved retention: global policy recommendations","author":"World Health Organization","year":"2010","unstructured":"World Health Organization. Increasing access to health workers in remote and rural areas through improved retention: global policy recommendations. Geneva, Switzerland: World Health Organization, 2010."}],"container-title":["Scottish Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00369330261416385","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00369330261416385","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00369330261416385","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T17:47:33Z","timestamp":1779817653000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00369330261416385"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,27]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/00369330261416385"],"URL":"https:\/\/doi.org\/10.1177\/00369330261416385","relation":{},"ISSN":["0036-9330","2045-6441"],"issn-type":[{"value":"0036-9330","type":"print"},{"value":"2045-6441","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,27]]}}}