Raushan N, Hoque S, Khanam S T
Deptt. of Community Medicine, National Institute of Preventive and Social Medicine (NIPSOM), Mohakhali, Dhaka.
Bangladesh Med Res Counc Bull. 1996 Apr;22(1):1-7.
A total of 140 internee doctors who had just completed or were about to complete their internship training from four leading Medical College Hospitals of Bangladesh were asked to fill up a pre-tested structured questionnaire. Of them 115 were male and 25 were female. All the participants had 6 months compulsory training in Medicine, 123 had 6 months training in Surgery and 17 had 6 months training in Obstetrics-Gynecology. Over 50% doctors expressed lack of confidence in performing ligation, vasectomy, splinting simple fractures, venesection, episiotomy, hydrocele operation, circumcision, proctoscopy and inguinal herniorrhaphy and expressed the need for further training in those procedures. Only 10% and 1.43% internees stated that they were confident about performing ligation and vasectomy independently. Internees from Chittagong Medical College Hospitals expressed their inability to perform ligation and/or vasectomy independently. So it was recommended that surgical training should be made mandatory for all internee Doctors with extension of the Internship period by at least 6 months. Emphasis should be laid on training in vasectomy and ligation. A pre-registration evaluation test may be introduced at the end of their training period.
来自孟加拉国四家顶尖医学院附属医院的140名刚完成或即将完成实习培训的实习医生被要求填写一份经过预测试的结构化问卷。其中115名是男性，25名是女性。所有参与者都接受了6个月的医学必修课培训，123人接受了6个月的外科培训，17人接受了6个月的妇产科培训。超过50%的医生表示在进行结扎、输精管切除术、简单骨折固定、静脉切开术、会阴切开术、鞘膜积液手术、包皮环切术、直肠镜检查和腹股沟疝修补术时缺乏信心，并表示需要在这些手术方面接受进一步培训。只有10%和1.43%的实习生表示他们有信心独立进行结扎和输精管切除术。吉大港医学院附属医院的实习生表示他们无法独立进行结扎和/或输精管切除术。因此，建议对所有实习医生进行外科培训应成为强制性要求，并将实习期延长至少6个月。应重点进行输精管切除术和结扎术的培训。在他们培训期结束时可以引入预注册评估测试。
