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DC Field | Value | Language |
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dc.contributor.author | Tabiri, S. | - |
dc.contributor.author | Appiah-Denkyira, E. | - |
dc.contributor.author | Sagoe, K. | - |
dc.date.accessioned | 2022-03-16T10:49:42Z | - |
dc.date.available | 2022-03-16T10:49:42Z | - |
dc.date.issued | 2018 | - |
dc.identifier.issn | 1469-0756 | - |
dc.identifier.uri | http://hdl.handle.net/123456789/3460 | - |
dc.description.abstract | Introduction : There is a critical surgical workforce gap in low- and middle-income countries, particularly at first-level referral (i.e. district) hospitals. To address this gap we piloted a decentralized surgical training program for house officers at a district hospital in Ghana. Methods : Six house officers took part in the pilot program. Trainees participated in : i) didactic, video- based, and practical modules ; ii) intensive surgical immersion at a district hospital with consultant surgeon oversight ; and iii) a 12-month supervised rotation as a surgical care provider at a district hospital. Case mix and volume, complications, and perioperative mortality rate during the program were tracked. Anonymous feedback from the trainees was analysed with a content analysis framework. Results : In the 12-month pilot training program, 6 trainees were actively involved in carrying out 606 procedures either independently, under supervision or as assistant (mean : 101 procedures/trainee). The most frequent pre-operative diagnoses were hernia and complications of labour (432, 71.3%), followed by acute abdomen requiring laparotomy (85, 14.0%), soft tissue mass (21, 3.5%), hemopneumothorax or plearal effusion (19, 3.1%), hydrocele (16, 2.6%), abscess (12, 2.0%) and other (47, 7.8%). Twenty-three (3.8%) patients experienced complications, with the most common being surgical site infections (superficial : 8, 1.3% ; deep : 3, 0.5%). The perioperative mortality rate was 1.2%. Feedback from trainees was generally positive, but revealed several unmet challenges. Conclusion : Through the decentralized surgical training program Ghanaian trainees gained useful experience with essential surgical care at a first-level hospital and provided timely surgical care to patients. | en_US |
dc.language.iso | en | en_US |
dc.publisher | BMJ Publishing Ltd. | en_US |
dc.relation.ispartofseries | Vol. 7;Issue 1 | - |
dc.subject | Medical officers | en_US |
dc.subject | House officers | en_US |
dc.subject | Decentralization | en_US |
dc.subject | Surgical Training | en_US |
dc.title | MIXED-METHODS ASSESSMENT OF A PILOT DECENTRALIZED SURGICAL TRAINING PROGRAM FOR HOUSE OFFICERS IN GHANA | en_US |
dc.type | Article | en_US |
Appears in Collections: | School of Medicine and Health Sciences |
Files in This Item:
File | Description | Size | Format | |
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MIXED-METHODS ASSESSMENT OF A PILOT DECENTRALIZED SURGICAL TRAINING PROGRAM FOR HOUSE OFFICERS IN GHANA.pdf | 291.76 kB | Adobe PDF | View/Open |
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