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    Jan 27, 2021
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    South African General Surgeon Preparedness for Humanitarian Disasters

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    Chu et al 2019 South African ...
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    Authors
    Chu, KM
    Karjiker, P
    Naidu, P
    Kruger, D
    Taylor, A
    Trelles, M
    Dominguez, L
    Rayne, S
    Issue Date
    2018-12-06
    Submitted date
    2020-05-29
    
    Metadata
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    Journal
    World Journal of Surgery
    Abstract
    Background Humanitarian medical organizations provide surgical care for a broad range of conditions including general surgical (GS), obstetric and gynecologic (OBGYN), orthopedic (ORTHO), and urologic (URO) conditions in unstable contexts. The most common humanitarian operation is cesarean section. The objective of this study was to identify the proportion of South African general surgeons who had operative experience and current competency in GS, OBGYN, ORTHO, and URO humanitarian operations in order to evaluate their potential for working in humanitarian disasters. Methods This was a cross-sectional online survey of South African general surgeons administered from November 2017–July 2018. Rotations in OBGYN, ORTHO, and URO were quantified. Experience and competency in eighteen humanitarian operations were queried. Results There were 154 SA general surgeon participants. Prior to starting general surgery (GS) residency, 129 (83%) had OBGYN, 125 (81%) ORTHO, and 84 (54%) URO experience. Experience and competency in humanitarian procedures by specialty included: 96% experience and 95% competency for GS, 71% experience and 51% com- petency for OBGYN, 77% experience and 66% competency for ORTHO, and 86% experience and 81% competency for URO. 82% reported training, and 51% competency in cesarean section. Conclusions SA general surgeons are potentially well suited for humanitarian surgery. This study has shown that most SA general surgeons received training in OBGYN, ORTHO, and URO prior to residency and many maintain competence in the corresponding humanitarian operations. Other low- to middle-income countries may also have broad-based surgery training, and the potential for their surgeons to offer humanitarian assistance should be further investigated.
    Publisher
    Springer
    URI
    http://hdl.handle.net/10144/619632
    DOI
    10.1007/s00268-018-04881-0
    PubMed ID
    30523394
    Type
    Article
    Language
    en
    EISSN
    1432-2323
    ae974a485f413a2113503eed53cd6c53
    10.1007/s00268-018-04881-0
    Scopus Count
    Collections
    Surgery

    entitlement

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