Skip to main content

Advertisement

Log in

Pretraining Experience and Structure of Surgical Training at a Sub-Saharan African University

  • Published:
World Journal of Surgery Aims and scope Submit manuscript

Abstract

Background

The common goal of surgical training is to provide effective, well-rounded surgeons who are capable of providing a safe and competent service that is relevant to the society within which they work. In recent years, the surgical workforce crisis has gained greater attention as a component of the global human resources in health problems in low- and middle-income countries. The purpose of this study was to: (1) describe the models for specialist surgical training in Uganda; (2) evaluate the pretraining experience of surgical trainees; (3) explore training models in the United States and Canada and areas of possible further inquiry and intervention for capacity-building efforts in surgery and perioperative care.

Methods

This was a cross-sectional descriptive study conducted at Makerere University, College of Health Sciences during 2011–2012. Participants were current and recently graduated surgical residents. Data were collected using a pretested structured questionnaire and were entered and analyzed using an excel Microsoft spread sheet. The Makerere University, College of Health Sciences Institutional Review Board approved the study.

Results

Of the 35 potential participants, 23 returned the questionnaires (65 %). Mean age of participants was 29 years with a male/female ratio of 3:1. All worked predominantly in general district hospitals. Pretraining procedures performed numbered 2,125 per participant, which is twice that done by their US and Canadian counterparts during their entire 5-year training period.

Conclusions

A rich pretraining experience exists in East Africa. This should be taken advantage of to enhance surgical specialist training at the institution and regional level.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Peters MJ, Pappalardo J, Cresswell Ab (2009) Surgical Education. ANZ J Surg 79(3):192–197

    Article  PubMed  Google Scholar 

  2. Ozgediz D, Galukande M, Mabweijano J, Kijjambu S, Mijumbi C, Dubowitz G, Kaggwa S, Luboga S (2008) The neglect of global workforce: experience and evidence from Uganda. World J Surg 32(6):1208–1215. doi:10.1007/s00268-008-9473-4

    Article  PubMed  Google Scholar 

  3. Galukande M, Luboga S, Kijjambu SC (2006) Improving recruitment of surgical trainees and training of surgeons in Uganda. East Cent Afr J Surg 11(1):17–24

    Google Scholar 

  4. Linden AF, Sekidde FS, Galukande M, Knowlton LM, Chackungal S, McQueen KAK (2012) Challenges of surgery in developing Countries: a survey of surgical and anesthesia capacity in Uganda’s public hospitals. World J Surg 36(5):1056–1065. doi:10.1007/s00268-012-1482-7

    Article  PubMed  Google Scholar 

  5. Galukande M, von Schreeb J, Wladis A, Mbembati N, de Miranda H et al (2010) Essential surgery at the district hospital: a retrospective descriptive analysis in three African Countries. PLoS Med 7(3):e1000243. doi:10.1371/journal.pmed.1000243

    Article  PubMed  Google Scholar 

  6. Kruk ME, Wladis A, Mbembati N, Ndao-Brumblay SK, Hsia RY, Galukande M et al (2010) Human resource and funding constraints for essential surgery in district hospitals in Africa: a retrospective cross-sectional survey. PLoS Med 7(3):e1000242. doi:10.1371/journal.pmed.1000242

    Article  PubMed  Google Scholar 

  7. Memon B, Memon MA (2009) Mentoring and Surgical training: a time for reflection. Adv Health Sci Educ. doi:10.1007/S10459-009-9157-3

    Google Scholar 

  8. Kakande I, Mkandawire N, Thompson MIW (2011) A review of surgical capacity and surgical education programmes in the COSECSA region. East Cent Afr J Surg 16(3):6–34

    Google Scholar 

  9. American College of Surgeons division of Education. http://www.facs.org/medicalstudents/answer3.html. Accessed 1 Nov 2012

  10. Geoffrion R, Jae Won C, Gretchen ML (2011) Training surgical residents: the current Canadian perspective. J Surg Educ 68(6):547–559

    Article  PubMed  Google Scholar 

  11. http://www.facs.org/medicalstudents/answer2.html. Accessed 1 Nov 2012

  12. Accreditation Council for graduate medical education: 1999. Outcome project: General competencies. http://www.acgme.org/outcome/comp/compfull.asp. Accessed 3 Nov 2012

  13. Swing SR (2007) The ACGME outcome project: retrospective and prospective. Med Teach 29:648–654

    Article  PubMed  Google Scholar 

  14. The American Board of Surgery Booklet of Information (2011–2012). www.absurgery.org. Accessed 3 Nov 2012

  15. Postgraduate courses at Makerere College of Health Sciences (2012/3). http://chs.mak.ac.ug/content/academics. Accessed 4 Nov 2012

  16. Bell RH, Biester TW, Tabuenca A, Rhodes RS, Cofer JB, Britt LD, Lewis FR (2009) Operative experience of residents in US general surgery programs. A gap between expectation and experience. Ann Surg 249(5):719–724

    Article  PubMed  Google Scholar 

  17. Mutabdiz D, Bedada AG, Bakanisi B, Motsumi J, Azzie G (2012) Designing a contextually appropriate surgical training program, in low-resource settings: the Bostwana experience. World J Surg. http://www.ncbi.nlm.nih.gov/pubmed/22851149. Accessed 1 Aug 2012

  18. SCORE General Surgery Residency Curriculum outline patient care and Medical Knowledge (2012–2013). www.surgicalcore.org. Accessed 1 Nov 2012

  19. Thomas WEG (2008) The changing face of surgical training (Oxford). Surgery 26(10):399. doi:10.1016/j.mpsur.2008.08.003 ISSN: 0263-9319

    Google Scholar 

  20. Jamsheer JT, Nadir AS (2008) Surgical Training Programs in Pakistan. World J Surg 32(10):2156–2161. doi:10.1007/s00268-008-9639-0

    Article  Google Scholar 

Download references

Acknowledgment

We thank all the graduate students who participated in this study.

Conflict of interest

The authors declare no competing interests.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Moses Galukande.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Galukande, M., Ozgediz, D., Elobu, E. et al. Pretraining Experience and Structure of Surgical Training at a Sub-Saharan African University. World J Surg 37, 1836–1840 (2013). https://doi.org/10.1007/s00268-013-2053-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00268-013-2053-2

Keywords

Navigation