Surgical Trainee Supervision During Non-Trauma Emergency Laparotomy in Rwanda and South Africa

Linda Pohl; Megan Naidoo; Jennifer Rickard; Egide Abahuje; Nazmie Kariem; Surita Engelbrecht; Christo Kloppers; Isaie Sibomana; Kathryn Chu

doi:10.1016/j.jsurg.2021.05.013

Surgical Trainee Supervision During Non-Trauma Emergency Laparotomy in Rwanda and South Africa

Linda Pohl, Megan Naidoo, Jennifer Rickard, Egide Abahuje, Nazmie Kariem, Surita Engelbrecht, Christo Kloppers, Isaie Sibomana, Kathryn Chu

Surgery

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

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 3 teaching hospitals in South Africa and Rwanda over a 1-year period from September 1, 2017 to August 31, 2018. The study included 543 NTEL operations performed by the acute care and general surgery services on adults over the age of 18 years. RESULTS: Surgical trainees led 3-quarters of NTEL operations and, of these, 72% were performed autonomously in Rwanda and South Africa. 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.

Original language	English (US)
Pages (from-to)	1985-1992
Number of pages	8
Journal	Journal of surgical education
Volume	78
Issue number	6
DOIs	https://doi.org/10.1016/j.jsurg.2021.05.013
State	Published - Nov 1 2021

Bibliographical note

Funding Information:
This work was supported by the University of Cape Town International Collaborative Research Project Grant.

Publisher Copyright:
© 2021 Association of Program Directors in Surgery

Keywords

Africa
Education
Laparotomy
Supervision
Surgery
Training

PubMed: MeSH publication types

Journal Article
Observational Study
Research Support, Non-U.S. Gov't

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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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 3 teaching hospitals in South Africa and Rwanda over a 1-year period from September 1, 2017 to August 31, 2018. The study included 543 NTEL operations performed by the acute care and general surgery services on adults over the age of 18 years. RESULTS: Surgical trainees led 3-quarters of NTEL operations and, of these, 72% were performed autonomously in Rwanda and South Africa. 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.",

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AU - Engelbrecht, Surita

AU - Kloppers, Christo

AU - Sibomana, Isaie

AU - Chu, Kathryn

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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 3 teaching hospitals in South Africa and Rwanda over a 1-year period from September 1, 2017 to August 31, 2018. The study included 543 NTEL operations performed by the acute care and general surgery services on adults over the age of 18 years. RESULTS: Surgical trainees led 3-quarters of NTEL operations and, of these, 72% were performed autonomously in Rwanda and South Africa. 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.

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Surgical Trainee Supervision During Non-Trauma Emergency Laparotomy in Rwanda and South Africa

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

UN SDGs

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