Every year an estimated 313 million surgeries are performed worldwide and only 6% of the total
procedures are performed on the poorest one third of the world population. To meet projected
population demands for low and middle-income countries, urgent investment in human resource is
mandatory. Surgical task-sharing training programs might provide a stepping stone towards universal
access to safe surgical care. In this study the value of additional video and simulation learning in
knowledge transfer, surgical performance and surgical skills of trainees in a task-sharing surgical
training program in Sierra Leone is assessed. Secondary outcomes are acceptance levels towards
computer supported training and to compare self-esteem, confidence level and feeling of

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