A national perspective on exposure to essential surgical procedures among medical trainees in Nigeria: a cross-sectional survey and recommendations

Autor: Paul Tunde KingPriest, Barnabas Tobi Alayande, Emmanuel Walong Clement, Mustapha Muhammed, Joy Ohejem Egbiri, Miracle Shanabo, Etinosa Kevin Osayande, Abiodun Ayomide Atunrase, Jamiu Israel Abubakar, Daniel Chukwuma Eze, Stephen Adekoya, Gideon Bulus Chiroma, Onosegbe Moses Aikhuomogbe, Fatima Shuwa Gaila, Dennis Yaga, Nomsu Noble Thomas, Chukwudi Anthony Chukwunta, Matthew T. Hey, Callum Forbes, Robert R. Riviello, Bashiru O. Ismaila
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMC Medical Education, Vol 23, Iss 1, Pp 1-15 (2023)
Druh dokumentu: article
ISSN: 1472-6920
DOI: 10.1186/s12909-023-04847-4
Popis: Abstract Background In sub-Saharan Africa, recent graduates from medical school provide more direct surgical and procedural care to patients than their counterparts from the Global North. Nigeria has no nationally representative data on the procedures performed by trainees before graduation from medical school and their confidence in performing these procedures upon graduation has also not been evaluated. Methods We performed an internet-based, cross-sectional survey of recent medical school graduates from 15 accredited Federal, State, and private Nigerian medical schools spanning six geopolitical zones. Essential surgical procedures, bedside interventions and three Bellwether procedures were incorporated into the survey. Self-reported confidence immediately after graduation was calculated and compared using cumulative confidence scores with subgroup analysis of results by type and location of institution. Qualitative analysis of free text recommendations by participants was performed using the constant comparative method in grounded theory. Results Four hundred ninety-nine recent graduates from 6 geopolitical zones participated, representing 15 out of a total of 44 medical schools in Nigeria. Male to female ratio was 2:1, and most respondents (59%) graduated from Federal institutions. Students had greatest practical mean exposure to bedside procedures like intravenous access and passing urethral foley catheters and were most confident performing these. Less than 23% had performed over 10 of any of the assessed procedures. They had least exposures to chest tube insertion (0.24/person), caesarean Sect. (0.12/person), and laparotomy (0.09/person). Recent graduates from Federal institutions had less procedural exposure in urethral catheterization (p
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