Oluwole Gbolagunte Ajao1, Adekola Alao2. 1. Department of Surgery University College Hospital (UCH), Ibadan, Nigeria. Electronic address: ogajao@gmail.com. 2. State University of New York Upstate Medical Center, Syracuse, New York, USA.
Abstract
BACKGROUND: In 1904, William Halsted introduced the present model of surgical residency program which has been adopted worldwide. In some developing countries, where surgical residency training programs are new, some colleges have introduced innovations to the Halsted's original concept of surgical residency training. These include 1) primary examination, 2) rural surgical posting, and 3) submission of dissertation for final certification. STUDY DESIGN: Our information was gathered from the publications on West African College of Surgeons' (WACS) curriculum of the medical schools, faculty papers of medical schools, and findings from committees of medical schools. Verbal information was also gathered via interviews from members of the WACS. Additionally, our personal experience as members and examiners of the college are included herein. We then noted the differences between surgical residency training programs in the developed countries and that of developing countries. RESULTS: The innovations introduced into the residency training programs in the developing countries are mainly due to the emphasis placed on paper qualifications and degrees instead of performance. CONCLUSION: We conclude that the innovations introduced into surgical residency training programs in developing countries are the result of the misconception of what surgical residency training programs entail. Published by Elsevier Inc.
BACKGROUND: In 1904, William Halsted introduced the present model of surgical residency program which has been adopted worldwide. In some developing countries, where surgical residency training programs are new, some colleges have introduced innovations to the Halsted's original concept of surgical residency training. These include 1) primary examination, 2) rural surgical posting, and 3) submission of dissertation for final certification. STUDY DESIGN: Our information was gathered from the publications on West African College of Surgeons' (WACS) curriculum of the medical schools, faculty papers of medical schools, and findings from committees of medical schools. Verbal information was also gathered via interviews from members of the WACS. Additionally, our personal experience as members and examiners of the college are included herein. We then noted the differences between surgical residency training programs in the developed countries and that of developing countries. RESULTS: The innovations introduced into the residency training programs in the developing countries are mainly due to the emphasis placed on paper qualifications and degrees instead of performance. CONCLUSION: We conclude that the innovations introduced into surgical residency training programs in developing countries are the result of the misconception of what surgical residency training programs entail. Published by Elsevier Inc.
Keywords:
American board of surgery; Canadian fellowship examination; Halsted; Surgical residency training; West African College of Surgeons
Authors: Anip Joshi; Bernardo Borraez-Segura; Mariyah Anwer; Oluwaseun Ladipo-Ajayi; Francisco Schlottmann; Diem Nguyen Ngoc Le; Andrew G Hill; Michael G Sarr Journal: World J Surg Date: 2020-05 Impact factor: 3.352