Appraisal of General Surgical Admissions and Procedures, Influencing Training of Post Graduate Residents at Newly Developed Tertiary Care Teaching Hospital-Karachi

Authors

  • Imrana zulfikar , Civil Hospital and Dow University of Health Sciences, Karachi, Pakistan.
  • Farhana Zaheer Civil Hospital and Dow University of Health Sciences, Karachi, Pakistan.
  • Abdul Khaliq Dow International Medical College, Dow University of Health Sciences, Karachi, Pakistan..
  • Farhat Jaleel Dow International Medical College, Dow University of Health Sciences, Karachi, Pakistan..

Keywords:

Surgical Admissions and Procedures, Post Graduate Training, Tertiary Care Teaching Hospital, Elective Admissions, Emergency Admissions

Abstract

Objective: To assess the pattern of surgical admissions and procedures which influence for the training of post graduate residents at a newly developed tertiary care teaching hospital of Karachi.
Study Design: Descriptive Cross sectional
Place and Duration of Study: This study was conducted in the Department of Surgery; Dow University Hospital affiliated with Dow International Medical College, Ojha Campus Dow University of Health Sciences from 1st June to 30th November 2013.
Materials and Methods: This study includes all general surgical admissions at Dow University hospital during six months period. Demographic data, mode of admission, diagnosis, procedure performed and hospital stay were collected from hospital records. Data was analysed with SPSS 17.
Results: There were total 306 surgical admissions recorded of which 194 (63.4%) were elective admissions and 112 (36.6%) were admitted through emergency. There were 160 (52.3%) female and 146 (47.7%) male patients with mean age of 41.3 ± 15.01 years. Mean hospital stay was 2.7(±2.6) days. The most common diagnosis in elective admissions was cholelithiasis in 70 (36%) patients followed by 26 (13%) patients of inguinal hernia. Less frequent admissions were of carcinoma breast (3%), thyroid disease, testicular carcinoma and gynaecomastia comprising of 1% admissions. Admissions through emergency were most common for
acute appendicitis / lump in 31 (27%) patients, acute cholecystitis in 25 (22%), and acute pancreatitis in 12 (10.7%) patients. Commonest procedures performed were laparoscopic cholecystectomy in 70 (27%) patients followed by hernia repair in 42 (16.4%) and emergency laparotomy in 20 (8%) patients.

 

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References

Bell Jr. RH. Graduate education in general surgery and its related specialties and subspecialties in the United States. World J Surg 2008; 32:2178-84.

Blencowe NS, Parsons BA, Hollowood AD. Effects of changing work patterns on general surgical training over the last decade. Post Grad Med J. 2011; 87:795-9.

Sorosky JI, Anderson B. Surgical experiences and training of residents: Perspective of experienced gynecologic oncologists. Gynecl Oncol 1999; 75:222-3.

Collins JP, Civil ID, Sugrue M, Balogh Z, Chehade MJ. Surgical education and training in Australia and New Zealand. ANZ J Surg 2008; 32:2138-44.5. Collins JP, Ian R. Gough An academy of surgical educators: sustaining education – enhancing innovation and scholarship. ANZ J Surg 2010; 80:13-7.

Collins JP. A new surgical education and training programme. ANZ J Surg 2007; 77:497-501.

Ayelin P, Williams S, Jarman B, Bottle A. Trends in day surgery rates. BMJ 2005; 331:803.

Kizer KW. The volume-outcome conundrum. N Engl J Med 2003; 349:2159-61.

Goodney PP, Stuke lT, Lucas FL, Finlayson EV, Birkmeyer JD. Hospital volume, length of stay and readmission rates in high risk surgery. Ann Surg 2003; 238:161-7.

Jawaid M, Masood Z, Iqbal S, Sultan T. The pattern of diseases in a surgical unit at a tertiary care public hospital of Karachi. Pak J Med Sci 2004; 20:311-4.

Manzar S. Inguinal Hernias-Incidence, complication and management. J Coll Physician Surg Pak

; 2:7-9.

Alam SN, Rehman S, Raza SM, Manzir S. Audit of general surgical unit: Need for self evaluation. Pak J Surg 2007; 23:141-4.

Surgical Council on Resident Education (SCORE). [cited: 2014 November 3] Available from URL: http://www.surgicalcore.org/

Kaur V, Harrison E. The eSTEP™ Website: A Good Model for Online Surgical Training? Annals Royal Coll of Surg Eng 2008; 90:447.

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Published

2015-12-28

How to Cite

zulfikar, I., Zaheer, F., Khaliq, A., & Jaleel, F. (2015). Appraisal of General Surgical Admissions and Procedures, Influencing Training of Post Graduate Residents at Newly Developed Tertiary Care Teaching Hospital-Karachi. Journal of the Dow University of Health Sciences (JDUHS), 9(3), 112–116. Retrieved from https://jduhs.jduhs.duhs.edu.pk/index.php/jduhs/article/view/1435

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Original Articles