Marcia Scazufca, Osvaldo P Almeida, Homero P Vallada, Wernestty A Tasse, Paulo R Menezes
Limitations of the Mini-Mental State Examination for screening dementia in a community with low socioeconomic status: results from the Sao Paulo Ageing & Health Study
European archives of psychiatry and clinical neuroscience
extensive resources needed train surgeons maintain skill levels lowincome middleincome countries lmics limited confined urban settings surgical education remoterural doctors therefore paramount virtual reality vr potential disseminate surgical knowledge skill development low costs study presents outcomes first vrenhanced surgical training course global virtual reality medicine surgery developed ukugandan collaborations mixedmethod approach survey semistructured interviews evaluated clinical impact barriers vrenhanced training course content focused essential skills relevant uganda general surgery obstetrics trauma delivered 1 handson cadaveric training brighton scholarships lmic doctors filmed 360 2 virtual training kampala livestream via lowcost headsets combined smartphones 3 remote virtual training livestream via smartphonelaptopheadset high numbers scholarship applicants n130 registrants kampala n80 remote n1680 attendees kampala n79 remote n556 25 countries demonstrates widespread appetite vrenhanced surgical education qualitative analysis identified three key themes clinical education skill development limitations east africa potential vr address via 360 visualisation enabling knowing seeing mechanism unresolved challenges regarding accessibility acceptability outcomes first global vrenhanced essential surgical training course demonstrating dissemination surgical skills resources lmic context opportunities scarce benefits identified included environmental improvements crosscultural knowledge sharing scalability connectivity process programme design demonstrates collaboration across highincome lmics vital provide locally relevant training data add growing evidence extended reality technologies transforming surgery although several barriers remain successfully demonstrated vr used upscale postgraduate surgical education affirming potential healthcare capacity building throughout africa europe beyond