Eric O'Flynn1, Judith Andrew2, Avril Hutch3, Caitrin Kelly4, Pankaj Jani2,5, Ignatius Kakande2,6, Miliard Derbew2,7, Sean Tierney8, Nyengo Mkandawire2,9,10, Krikor Erzingatsian2,11. 1. Royal College of Surgeons in Ireland/College of Surgeons of East, Central and Southern Africa Collaboration Programme, Department of Surgical Affairs, Royal College of Surgeons in Ireland, 121 St Stephen's Green, Dublin, 2, Ireland. ericoflynn@rcsi.ie. 2. College of Surgeons of East, Central and Southern Africa, Njiro Road, Arusha, Tanzania. 3. Royal College of Surgeons in Ireland/College of Surgeons of East, Central and Southern Africa Collaboration Programme, Department of Surgical Affairs, Royal College of Surgeons in Ireland, 121 St Stephen's Green, Dublin, 2, Ireland. 4. Division of General Internal Medicine, Massachusetts General Hospital, Yawkey Bldg #9, 55 Fruit St, Boston, MA, 02114, USA. 5. Department of Surgery, School of Medicine, College of Health Sciences, University of Nairobi, P.O. Box 19676-00202, Nairobi, Kenya. 6. St. Francis Hospital Nsambya, Nsambya Road, Nsambya Hill, P. O. Box 7146, Kampala, Uganda. 7. School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia. 8. Department of Surgical Affairs, Royal College of Surgeons in Ireland, 121 St Stephen's Green, Dublin, 2, Ireland. 9. Department of Surgery, College of Medicine, University of Malawi, Mahatma Gandhi Road, Private Bag 360, Chichiri, Blantyre, 3, Malawi. 10. School of Medicine, Flinders University, Sturt Road, Bedford Park, SA, 5042, Australia. 11. University of Zambia School of Medicine, University Teaching Hospital, Nationalist Road, PO. Box 50110, Lusaka, Zambia.
Abstract
BACKGROUND: In East, Central and Southern Africa accurate data on the current surgeon workforce have previously been limited. In order to ensure that the workforce required for sustainable delivery of surgical care is put in place, accurate data on the number, specialty and distribution of specialist-trained surgeons are crucial for all stakeholders in surgery and surgical training in the region. METHODS: The surgical workforce in each of the ten member countries of the College of Surgeons of East, Central and Southern Africa (COSECSA) was determined by gathering and crosschecking data from multiple sources including COSECSA records, medical council registers, local surgical societies records, event attendance lists and interviews of Members and Fellows of COSECSA, and validating this by direct contact with the surgeons identified. This data was recorded and analysed in a cloud-based computerised database, developed as part of a collaboration programme with the Royal College of Surgeons in Ireland. RESULTS: A total of 1690 practising surgeons have been identified yielding a regional ratio of 0.53 surgeons per 100,000 population. A majority of surgeons (64 %) practise in the main commercial city of their country of residence and just 9 % of surgeons are female. More than half (53 %) of surgeons in the region are general surgeons. CONCLUSIONS: While there is considerable geographic variation between countries, the regional surgical workforce represents less than 4 % of the equivalent number in developed countries indicating the magnitude of the human resource challenge to be addressed.
BACKGROUND: In East, Central and Southern Africa accurate data on the current surgeon workforce have previously been limited. In order to ensure that the workforce required for sustainable delivery of surgical care is put in place, accurate data on the number, specialty and distribution of specialist-trained surgeons are crucial for all stakeholders in surgery and surgical training in the region. METHODS: The surgical workforce in each of the ten member countries of the College of Surgeons of East, Central and Southern Africa (COSECSA) was determined by gathering and crosschecking data from multiple sources including COSECSA records, medical council registers, local surgical societies records, event attendance lists and interviews of Members and Fellows of COSECSA, and validating this by direct contact with the surgeons identified. This data was recorded and analysed in a cloud-based computerised database, developed as part of a collaboration programme with the Royal College of Surgeons in Ireland. RESULTS: A total of 1690 practising surgeons have been identified yielding a regional ratio of 0.53 surgeons per 100,000 population. A majority of surgeons (64 %) practise in the main commercial city of their country of residence and just 9 % of surgeons are female. More than half (53 %) of surgeons in the region are general surgeons. CONCLUSIONS: While there is considerable geographic variation between countries, the regional surgical workforce represents less than 4 % of the equivalent number in developed countries indicating the magnitude of the human resource challenge to be addressed.
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