Obstetrics and Gynaecology Department, National Hospital Abuja, Abuja, Nigeria.
Obstetrics and Gynaecology Department, Federal Medical Centre Abuja, Abuja, Nigeria.
Pan Afr Med J. 2023 Feb 16;44:94. doi: 10.11604/pamj.2023.44.94.27521. eCollection 2023.
the use of endoscopy in the surgical management of a wide range of ailments has revolutionised the practice of surgery. Endoscopy however has been underutilised in developing nations. Optimal training exposure during the residency training program is considered as very crucial to the improvement of endoscopy practice in this region. The objective of this study was to evaluate the perception and endoscopy training exposure of resident doctors in gynaecology, general surgery and urology in four residency training centres in Abuja.
this was an analytical cross-sectional study of endoscopy exposure of gynaecology, general surgery and urology resident doctors in four residency training centres in Abuja from June through August 2020. Using a structured questionnaire, information was obtained on demography, perception of endoscopy, exposure to and expectations for endoscopy training and practice. Data were analysed with SPSS version 25 (IBM Corp., Armonk, NY, USA).
a total of 125 questionnaires were distributed with a 92% response rate. The mean age of the respondents was 36.17±4.62 years with a mean duration of training of 53.91±28.02 months. Eighteen (15.8%) were satisfied with endoscopy practice in their centre and only five respondents (4.4%) had attained competence in operative endoscopy. Twelve trainees (10.5%) reported that they had received formal training in endoscopy outside their workplace and 109 (95.6%) desired to have post-fellowship training. Competence was statistically significantly higher among the senior registrars compared to registrars (Fisher 51.81, P=< 0.001). Lack of funding was the most reported limiting factor to endoscopy training (66.7%) while most (85.1%) desired the incorporation of structured endoscopy training into the residency training curriculum.
this study showed poor endoscopy training exposure, a high level of dissatisfaction with the state of endoscopy practice and high expectations of the trainees for improved training facilities and human capacity.
内镜在广泛的疾病的外科治疗中的应用已经彻底改变了外科实践。然而，在发展中国家，内镜的应用并不广泛。 residency 培训计划中的最佳培训暴露被认为对改善该地区的内镜实践非常关键。本研究的目的是评估阿布贾四个 residency 培训中心的妇科、普通外科和泌尿科住院医师对内镜的认知和内镜培训暴露情况。
这是 2020 年 6 月至 8 月在阿布贾的四个 residency 培训中心对妇科、普通外科和泌尿科住院医师进行的内镜暴露情况的分析性横断面研究。使用结构化问卷获取人口统计学、内镜认知、内镜培训和实践的暴露情况和期望等信息。使用 SPSS 版本 25（IBM Corp.，Armonk，NY，USA）进行数据分析。
共发放了 125 份问卷，回收率为 92%。受访者的平均年龄为 36.17±4.62 岁，平均培训时间为 53.91±28.02 个月。18 名（15.8%）对所在中心的内镜实践感到满意，只有 5 名（4.4%）的受访者在手术内镜方面达到了熟练水平。12 名受训者（10.5%）报告说他们在工作场所之外接受过内镜培训，109 名（95.6%）希望接受 fellowship 培训后培训。与住院医师相比，高级住院医师的技能水平明显更高（Fisher 51.81，P=<0.001）。缺乏资金是报告最多的内镜培训限制因素（66.7%），而大多数（85.1%）希望将结构化内镜培训纳入 residency 培训课程。
本研究表明，内镜培训暴露不足，对内镜实践状况的满意度低，住院医师对改善培训设施和人力的期望很高。
