Understanding surgical education needs in Zambian residency programs from a Resident's perspective
| Autor: | Shubhada Dhage, Hebah Ismail, Joseph Musowoya, Mary Ann Hopkins, Darren L. Sultan, Elizabeth Robinson, Robert Zulu, J Munthali, David E Wang |
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| Rok vydání: | 2018 |
| Předmět: |
Biomedical Research
Faculty Medical education Population MEDLINE Developing country Zambia 03 medical and health sciences 0302 clinical medicine Mentorship Surveys and Questionnaires Outpatient clinic Medicine Humans 030212 general & internal medicine Developing Countries Simulation Training education.field_of_study Medical education business.industry Perspective (graphical) Mentors Internship and Residency General Medicine Education Medical Graduate 030220 oncology & carcinogenesis Needs assessment Surgery The Internet business Needs Assessment |
| Zdroj: | American journal of surgery. 219(4) |
| ISSN: | 1879-1883 |
| Popis: | Introduction Approximately 100 surgeons in Zambia serve a population of 16 million, a severe shortage in basic surgical care. Surgical education in Zambia and other low-middle income countries has not been well characterized. The aim of this study was to evaluate surgical training resources from a resident perspective. Methods 6 of 8 COSECSA-accredited major medical centers were included. We developed a Surgical Education Capacity Tool to evaluate hospital characteristics including infrastructure, education, and research. The questionnaire was completed by administrators and trainees. Results 18 of 45 trainees were surveyed. Caseloads and faculty-to-trainee ratio varied by location. No sites had surgical skills, simulation, or research labs. Most had medical libraries, lecture halls, and internet. Outpatient clinics, bedside teaching, M&M conferences, and senior supervision were widely available. Despite some exposure, research mentorship, basic science, and grant application guidance were critically limited. Conclusions Lack of access to proper infrastructure, research, and personnel all impact surgical training and education. The Surgical Education Capacity Tool offers insights into areas of potential improvement, and is applicable to other LMICs. |
| Databáze: | OpenAIRE |
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