Evidence map›Paper›PMID 40598012›Full record

ArticleBMC surgery2025

Ugandan physician attitudes towards a potential, local trauma fellowship program.

Alan Zambeli-Ljepović, Treasure Ibingira, Caroline Stephens, Rachel Koch, Marissa A Boeck, Doruk Ozgediz, Martha Namugga

Abstract read
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In one paragraph

Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Alan Zambeli-LjepovićDepartment of Surgery, University of California San Francisco, 513 Parnassus Ave, Suite S-321, San Francisco, CA, 94143-0470, USA.
Treasure IbingiraMakerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda.
Caroline StephensDepartment of Surgery, University of California San Francisco, 513 Parnassus Ave, Suite S-321, San Francisco, CA, 94143-0470, USA.
Rachel KochDepartment of Surgery, University of California San Francisco, 513 Parnassus Ave, Suite S-321, San Francisco, CA, 94143-0470, USA.
Marissa A BoeckDepartment of Surgery, University of California San Francisco, 513 Parnassus Ave, Suite S-321, San Francisco, CA, 94143-0470, USA.
Doruk OzgedizDepartment of Surgery, University of California San Francisco, 513 Parnassus Ave, Suite S-321, San Francisco, CA, 94143-0470, USA.
Martha NamuggaDepartment of Surgery, Mulago National Referral Hospital, Mulago Hill, P.O. Box 7051, Kampala, Uganda. kasujjammn@gmail.com.

Funding

UCSF Research in Implementation Sciences for Equity (RISE)R25HL126146 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CRYSTAL WILEY CENE, Alicia Fernandez · 2014 to 2026
$4.6M
NHLBI NIH HHS 5R25HL126146-09NHLBI NIH HHS R25 HL126146
6 · The paper itself

Abstract

introductionIn low-income countries, clinicians trained through a context-specific trauma surgery fellowship program (TFP) can help reduce injury-related mortality to levels closer to those observed in higher-resource settings. Successful implementation, however, hinges on buy-in from local clinicians. We assessed clinician support for a potential TFP in Uganda, considering perceived need, curricular recommendations, barriers, and motivating factors.

methodsAfter cognitive interviews with experts and questionnaire pilot testing, we cross-sectionally surveyed Ugandan consultants (general surgeons and procedural specialists involved in trauma care) and surgical residents at a tertiary, national referral hospital. Respondent percentages were calculated for multiple-choice answers, and we performed thematic analysis of free-text responses using a primarily inductive approach.

resultsAmong 46 faculty (from 13 specialties) and 42 resident respondents, 86% supported a Ugandan TFP. Respondents recommended incorporating emergency general surgery (66%), critical care (84%), and international rotations (76%) into the curriculum. Severe resource and structural deficiencies (82%) and concern about governmental support for post-training employment and compensation (66%) were leading perceived barriers to TFP implementation. Most faculty felt a TFP would improve patient outcomes (93%), overall trainee education (77%), and clinical efficiency (68%). Free-text responses were consistent with survey themes, indicating acute awareness of current trauma system inadequacies and conviction that a TFP would reduce injury-related mortality.

conclusionsUgandan clinicians who care for injured patients view a TFP as crucial to improving injury-related outcomes, despite known barriers. TFP implementation should incorporate curricular recommendations from this survey and address widespread concerns about financial and infrastructural support from the national government and local institutions.

Indexed as

Attitude of Health PersonnelFellowships and ScholarshipsTraumatologyAdultCross-Sectional StudiesFemaleHumansInternship and ResidencyMaleSurveys and QuestionnairesUgandaFellowshipGlobal surgeryInjuryLow incomeLow resourceSurgerySurveyTrainingTraumaUganda

Identifiers

PMID40598012
PMCPMC12220746

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.