Surgical Training Throughout Africa: A Review of Operative Case Volumes at Multiple Training Centers.

World Journal of Surgery
Robert K ParkerRobert Riviello

Abstract

Adequate surgical training is paramount to produce competent surgeons to address the global burden of surgical disease. The Pan-African Academy of Christian Surgeons (PAACS) has general surgery training programs in eight countries. Operative case volumes have been positively associated with improved trainee performance and patient outcomes. For certification in the USA, 850 total operations are required from defined case categories. Yet, little is known about the operative experience of surgical trainees throughout Africa. Operative procedures were reviewed, categorized, and validated from a cohort of PAACS graduates and compared to graduates from Accreditation Council for Graduate Medical Education (ACGME) programs. The primary and secondary outcomes were total case volumes and cases within ACGME-defined categories. Regional variations were explored. Twenty PAACS trainees, from five programs in four countries, performed 38,267 unique procedures. ACGME reports on 1211 residents from 251 programs. PAACS graduates logged more major cases (median 1448) than ACGME graduates (median 993) (p value = 0·0001). PAACS graduates performed more gynecology and obstetrics, orthopedics, head and neck, urology, endocrine, operative trauma, ped...Continue Reading

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Citations

Jun 4, 2020·World Journal of Surgery·Robert K ParkerRobert Riviello
Dec 2, 2020·Surgical Endoscopy·Robert K ParkerMark D Topazian
Jun 30, 2021·Journal of Surgical Education·Linda PohlKathryn Chu
Jun 14, 2021·American Journal of Surgery·Kenneth L AbbottUNKNOWN Society for Improving Medical Professional Learning

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