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South African Journal of Surgery
On-line version ISSN 2078-5151
Print version ISSN 0038-2361
S. Afr. j. surg. vol.48 n.2 Cape Town May. 2010
PAEDIATRIC SURGERY
The undergraduate paediatric surgery curriculum in Nigeria - how have we fared?
Francis A. UbaI; John Y. ChindaII; Lukman O. Abdur-RahamanIII; A. MohammadIV; Stella C. UbaV
IB.M. CH.B., F.M.C.S., F.W.A.C.S.; Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria
IIM.B. B.S., F.W.A.C.S.; Department of Surgery, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
IIIM.B. B.S., F.W.C.A.S.; Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria
IVM.B. B.S., F.W.A.C.S.; Department of Surgery, Aminu Kano Teaching Hospital/Bayero University, Kano, Nigeria
VR.N., R.M., Dip. (i.C.N.), B.Sc., P.G.D.E.; Department of Nursing, Jos University Teaching Hospital
ABSTRACT
BACKGROUND: In the Nigerian setting the curriculum of each medical school is the sole responsibility of the senate of the respective university. This arrangement results in variability in learning objectives and in students' acquisition of skills to manage clinical problems. Educational objectives can be used to both standardise and evaluate curricula. This study aimed to: (i) identify main objectives of paediatric surgery at the undergraduate level; (ii) establish students' knowledge with regard to these objectives; (iii) evaluate the input of both specialists and non-specialists to these objectives; and (iv) examine the status of undergraduate paediatric surgery instruction in our medical schools.
MATERIALS AND METHODS: This was a cross-sectional survey of students, teachers and undergraduate deans with regard to undergraduate paediatric surgery teaching. The cognitive and perceived level of knowledge about common paediatric surgical conditions of 4th- and 6th-year medical students in four randomly selected Nigerian universities was surveyed using educational objectives. The same objectives were used to survey 26 paediatric surgeons, 46 senior house officers and 46 general surgeons. Undergraduate paediatric surgery curricula, obtained from the offices of the deans of the four medical schools, were also reviewed. Data were analysed using descriptive methods and one-way analysis of variance (ANOVA).
RESULTS: The 6th-year students' and house officers' perceived knowledge of the objectives was remarkably similar. Overall, students' familiarity scores increased from the 4th to the 6th year (p<0.05), but fell short of the expected proficiency levels in the 6th year.
The general surgeons and paediatric surgeons expressed similar expectations. Thirty items on the objectives were considered to be essential (mean score >2.0) and 8 items to be non-essential (mean score <1.5) by paediatric surgeons, whereas the general surgeons regarded 27 items to be essential (mean score >2.0) and 11 to be non-essential (mean score <1.5).
Data from the deans' offices varied, but indicated limited exposure to paediatric surgery in the undergraduate curriculum in 2 (50%) of the 4 institutions.
CONCLUSION: The study clarified the relationship between the expected and perceived students' knowledge of these objectives, and identified areas requiring specific attention. These results, and perhaps similar ones in future, can be used towards establishing a unified, standardised undergraduate paediatric surgery curriculum.
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REFERENCES
1. Karp MP, Hassett JM, Doerr RJ, et al. The role of pediatric surgery in the medical school curriculum. J Pediatr Surg 1989; 24: 39-41. [ Links ]
2. Spratt JS, Papp KK. Practicing primary care physicians' perspectives on the junior surgical clerkship. Paper presented at the 16th Annual Meeting of the Association for Surgical Education, Lexington, KY, April 1996. [ Links ]
3. Lawrence PF, Alexander RH, Bell RM, et al. Determining the content of a surgical curriculum. Surgery 1983; 94: 309-317. [ Links ]
4. ASE Committee on Curriculum. Manual of Surgical Objectives. 3rd ed. Association for Surgical Education, 1990. [ Links ]
5. Snow N, Imbembo AL. Thoracic surgical content of an undergraduate surgical curriculum. Surgery 1986; 100: 83-88. [ Links ]
6. Ganzel TM, Martinez SA. Are we teaching medical students what they need to know? Otolaryngol Head Neck Surg 1989; 100: 339-344. [ Links ]
7. Prater MA, Smith DJ jr. Determining undergraduate curriculum content in plastic surgery. Plast Reconstr Surg 1989; 84: 529-533. [ Links ]
8. Poenaru D, Woo M. Undergraduate pediatric surgery objectives: goal and reality. J Pediatr Surg 1998; 33(6): 852-855. [ Links ]
9. Postuma R. The pediatric general surgery undergraduate medical curriculum: What should medical students learn? J Pediatr Surg 1987; 22: 746749. [ Links ]
10. Committee on Curriculum. Manual of Surgical Objectives for Medical Students. 3rd ed. Association for Surgical Education, 1990. [ Links ]
11. Medical Council of Canada. Objectives for the Qualifying Examination. Ottawa: Medical Council of Canada, 1992. [ Links ]
12. Helikson MA, Wolfson PJ. Pediatric Surgery: Surgical diseases of children. In: Lawrence PF, Bell RM, Dayton MT, eds. Essentials of Surgical Specialties. Baltimore, MD: Williams & Wilkins, 1993: 49-87. [ Links ]
13. Ajayi OO, Adebamowo CA. Surgery in Nigeria. Arch Surg 1999; 134:06211. [ Links ]
14. Guidelines on Minimum Standards of Medical Education. Lagos: Medical and Dental Council of Nigeria, 1984. [ Links ]