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Related Experiment Videos

Paediatric surgery in the RSA--practice and training

A J Millar1, H Rode, M R Davies

  • 1South African Association of Paediatric Surgeons.

South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
|February 1, 1993
PubMed
Summary

A survey of paediatric surgery in South Africa and Namibia reveals that while most surgeons treat children, training is often inadequate, especially for recent graduates. This highlights a need to improve paediatric surgical education standards.

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Area of Science:

  • Surgery
  • Paediatric Surgery
  • Medical Education

Background:

  • Paediatric surgery is a specialized field crucial for child health.
  • Understanding current practices and training is vital for improving surgical outcomes in children.
  • Geographic distribution of surgeons impacts access to specialized care.

Purpose of the Study:

  • To assess the current state of general paediatric surgery practice in South Africa and Namibia.
  • To evaluate the adequacy of paediatric surgical training received by practicing surgeons.
  • To identify areas for improvement in postgraduate paediatric surgical education.

Main Methods:

  • A postal questionnaire survey was distributed to general surgeons in South Africa and Namibia.
  • One hundred and eighty-one responses were collected, representing a 52% response rate.

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  • Data analysis focused on surgeon location, volume of paediatric surgical work, and training experiences.

    • Main Results:

    • Most surgeons are in major cities, but 18% practice in rural or large town settings.
    • Paediatric surgery constitutes a small portion of most surgeons' workload.
    • Nearly half of all surgeons, and 60% of those qualifying in the last decade, find their paediatric surgical training inadequate.

    Conclusions:

    • Current postgraduate paediatric surgical training, typically 3-6 months, is perceived as insufficient.
    • There is evidence of a decline in the quality of paediatric surgical training in recent years.
    • Urgent steps are needed to enhance and maintain standards in paediatric surgical training and practice.