Procedures most frequently performed by South African-trained general surgeons - implications for training and assessment.

IF 0.4 4区 医学 Q4 SURGERY
South African Journal of Surgery Pub Date : 2024-10-01
D Nel, V Burch, K Beley, Z Ebrahim, M Brand, O D Montwedi, L Cairncross, E Jonas
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引用次数: 0

Abstract

Background: Workplace-based assessment (WBA) is being introduced across postgraduate training in South Africa. This study was undertaken to inform the selection of the core procedures for WBA, by determining the most frequently performed procedures in general surgery practice. These findings may also assist academic centres undertaking curriculum review to determine whether or not they are training surgeons who are competent to meet the current local needs of society.

Methods: This study was a cross-sectional observational study using a self-administered survey. General surgeons who passed the final fellowship examinations of the College of Surgeons of South Africa between 2017-2022, working in fulltime specialist practice, were eligible for participation.

Results: The study included 111 surgeons of which the majority (53%) were working full time in government practice, 23% were in private practice and 24% were in a combination of both government and private practice. The 10 most frequently listed procedures were - hernia repair (95%), appendicectomy (91%), emergency laparotomy (88%), laparoscopic cholecystectomy (80%), gastroscopy (80%), colonoscopy (61%), colectomy (55%), lower limb amputation (48%), mastectomy (40%) and intestinal stoma formation (31%). Fifty-seven (51%) participants reported that they felt prepared to independently perform the full range of most frequently listed procedures. Of the 49% who reported feeling unprepared for one or more procedures on completion of training, the most frequently listed procedure was colonoscopy.

Conclusion: This study identified a list of procedures that may be considered as core procedural activities for WBA of South African general surgery trainees.

南非培训的普外科医生最常实施的手术--对培训和评估的影响。
背景:南非正在研究生培训中引入基于工作场所的评估(WBA)。本研究通过确定普外科实践中最常进行的手术,为选择基于工作场所的评估的核心程序提供信息。这些研究结果还可以帮助进行课程审查的学术中心确定其培养的外科医生是否有能力满足当前当地社会的需求:本研究是一项横断面观察性研究,采用自填式调查。在2017-2022年间通过南非外科学院最终研究员考试、从事全职专科实践的普通外科医生均有资格参与:研究包括111名外科医生,其中大多数(53%)在政府部门全职工作,23%在私人诊所工作,24%同时在政府部门和私人诊所工作。最常见的 10 种手术是:疝气修补术(95%)、阑尾切除术(91%)、急诊开腹手术(88%)、腹腔镜胆囊切除术(80%)、胃镜检查(80%)、结肠镜检查(61%)、结肠切除术(55%)、下肢截肢术(48%)、乳房切除术(40%)和肠造口成形术(31%)。57(51%)名参与者表示,他们认为自己已经做好准备,可以独立完成所有最常见的手术。在 49% 的学员中,有 49% 的学员表示在完成培训后对一种或多种手术感到力不从心,其中最常见的手术是结肠镜检查:本研究确定了可被视为南非普外科学员 WBA 核心程序活动的程序列表。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.80
自引率
20.00%
发文量
43
审稿时长
>12 weeks
期刊介绍: The South African Journal of Surgery (SAJS) is a quarterly, general surgical journal. It carries research articles and letters, editorials, clinical practice and other surgical articles and personal opinion, South African health-related news, obituaries and general correspondence.
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