Operative Exposure of a Surgical Trainee at a Tertiary Hospital in Kenya
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Date
2015
Authors
Ojuka, Daniel Kinyuru
Macleod, Jana
Nyabuto, Catherine Kwamboka
Journal Title
Journal ISSN
Volume Title
Publisher
Hindawi Publishing Corporation
Abstract
Background. Psychomotor domain training requires repetitive exposure in order to develop proficiency in skills. This depends on
many training factors in any training institution. Objective.This study sought to look at the operative exposure of surgical trainees in
a tertiary hospital in a developing country. Design and Setting.This was a six-month retrospective study performed in one surgical
firm at Kenyatta National Hospital. Patients and Methods.The files of all patients admitted to the unit at that time were retrieved.
Thedemographics, diagnosis at admission, need for surgery, and cadre of operating surgeon among others were recorded. Scientific
Package for Social Sciences (SPSS) version 17.0 was used for data entry and analysis. Results.The study cohort was 402 patients of
the 757 patients admitted in the study period.The average age was 36.7 years, a female tomale ratio of 1 : 2.5.Themajority (69.7%) of
patients required surgery. Trauma was the most common reason for admission (44.5%). Year 2 residents received the most clinical
exposure. Consultant was available in only 34.5% of the cases. Conclusion. The junior residents performed the vast majority of
procedures with an unsatisfactory amount of supervision from the senior residents and faculty
Description
Research Article
Keywords
Citation
Surgery Research and Practice Volume 2015, Article ID 724506, 5 pages