Surgical trainee supervision during non-trauma emergency laparotomy in Rwanda and South Africa
| dc.contributor.advisor | Chu, Kathryn | |
| dc.contributor.author | Pohl, Linda M | |
| dc.date.accessioned | 2022-03-09T15:51:20Z | |
| dc.date.available | 2022-03-09T15:51:20Z | |
| dc.date.issued | 2021 | |
| dc.date.updated | 2022-03-09T15:50:44Z | |
| dc.description.abstract | Objective: The primary objective was to describe the level of surgical trainee autonomy during non-trauma emergency laparotomy (NTEL) operations in Rwanda and South Africa. The secondary objective was to identify potential associations between trainee autonomy, and patient mortality and reoperation. Design, Setting, and Participants: This was a prospective, observational study of NTEL operations at three teaching hospitals in South Africa and Rwanda over a oneyear period from September 1, 2017 – August 31, 2018. A total of 543 operations on adults over the age of 18 years who underwent NTEL performed by the acute care and general surgery services were included. Results: surgical trainees led three quarters of NTEL operations, and of these, 72% were performed autonomously in Rwanda and South Africa. Trainees were less likely to perform the operations autonomously for patients who were: age ≥ 60 years, had ASA classification ≥ III, had cancer or TB. Notably, trainee autonomy was not significantly associated with reoperation or mortality. Conclusions: trainees were able to gain autonomous surgical experience without impacting mortality or reoperation outcomes, while still providing surgical support in a high-demand setting. More in-depth studies to understand the association of high trainee autonomy with surgical competency and patient safety is needed. | |
| dc.identifier.apacitation | Pohl, L. M. (2021). <i>Surgical trainee supervision during non-trauma emergency laparotomy in Rwanda and South Africa</i>. (). ,Faculty of Health Sciences ,Division of General Surgery. Retrieved from http://hdl.handle.net/11427/36008 | en_ZA |
| dc.identifier.chicagocitation | Pohl, Linda M. <i>"Surgical trainee supervision during non-trauma emergency laparotomy in Rwanda and South Africa."</i> ., ,Faculty of Health Sciences ,Division of General Surgery, 2021. http://hdl.handle.net/11427/36008 | en_ZA |
| dc.identifier.citation | Pohl, L.M. 2021. Surgical trainee supervision during non-trauma emergency laparotomy in Rwanda and South Africa. . ,Faculty of Health Sciences ,Division of General Surgery. http://hdl.handle.net/11427/36008 | en_ZA |
| dc.identifier.ris | TY - Master Thesis AU - Pohl, Linda M AB - Objective: The primary objective was to describe the level of surgical trainee autonomy during non-trauma emergency laparotomy (NTEL) operations in Rwanda and South Africa. The secondary objective was to identify potential associations between trainee autonomy, and patient mortality and reoperation. Design, Setting, and Participants: This was a prospective, observational study of NTEL operations at three teaching hospitals in South Africa and Rwanda over a oneyear period from September 1, 2017 – August 31, 2018. A total of 543 operations on adults over the age of 18 years who underwent NTEL performed by the acute care and general surgery services were included. Results: surgical trainees led three quarters of NTEL operations, and of these, 72% were performed autonomously in Rwanda and South Africa. Trainees were less likely to perform the operations autonomously for patients who were: age ≥ 60 years, had ASA classification ≥ III, had cancer or TB. Notably, trainee autonomy was not significantly associated with reoperation or mortality. Conclusions: trainees were able to gain autonomous surgical experience without impacting mortality or reoperation outcomes, while still providing surgical support in a high-demand setting. More in-depth studies to understand the association of high trainee autonomy with surgical competency and patient safety is needed. DA - 2021 DB - OpenUCT DP - University of Cape Town KW - surgery KW - training KW - education KW - supervision KW - laparotomy KW - Africa LK - https://open.uct.ac.za PY - 2021 T1 - Surgical trainee supervision during non-trauma emergency laparotomy in Rwanda and South Africa TI - Surgical trainee supervision during non-trauma emergency laparotomy in Rwanda and South Africa UR - http://hdl.handle.net/11427/36008 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/36008 | |
| dc.identifier.vancouvercitation | Pohl LM. Surgical trainee supervision during non-trauma emergency laparotomy in Rwanda and South Africa. []. ,Faculty of Health Sciences ,Division of General Surgery, 2021 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/36008 | en_ZA |
| dc.language.rfc3066 | eng | |
| dc.publisher.department | Division of General Surgery | |
| dc.publisher.faculty | Faculty of Health Sciences | |
| dc.subject | surgery | |
| dc.subject | training | |
| dc.subject | education | |
| dc.subject | supervision | |
| dc.subject | laparotomy | |
| dc.subject | Africa | |
| dc.title | Surgical trainee supervision during non-trauma emergency laparotomy in Rwanda and South Africa | |
| dc.type | Master Thesis | |
| dc.type.qualificationlevel | Masters | |
| dc.type.qualificationlevel | MMed |