Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
Surgical trainee supervision during non-trauma emergency laparotomy in Rwanda and South Africa
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....
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Division of General Surgery
2022
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867613235112312832 |
|---|---|
| access_status_str | Open Access |
| author | Pohl, Linda M |
| author2 | Chu, Kathryn |
| author_browse | Chu, Kathryn Pohl, Linda M |
| author_facet | Chu, Kathryn Pohl, Linda M |
| author_sort | Pohl, Linda M |
| collection | Thesis |
| description | 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. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/36008 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:32:54.720Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Division of General Surgery |
| publisherStr | Division of General Surgery |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/36008 Surgical trainee supervision during non-trauma emergency laparotomy in Rwanda and South Africa Pohl, Linda M Chu, Kathryn surgery training education supervision laparotomy Africa 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. 2022-03-09T15:51:20Z 2022-03-09T15:51:20Z 2021 2022-03-09T15:50:44Z Master Thesis Masters MMed http://hdl.handle.net/11427/36008 eng application/pdf Division of General Surgery Faculty of Health Sciences |
| spellingShingle | surgery training education supervision laparotomy Africa Pohl, Linda M Surgical trainee supervision during non-trauma emergency laparotomy in Rwanda and South Africa |
| thesis_degree_str | Master's |
| title | Surgical trainee supervision during non-trauma emergency laparotomy in Rwanda and South Africa |
| title_full | Surgical trainee supervision during non-trauma emergency laparotomy in Rwanda and South Africa |
| title_fullStr | Surgical trainee supervision during non-trauma emergency laparotomy in Rwanda and South Africa |
| title_full_unstemmed | Surgical trainee supervision during non-trauma emergency laparotomy in Rwanda and South Africa |
| title_short | Surgical trainee supervision during non-trauma emergency laparotomy in Rwanda and South Africa |
| title_sort | surgical trainee supervision during non trauma emergency laparotomy in rwanda and south africa |
| topic | surgery training education supervision laparotomy Africa |
| url | http://hdl.handle.net/11427/36008 |
| work_keys_str_mv | AT pohllindam surgicaltraineesupervisionduringnontraumaemergencylaparotomyinrwandaandsouthafrica |