Literature DB >> 23609345

Pretraining experience and structure of surgical training at a sub-Saharan African university.

Moses Galukande1, Doruk Ozgediz, Emmanuel Elobu, Sam Kaggwa.   

Abstract

BACKGROUND: The common goal of surgical training is to provide effective, well-rounded surgeons who are capable of providing a safe and competent service that is relevant to the society within which they work. In recent years, the surgical workforce crisis has gained greater attention as a component of the global human resources in health problems in low- and middle-income countries. The purpose of this study was to: (1) describe the models for specialist surgical training in Uganda; (2) evaluate the pretraining experience of surgical trainees; (3) explore training models in the United States and Canada and areas of possible further inquiry and intervention for capacity-building efforts in surgery and perioperative care.
METHODS: This was a cross-sectional descriptive study conducted at Makerere University, College of Health Sciences during 2011-2012. Participants were current and recently graduated surgical residents. Data were collected using a pretested structured questionnaire and were entered and analyzed using an excel Microsoft spread sheet. The Makerere University, College of Health Sciences Institutional Review Board approved the study.
RESULTS: Of the 35 potential participants, 23 returned the questionnaires (65 %). Mean age of participants was 29 years with a male/female ratio of 3:1. All worked predominantly in general district hospitals. Pretraining procedures performed numbered 2,125 per participant, which is twice that done by their US and Canadian counterparts during their entire 5-year training period.
CONCLUSIONS: A rich pretraining experience exists in East Africa. This should be taken advantage of to enhance surgical specialist training at the institution and regional level.

Entities:  

Mesh:

Year:  2013        PMID: 23609345     DOI: 10.1007/s00268-013-2053-2

Source DB:  PubMed          Journal:  World J Surg        ISSN: 0364-2313            Impact factor:   3.352


  11 in total

1.  Challenges of surgery in developing countries: a survey of surgical and anesthesia capacity in Uganda's public hospitals.

Authors:  Allison F Linden; Francis Serufusa Sekidde; Moses Galukande; Lisa Marie Knowlton; Smita Chackungal; K A Kelly McQueen
Journal:  World J Surg       Date:  2012-05       Impact factor: 3.352

2.  Training surgical residents: the current Canadian perspective.

Authors:  Roxana Geoffrion; Jae Won Choi; Gretchen M Lentz
Journal:  J Surg Educ       Date:  2011-09-08       Impact factor: 2.891

3.  The neglect of the global surgical workforce: experience and evidence from Uganda.

Authors:  Doruk Ozgediz; Moses Galukande; Jacqueline Mabweijano; Stephen Kijjambu; Cephas Mijumbi; Gerald Dubowitz; Samuel Kaggwa; Samuel Luboga
Journal:  World J Surg       Date:  2008-06       Impact factor: 3.352

4.  The ACGME outcome project: retrospective and prospective.

Authors:  Susan R Swing
Journal:  Med Teach       Date:  2007-09       Impact factor: 3.650

Review 5.  Mentoring and surgical training: a time for reflection!

Authors:  Breda Memon; Muhammed Ashraf Memon
Journal:  Adv Health Sci Educ Theory Pract       Date:  2009-03-01       Impact factor: 3.853

6.  Operative experience of residents in US general surgery programs: a gap between expectation and experience.

Authors:  Richard H Bell; Thomas W Biester; Arnold Tabuenca; Robert S Rhodes; Joseph B Cofer; L D Britt; Frank R Lewis
Journal:  Ann Surg       Date:  2009-05       Impact factor: 12.969

7.  Role of trainees' (residents') associations in surgical education and training.

Authors:  Matthew J Peters; Juanita Pappalardo; Adrian B Cresswell
Journal:  ANZ J Surg       Date:  2009-03       Impact factor: 1.872

8.  Surgical training programs in Pakistan.

Authors:  Jamsheer J Talati; Nadir Ali Syed
Journal:  World J Surg       Date:  2008-10       Impact factor: 3.352

9.  Essential surgery at the district hospital: a retrospective descriptive analysis in three African countries.

Authors:  Moses Galukande; Johan von Schreeb; Andreas Wladis; Naboth Mbembati; Helder de Miranda; Margaret E Kruk; Sam Luboga; Alphonsus Matovu; Colin McCord; S Khady Ndao-Brumblay; Doruk Ozgediz; Peter C Rockers; Ana Romàn Quiñones; Fernando Vaz; Haile T Debas; Sarah B Macfarlane
Journal:  PLoS Med       Date:  2010-03-09       Impact factor: 11.069

10.  Human resource and funding constraints for essential surgery in district hospitals in Africa: a retrospective cross-sectional survey.

Authors:  Margaret E Kruk; Andreas Wladis; Naboth Mbembati; S Khady Ndao-Brumblay; Renee Y Hsia; Moses Galukande; Sam Luboga; Alphonsus Matovu; Helder de Miranda; Doruk Ozgediz; Ana Romàn Quiñones; Peter C Rockers; Johan von Schreeb; Fernando Vaz; Haile T Debas; Sarah B Macfarlane
Journal:  PLoS Med       Date:  2010-03-09       Impact factor: 11.069

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  4 in total

Review 1.  Systematic Review of Postgraduate Surgical Education in Low- and Middle-Income Countries.

Authors:  Jennifer Rickard
Journal:  World J Surg       Date:  2016-06       Impact factor: 3.352

2.  A qualitative analysis of health professionals' job descriptions for surgical service delivery in Uganda.

Authors:  William Buwembo; Ian G Munabi; Moses Galukande; Olivia Kituuka; Samuel A Luboga
Journal:  Hum Resour Health       Date:  2014-05-12

3.  Optimizing Care for Ugandans with Untreated Abdominal Surgical Conditions.

Authors:  Elissa K Butler; Tu M Tran; Anthony T Fuller; Christine Muhumuza; Sarah Williams; Joao R N Vissoci; Samuel Luboga; Michael M Haglund; Fredrick Makumbi; Moses Galukande; Jeffrey G Chipman
Journal:  Ann Glob Health       Date:  2019-04-01       Impact factor: 2.462

4.  The Basic Surgical Skills Course in Sub-Saharan Africa: An Observational Study of Effectiveness.

Authors:  Stuart J Fergusson; David M Sedgwick; Georges Ntakiyiruta; Faustin Ntirenganya
Journal:  World J Surg       Date:  2018-04       Impact factor: 3.352

  4 in total

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