ArticleJournal of surgical education
The effect of a new surgery residency program on case volume and case complexity in a sub-Saharan African hospital.
Article in Journal of surgical education. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed.
- Pediatric Surgical Volume at the TASH: Experience after the Expansion of Pediatric Surgery Program.Ethiopian journal of health sciences · 2021Article
- Postgraduate Medical Education in Sub-Saharan Africa: A Scoping Review Spanning 26 Years and Lessons Learned.Journal of graduate medical education · 2019Article
- Sustainable Orthopaedic Surgery Residency Training in East Africa: A 10-Year Experience in Kenya.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2019Article
- The Effect of a Surgery Residency Program and Enhanced Educational Activities on Trauma Mortality in Sub-Saharan Africa.World journal of surgery · 2017Article
- The impact of long term institutional collaboration in surgical training on trauma care in Malawi.SpringerPlus · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundImproved access to surgical care could prevent a significant burden of disease and disability-adjusted life years, and workforce shortages are the biggest obstacle to surgical care. To address this shortage, a 5-year surgical residency program was established at Kamuzu Central Hospital (KCH) in July 2009. As the residency enters its fourth year, we hypothesized that the initiation of a general surgical residency program would result in an increase in the overall case volume and complexity at KCH.
methodsWe conducted a retrospective analysis of operated cases at KCH during the 3 years before and the third year after the implementation of the KCH surgical residency program, from July 2006 to July 2009 and the calendar year 2012, respectively.
resultsDuring the 3 years before the initiation of the surgical residency, an average of 2317 operations were performed per year, whereas in 2012, 2773 operations were performed, representing a 20% increase. Before residency, an average of 1191 major operations per year were performed, and in 2012, 1501 major operations were performed, representing a 26% increase.
conclusionOur study demonstrates that operative case volume and complexity increase following the initiation of a surgical residency program in a sub-Saharan tertiary hospital. We believe that by building on established partnerships and emphasizing education, research, and clinical care, we can start to tackle the issues of surgical access and care.
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