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The training program was conducted using a train-the-trainer model, in which training was cascaded down from master trainers to local facilitators, and then to the learners, who were the SHOs. In this model, the master trainers, who were obstetricians from a high-resource setting, had been previously certified as simulation-based trainers by institutions such as Eu Sim or the Center for Medical Simulation. These master trainers provided a 4-day train-the-trainer program to 14 local facilitators.
JMIR Med Educ 2025;11:e54911
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