Table 1 Proportions of house and medical officers who experienced 10 or fewer cases during their surgical rotation
Conditions or procedures | Experienced ≤ 10 cases | |||
|---|---|---|---|---|
Overall (n = 310) | Trained at teaching hospitals (n = 145) | Trained at regional/other-level hospitals (n = 165) | p-value (Teaching vs. regional/other-level hospitals) | |
Pre and postoperative care | 93 (30.0%) | 51 (35.2%) | 42 (25.5%) | 0.062 |
The injured patient | 95 (30.6%) | 52 (35.9%) | 43 (26.1%) | 0.062 |
Blood transfusion | 99 (31.9%) | 50 (34.5%) | 49 (29.7%) | 0.367 |
Wounds | 102 (32.9%) | 61 (42.1%) | 41 (24.8%) | 0.001 |
Fracture management | 104 (33.5%) | 56 (38.6%) | 48 (29.1%) | 0.076 |
Acute abdomen | 115 (37.1%) | 62 (42.8%) | 53 (32.1%) | 0.053 |
Fluid and electrolyte therapy | 117 (37.7%) | 62 (42.8%) | 55 (33.3%) | 0.088 |
Preparation for and test for fitness for surgery | 119 (38.4%) | 65 (44.8%) | 54 (32.7%) | 0.029 |
Inguinoscrotal hernia | 119 (38.4%) | 71 (49.0%) | 48 (29.1%) | < 0.001 |
Application of Plaster of Paris | 120 (38.7%) | 66 (45.5%) | 54 (32.7%) | 0.021 |
Anaemia | 125 (40.3%) | 63 (43.4%) | 62 (37.6%) | 0.293 |
Head injuries | 134 (43.2%) | 67 (46.2%) | 67 (40.6%) | 0.321 |
Appendicitis | 136 (43.9%) | 84 (57.9%) | 52 (31.5%) | < 0.001 |
Intestinal obstruction | 139 (44.8%) | 71 (49.0%) | 68 (41.2%) | 0.171 |
Retention of urine, including BPH/prostate cancer and urethral stricture | 142 (45.8%) | 74 (51.0%) | 68 (41.2%) | 0.083 |
Diabetes and its complications | 167 (53.9%) | 95 (65.5%) | 72 (43.6%) | < 0.001 |
Breast cancer | 187 (60.3%) | 88 (60.7%) | 99 (60.0%) | 0.901 |
Haematuria | 192 (61.9%) | 97 (66.9%) | 95 (57.6%) | 0.092 |
Burns | 201 (64.8%) | 103 (71.0%) | 98 (59.4%) | 0.032 |
Peptic ulcer disease and complications | 201 (64.8%) | 99 (68.3%) | 102 (61.8%) | 0.235 |
Nutrition in surgery | 206 (66.5%) | 103 (71.0%) | 103 (62.4%) | 0.109 |
Gastrointestinal bleeding | 222 (71.6%) | 113 (77.9%) | 109 (66.1%) | 0.021 |
Shock | 225 (72.6%) | 115 (79.3%) | 110 (66.7%) | 0.013 |
Cancer chemotherapy/cancer therapy | 237 (76.5%) | 110 (75.9%) | 127 (77.0%) | 0.819 |
Typhoid | 242 (78.1%) | 109 (75.2%) | 133 (80.6%) | 0.249 |
Chest injuries | 246 (79.4%) | 111 (76.6%) | 135 (81.8%) | 0.253 |
Hand infections | 253 (81.6%) | 120 (82.8%) | 133 (80.6%) | 0.625 |
Jaundice | 259 (83.5%) | 121 (83.4%) | 138 (83.6%) | 0.964 |
Peripheral vascular disease | 259 (83.5%) | 128 (88.3%) | 131 (79.4%) | 0.035 |
Acute renal failure | 269 (86.8%) | 125 (86.2%) | 144 (87.3%) | 0.782 |
Gastric cancer | 285 (91.9%) | 131 (90.3%) | 154 (93.3%) | 0.335 |
Portal hypertension | 289 (93.2%) | 133 (91.7%) | 156 (94.5%) | 0.324 |
Colorectal cancer | 294 (94.8%) | 137 (94.5%) | 157 (95.2%) | 0.791 |
Liver tumours | 295 (95.2%) | 135 (93.1%) | 160 (97.0%) | 0.113 |