Porter D C, Bezuidenhout J, Du Toit R S, Adefuye A O
Division Health Sciences Education, Office of the Dean, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.
S Afr Med J. 2018 Feb 27;108(3):210-216. doi: 10.7196/SAMJ.2018.v108i3.12611.
At present, much of the global surgical workforce consists of non-specialist physicians (general practitioners (GPs)) whose only formal surgical training was in medical school as an undergraduate. However, there is widespread concern that GPs do not have the skills necessary to deliver essential surgical care in a rural setting. This requires that a specific training programme be developed to train rural GPs in essential surgical skills for rural settings.
To perform a critical analysis to determine essential surgical skills required by GPs in rural South Africa, with the intention of developing the content of an accredited continuing professional development (CPD) learning programme to address needs identified.
This was a descriptive study in which a desk-top review analysis and a questionnaire survey were used to obtain both qualitative and quantitative data on essential skills required for rural surgical practice.
Of 300 GPs, 102 (34.0%) completed the questionnaire. Some of the skills listed as essential for rural surgical practice were removal of foreign objects not in the visual axis (90.0%), packing of epistaxis (93.0%), haematoma drainage (78.3%) and wound debridement and suturing (96.0%). The study also identified the outcomes and essential content of a proposed CPD programme to provide GPs in the rural setting with the required surgical skills.
Enhancing skills of GPs in essential surgical techniques and procedures through an accredited CPD short learning programme will ensure that adequate and comprehensive essential surgical care is provided to people living in rural communities.
目前，全球外科手术人员中有很大一部分是非专科医生（全科医生），他们仅在医学院本科阶段接受过正规的外科培训。然而，人们普遍担心全科医生不具备在农村地区提供基本外科护理所需的技能。这就需要制定一个特定的培训计划，对农村全科医生进行农村基本外科技能培训。
进行批判性分析，以确定南非农村地区全科医生所需的基本外科技能，旨在制定一个经认可的持续专业发展（CPD）学习计划的内容，以满足已确定的需求。
这是一项描述性研究，采用桌面审查分析和问卷调查来获取关于农村外科手术实践所需基本技能的定性和定量数据。
在300名全科医生中，102名（34.0%）完成了问卷。一些被列为农村外科手术实践必不可少的技能包括取出不在视轴内的异物（90.0%）、鼻出血填塞（93.0%）、血肿引流（78.3%）以及伤口清创缝合（96.0%）。该研究还确定了拟议的CPD计划的成果和基本内容，以便为农村地区的全科医生提供所需的外科技能。
通过一个经认可的CPD短期学习计划提高全科医生在基本外科技术和程序方面的技能，将确保为农村社区居民提供充分和全面的基本外科护理。
