00Institute of Leadership - Royal College of Surgeons in Ireland


Professor Ciaran O’Boyle, Director of the Instituteof Leadership and Mr. Dermot O’Flynn, Director of Corporate Training at the Institute delivereda series of five “Train the Trainer” courses as part of the RCSI’s involvement inthe COSECSA Project.


The training programme was organised by Mr. Roger Duggan,RCSI-COSECSA Programme Director. The participants were leading surgeons in Rwanda,Zimbabwe and Zambia, who completed the RCSI Institute of Leadership's On-line Course and attendeda One-day Training Programme. Courses were held in Kigali (Rwanda), Harare andBulawayo (Zimbabwe) and Lusaka (Zambia).



Pictured:  Mr Dermot O’Flynn and Professor Ciaran O’Boyle with course participants in Harare, Zimbabwe


The RCSI-COSECSA project is funded by Irish Aid to improve the standardsof surgical care, training, education and examinations in the region. TheCOSECSA region encompasses nine countries along the east, central and southernregions of Africa: Ethiopia, Kenya, Malawi, Mozambique, Rwanda, Tanzania,Uganda, Zambia and Zimbabwe. The training method at COSECSA is based on theprinciple of a “college without walls” and the Institute of Leadership’sphilosophy of blended learning fits readily into this model.

The training challenge facing COSECSA can be appreciated when one considersthat there are only 1,100 qualified surgeons in the COSECSA region for apopulation of 250 million people. While England has 35 surgeons per 100,000population, Kenya has 2.5 per 100,000, Zambia 2 per 100,000, Uganda has 1.5 per100,000, while Mozambique, Rwanda, Tanzania and Malawi have only 1 surgeon per100,000.



Pictured: Professor Ciaran O’Boyle with Mr Dermot O’Flynn with course participants in Bulawayo, Zimbabwe




Pictured: Mr Dermot O’Flynn and Professor Ciaran O’Boyle with courseparticipants on the second course in Lusaka, Zambia


The COSECSA model is an in-serviceapprenticeship training model, and most learning is through hands-on clinicalpractice.  Trainees are based in the training location.  Some locationsare university training hospitals, where most trainees would also sit theuniversity MMed Surgery exams others are very remote regional hospitals wheretrainees only sit COSECSA exams.  The academic component is deliveredthrough a combination of e-learning and short courses.