Quansah Robert, Abantanga Francis, Donkor Peter
Department of Surgery, School of Medical Sciences, Komfo Anokye Teaching Hospital, Kwame Nkrumah University of Science and Technology, P.O. Box 1934, Kumasi, Ghana.
Clin Orthop Relat Res. 2008 Oct;466(10):2403-12. doi: 10.1007/s11999-008-0401-6. Epub 2008 Aug 8.
Increasingly, nonspecialist Ghanaian doctors in district hospitals are called upon to perform a variety of surgical procedures for which they have little or no training. They are also required to provide initial stabilization for the injured and, in some cases, provide definitive management where referral is not possible. Elsewhere continuing medical education courses in trauma have improved the delivery of trauma care. Development of such courses must meet the realities of a low-income country. The Department of Surgery, Kwame Nkrumah University of Science and Technology developed a week-long trauma continuing medical education course for doctors in rural districts. The course was introduced in 1997, and has been run annually since. The trauma course specifically addresses the critical issues of trauma care in Ghana. It has improved the knowledge base of doctors, as well as their self-reported process of trauma care. Through the process we have learned lessons that could help in the efforts to improve trauma training and trauma care in other low-income countries.
加纳地区医院里越来越多的非专科医生被要求实施各种他们几乎没有或完全没有接受过培训的外科手术。他们还需要对伤者进行初步的稳定治疗,在某些情况下,当无法转诊时还要提供确定性治疗。在其他地方,创伤方面的继续医学教育课程改善了创伤护理的提供情况。此类课程的开发必须符合低收入国家的实际情况。夸梅·恩克鲁玛科技大学外科系为农村地区的医生开发了一个为期一周的创伤继续医学教育课程。该课程于1997年推出,此后每年举办。该创伤课程专门针对加纳创伤护理的关键问题。它提高了医生的知识基础以及他们自我报告的创伤护理流程。通过这个过程,我们学到了一些经验教训,这些经验教训可能有助于其他低收入国家改善创伤培训和创伤护理的工作。