Bartholomew Ryan A, Ceremsak John, Nyaiteera Victoria, Senechal Eva, Kanumuri Vivek, Cheney Mack, de Venecia Ronald K, Nakku Doreen, Shaye David A
Department of Otolaryngology, Massachusetts Eye and Ear Harvard Medical School Boston Massachusetts USA.
Department of Otolaryngology Mbarara University of Science and Technology Mbarara Uganda.
OTO Open. 2023 Mar 2;7(1):e230. doi: 10.1002/oto2.30. eCollection 2023 Jan-Mar.
Sub-Saharan Africa has a high otolaryngologic disease burden exacerbated by an inadequate number of otolaryngologists. The Otolaryngology department at Mbarara University of Science & Technology in Uganda is addressing this problem by having created Uganda's second national residency training program in 2010. We chronicled an early period in the program's development by reporting surgical case quantity and complexity, as defined by "key indicator procedure" classification per the United States Accreditation Council for Graduate Medical Education, and interpreting it with respect to a timeline of significant events. Procedure complexity, but not total number per year, increased over the study period-KIPs increased from 3% in 2012 (6 of 175 total procedures) to 29% in 2016 (35 of 135 total procedures). During this period of complexity increase, operating room capacity expanded, faculty received advanced training and increased in number, and operative equipment improved.
撒哈拉以南非洲地区的耳鼻喉科疾病负担很重，而耳鼻喉科医生数量不足使这一情况更加恶化。乌干达姆巴拉拉科技大学的耳鼻喉科通过在2010年创建乌干达第二个全国住院医师培训项目来解决这一问题。我们记录了该项目发展的早期阶段，报告了手术病例数量和复杂性，复杂性按照美国毕业后医学教育认证委员会的“关键指标程序”分类来定义，并结合重大事件的时间线对其进行解读。在研究期间，手术复杂性增加了，但每年的手术总数并未增加——关键指标程序从2012年的3%（175例总手术中的6例）增至2016年的29%（135例总手术中的35例）。在复杂性增加的这段时期，手术室容量扩大，教员接受了高级培训且数量增加，手术设备也得到了改善。
