Structured Operative Obstetrics (SOO)
Initial Release: 2008
Publisher: Canadian Network for International Surgery
Instructors Manual (First Edition, 2008)
Shortage of trained personnel in many African countries means that often women can not get the care that they need during labour and delivery. This is a major factor in the high maternal mortality rate. Structured training of surgical skills will reinforce good surgical technique, and therefore help with significant health human resource challenges
Introduction to Cesarean Section Course
Please be aware that this is a pre-release of the First Edition of our Structured Operative Obstetrics course book. While the content of this course is complete, there may be changes and updates prior to the official First Edition release, which will be completed later in 2008.
Structured Hernia Repair Course
Initial Release: 2005
Publisher: Canadian Network for International Surgery
Instructors Manual (First Edition, 2005):
The Structured Hernia Repair Course Instructors Manual is part of the Canadian Network for International Surgery’s surgical course and training manuals, using didactic material including lectures and interactive teaching sessions, progresses to surgical simulation, and then continues to clinical instruction with patients. The learner, under supervision of a specials surgeon, operates on patients in the operating room. Because of this structured approach, the learning experience of all participants is guaranteed, thus assuring consistent education and gender equality.
Table of Contents
Please note that at this time, the Structured Hernia Repair Course only has the Instructors Manual available. The Student Manual for this course will come at a later date.
Head and C-Spine Trauma Course (HCST)
Initial Release: 2009
Current Edition: 1st, 2009
Publisher: Canadian Network for International Surgery
Provider’s Manual (First Edition, 2009)
The purpose of this course is to prepare clinicians to timely and adequately manage the patient with an acute head injury or cervical spine injury and to intervene appropriately and competently. The target audience is primarily general doctors, general surgeons and would also be applicable to junior neurosurgical residents.
The course includes the following lectures and skills sessions:
Surgical Skills for African Residents (SSAR)
Initial Release: 2009
Current Edition: 1st, 2009
Publisher: Canadian Network for International Surgery
Guide Book (First Edition, 2009):
The overall objective of this course is to provide a core set of technical skills that are to be competently and confidently understood and practiced by all certified surgical clinicians. These skills are basic blocks which emphasize: safety for both surgeon and patient, compliance with universal sterility requirements, proper instrument handling, adequate wound assessment, respect for tissue and adequate attention to detail pertinent to a specific procedure. Segments have been taken from the Essential Surgical Skills Course and modified to create a basic surgical skills course that is specific for surgical trainees in Africa and that will satisfactorily fulfill the requirements for such a course by the College of Surgeons of Eastern and Southern Africa (COSESCA) for fellowship candidates.
The course includes the following lectures:
1. The importance of leadership
2. The need for expert thinking
The Place of Surgery in International Development
Initial Release: 2009
Current Edition: 1st, 2009
Publisher: Canadian Network for International Surgery
Instructor’s Guide (First Edition, 2009):
International organizations and national governments alike are increasingly aware of the need for adequate surgical service and for the prevention of injury. However, in the majority of communities throughout the world which are located in low-income regions, this surgical care either does not exist at all or is too meager to cope with the need. Such a challenge demands a response. International development in health presupposes that efforts aimed at responding to this challenge will focus on both enhanced care and sustainability.
This course includes the following presentations:
1. Current Surgical Reality in Low-Income Countries
2. Principles of International Surgery Development
3. Project Paper
4. Cross-Cutting Themes in International Development
5. About the CNIS
6. Project Paper or Perspectives of a Trainee
Fundamental Interventions, Referral and Safe Transfer (FIRST)
Initial Release: 2009
Current Edition: 2nd, 2009
Publisher: Canadian Network for International Surgery
Guide Book (Second Edition, 2009):
The purpose of the FIRST course is to enable health officers, clinical officer and midwives to assess patient risk and prepare appropriate priority management plans for these patients and to obtain fundamental skills in first line obstetrical and surgical care.
