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Factors affecting interest in cardiothoracic surgery among junior surgical residents in Nigeria
Emeka B Kesieme1, Umar Abubakar2, Olugbenga Olusoji3
1Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Objective:
A survey was undertaken to determine the factors that affect interest in cardiothoracic surgery (CTS) among junior surgical residents in Nigeria.
Methods:
A cross-sectional study was done using a pilottested, 56-item, semi-structured questionnaire, which was filled in by 238 junior surgical residents in accredited hospitals in Nigeria.
Results:
Few of the respondents (8.4%) were committed to specialising in CTS. A minority of them, 28.2 and 2.1%, had assisted in major thoracic procedures and open-heart surgeries, respectively. The relationship between the level of training, rotation in CTS in junior residency and interest in CTS were statistically significant (p < 0.05). The main important factors responsible for the low interest in CTS include the lack of equipment (92%), limited training positions (64.9%), poor or lack of exposure in CTS as a junior resident (63%) and in medical school (58.8%).
Conclusion:
There is a dire need to provide facilities and training opportunities to improve the cardiothoracic workforce in Nigeria.
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