Barriers to implementing simulation-based surgical training for improving quality and safety in developing countries: A short communication Authors Abdullah Saeed Khan Centre for Innovation in Medical Education, The Aga Khan University, Karachi, Pakistan Selina Hasan Centre for Innovation in Medical Education, The Aga Khan University, Karachi, Pakistan Faisal Wasim Ismail Centre for Innovation in Medical Education, The Aga Khan University, Karachi, Pakistan, Nadeem Siddiqui Department of Surgery, Department of Surgery, The Aga Khan University, Karachi, PakistanThe Aga Khan University, Karachi, Pakistan DOI: https://doi.org/10.47391/JPMA.AKU-10Surg-27 Abstract Simulation-based surgical training has the potential to significantly improve surgical outcomes in developing countries. However, its implementation faces numerous challenges, including financial constraints, infrastructural limitations, cultural barriers, and a lack of trained personnel. High costs, limited access to technology, and resistance to innovative teaching methods hinder the adoption of simulation-based surgical training. To overcome these obstacles, strategic approaches are needed, such as leveraging low-fidelity simulators, building strong partnerships, and investing in faculty development. By addressing these challenges, developing countries can harness the power of simulation-based surgical training to enhance surgical education and improve patient care. Keywords: Simulation training, Surgical procedures, Developing countries, Healthcare quality, Patient safety. Downloads Full Text Article Published 2026-05-18 How to Cite Abdullah Saeed Khan, Selina Hasan, Faisal Wasim Ismail, & Nadeem Siddiqui. (2026). Barriers to implementing simulation-based surgical training for improving quality and safety in developing countries: A short communication. Journal of the Pakistan Medical Association, 76(05 (Supp-1), S147-S149. https://doi.org/10.47391/JPMA.AKU-10Surg-27 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 76 No. 05 (Supp-1) (2026): 10th AKU Annual Surgery Conference Supplement Section SHORT COMMUNICATION License Copyright (c) 2026 Journal of the Pakistan Medical Association This work is licensed under a Creative Commons Attribution 4.0 International License.