During the course, participants will learn to perform the following skills:
1. Scrubbing, gloving and draping techniques
2. Knot tying
3. Suturing lacerations
4. Small procedures
5. Field block
6. Basic airway, breathing and circulation support
7. Casting and splinting of fractures
8. Normal and breech delivery
9. Vacuum extraction
10. Inserting tubes – rectal, Foley catheter, gastric
Essential Burn Management (EBM)
Initial Release: 2009
Current Edition: 1st, 2009
Publisher: Canadian Network for International Surgery
The objective of this course is to provide the knowledge base, technical skills and rationale to create effective and competent burn teams in low-resource centres.
Included in the manual are the following lectures:
1. Introduction and objectives of course
2. Initial trauma assessment
3. Overview of burn and burn wound assessment
4. Team approach to burn care
5. Respiratory tract burns (A) (B)
6. Parkland formula and circulatory resuscitation (C)
7. Compartment syndrome, Chemical burns
8. Wound management
9. Sepsis and infection control (including Tetanus)
10. Electrical injury
11. Pain management and Nutrition
12. Physiotherapy and rehabilitation
13. Patient transfer
14. Questions review and clarification
Peacebuilding for Elementary Schools
Initial Release: 2006
Current Edition: 2nd, 2008
Publisher: Canadian Network for International Surgery
This course will assist children age nine and older to become agents of peace and reconciliation in their communities. The course consists of eleven learning areas which focus on developing positive attitudes towards peace and the practical skills to prevent and resolve conflicts through nonviolent means in order to create a peaceful society.
The goals of the course are:
- Instil the values of living and working cooperateively with tolerance, respect and caring for others in the community.
- Develop responsible citizens who are the center and agents of peace.
- Inform children about the dangers of violence and how to prevent and resolve disputes.
- Develop self-discipline and good manners.
- Eliminate violence and bullying in schools.
- Instill a culture of resolving conflicts peacefully through reconciliation, nonviolence and good values.
The eleven learning areas included in the course are:
1. Peace
2. Conflict
3. Conscience
4. Empathy
5. Anger and Anger Management
6. Self-control
7. Fairness
8. Kindness
9. Problem-solving
10. Nonviolence
11. Reconciliation
Trauma Team Training (TTT ™)
Initial Release: 2005
Current Edition: 2nd, 2009
Publisher: Canadian Network for International Surgery
The principles of trauma management are universal irrespective of the source of destructive energy (whether it is a landmine or a motor vehicle) and irrespective of the caregiver’s educational level. The Trauma Team Training Course (TTT ™) is designed to help personnel apply these principles to all types of injury.
The purpose of this course is to train personnel at the technical level to apply the principles of trauma management at centers with limited resources. TTT is unique because the unit of instruction is not an individual, but a whole team. The team is comprised of personnel who handle acute emergencies in most low-income country hospitals; often, this does not include doctors and, if it does, they are junior level doctors.
The Trauma Team Training Course was developed and tested in several formats since June of 1998 under the auspices of the Injury Control Center-Uganda (ICC-U), with funding from the Canadian Network for International Surgery (CNIS), and the Canadian International Development Agency (CIDA) partnership and multilateral branches.
Essential Surgical Skills (ESS) Course
Initial Release: 2004
Current Edition: 2nd, 2007
Publisher: Canadian Network for International Surgery
The primary purpose of the Instructors Course is to ensure that each specific university’s department of surgery has a sufficient number of faculty members of are trained to conduct the ESS Instructors Course. The second purpose of the Instructors Course is to update previously qualified instructors on any new course developments.
Included in the manual are the following Lectures:
1. International and African perspectives on Surgical Curriculum Reform
2. The use of Simulation in Surgical Skills Education
3. Review of Student Assessment
4. Introduction to the ESS Provider’s Course
5. The ESS Provider’s Course Planning and Implementation
Please note that the ESS Course Instructors Manual is only available in the First Edition (2004).
Also be aware that the Provider’s Manual Set is comprised of two course books, updated to a 2007 Edition:
1. ESS Providers Handbook
2. ESS Surgical Skills Course Manual

