ORIGINAL: Evaluating Postgraduate Surgical Education Experience, Professional Satisfaction and Personal Well-Being: A Cross-Sectional Survey of Trainees in A Low-Middle Income Country in Sub-Saharan Africa.

West Afr J Med. 2021 Jan; 38(1): 75-79. PMID: 33463711

Authors

  • M. A. Tolani Department of Surgery, Ahmadu Bello University/Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State, Nigeria.
  • A. B-G. Isah Department of Surgery, Ahmadu Bello University/Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State, Nigeria.
  • M. S. Muhammad Department of Surgery, Federal Medical Center, Bida, Niger State, Nigeria.
  • N. M. Abubakar Department of Ophthalmology, Aminu Kano Teaching Hospital, Kano, Kano State, Nigeria.
  • A. A. Bello Department of Surgery, National Hospital, Abuja, Federal Capital Territory, Nigeria.
  • N. Mustapha Department of Radiology, Federal Medical Center, Gombe, Gombe State, Nigeria.
  • B. K. Hamza Department of Surgery, Kaduna State University/Barau Dikko Teaching Hospital, Kaduna, Kaduna State, Nigeria.
  • C. A. Agbo Department of Surgery, Dalhatu Araf Specialist Hospital, Lafia, Nasarawa State, Nigeria.

Keywords:

Surgical, residency, training, satisfaction, tertiary healthcare, workload, clinical competence, mentoring, developing countries

Abstract

Background: Education at the postgraduate level is important in grooming competent specialists in different fields of surgical care. This study aimed to evaluate the training experience, professional satisfaction, and personal well-being of postgraduate surgical residents in northern Nigeria.

Subjects, materials and methods: It was a cross-sectional survey of 157 medical doctors enrolled for a minimum of 6 months in surgical residency training in tertiary hospitals in the northern zone of the country. All participants filled a pre-tested questionnaire and their responses were analyzed using Statistical Package for the Social Sciences version 20.

Results: The respondents had a mean age of 34.4 ± 4.8 years. Thirty-two (20.5%) agreed that there was a balance between their training needs and rotation for clinical services. There was a marked disparity between the median time allocated for non-ward-based training activities (4.0 hours each per week) and the average time allocated for research activities (1.0 hours per week). Although 89 (57.4%) and 82 (53.3%) reported fair satisfaction in their professional role and private life respectively, a larger proportion expressed poor satisfaction with their participation in recreational (107 [68.6%]) and social activities (90 [58.4%]). One hundred and seventeen (74.5%) stated that a high level of stress was associated with their training.

Conclusions: The surgical residents experienced relatively more training on patient management than on research work. Although their educational experience was associated with a high level of stress in majority of them, most of the trainees expressed fair satisfaction with activities in their professional role and private life.

Published

2021-01-31