Asian Breast Surgery Forum: Advancing Collaborative Learning Across Borders

Abstract

Background: The Asian Breast Surgery Forum (ABSF) is a training and knowledge-sharing platform that advocates for multidisciplinary collaborations among participants. Based on the Extension for Community Healthcare Outcomes (ECHO) model, the forum aims to foster virtual case-based learning and skill-building to democratize access to specialty care. Methods: With Malaysia as its hub, the ABSF has engaged medical experts from Thailand, Japan, South Korea, Taiwan, Singapore, China, Vietnam and India. The paired samples t-test was used to determine if there were significant differences (p < 0.05) in participants' engagement and learning outcomes. The Chi-square test (goodness-of-fit and test of independence) was used to determine significant differences in post-session survey questions. Results: Between 2023 and 2025, ABSF had conducted 15 sessions, connecting 400 participants from 61 cities in 24 countries. The paired samples t-test found significant difference in the level of comfort/preparedness in using the knowledge gained (p < 0.001). Goodness-of-fit analysis highlighted meaningful differences in participants' perceptions across key aspects. In the test of independence, fulfillment of learning objectives was closely aligned with pre-session expectations [χ²(4) = 17.20, p = 0.002], indicating that the likelihood of fulfillment was significantly varied between objective categories. Overall feedback achieved a 100% satisfaction rate and a net promoter score (NPS) of 68. Conclusion: Most participants found the sessions to be highly relevant, with nearly all agreeing that the balance between lectures and interactivity was optimal. Through feedback and integration of cutting-edge techniques, the forum could continue leveraging digital platforms to enhance healthcare outcomes.