Select Page

The outcome of acute appendicitis in a tertiary referral centre

The outcome of acute appendicitis in a tertiary referral centre

 

Acute appendicitis remains a serious and very common surgical condition.  Patients from our referral base tend to present late, with advanced and complicated appendicitis.  This cohort provides an excellent marker of the quality of service at an institution.  This research project describes the cohort and the key performance indicators in their management.  It forms part of a master’s degree dissertation.

Other KRG projects are listed below

No Results Found

The page you requested could not be found. Try refining your search, or use the navigation above to locate the post.

Acute appendicitis remains a serious and very common surgical condition.  Patients from our referral base tend to present late, with advanced and complicated appendicitis.  This cohort provides an excellent marker of the quality of service at an institution.  This research project describes the cohort and the key performance indicators in their management.  It forms part of a master’s degree dissertation.

Recurrent Upper GI Bleeding

Recurrent Upper GI Bleeding

The Acute Care Surgery Unit is responsible for the management of all suspected acute upper GI bleeds.  In this project we aim to identify all patients initially confirmed to be bleeding from a peptic ulcer.  We will then compare the group of patients who rebleed within the first week after index endoscopy to those that do not.

The results may help us identifying those at risk.

Age difference

Age difference

No Results Found

The page you requested could not be found. Try refining your search, or use the navigation above to locate the post.

The Elderly in Acute Care Surgery

The Elderly in Acute Care Surgery

The average life expectancy is South Africa is less than 65 years (World Bank®). A subset of our patients in Acute Care Surgery are older than 65, though.
In this research project we aim to identify the differences in perioperative parameters and outcomes comparing this cohort with a matched random selection of younger patients.
Identifying such differences may help us optimize our care for this group.

The age distribution in Acute Care Surgery patients

The age distribution in Acute Care Surgery patients.

No Results Found

The page you requested could not be found. Try refining your search, or use the navigation above to locate the post.

Surgeons and surgical services in South Africa

Surgeons and surgical services in South Africa

One of our surgical registrars (residents) is also completing a PhD on the topic of surgeon and surgical services in South Africa.  There is no central repository of data pertaining the either the surgical needs nor the surgical services or surgical human resources of South Africa.  This leaves us unable to plan for either service delivery or for future training.

South Africa has a very low number of physicians per 1,000 of our population. The graph below indicates the problem comparing us to similar developing countries, but also to the developed nations. Hover over elements in the graph with your mouse pointer for more information.

Number of physicians per 1000 people

 

The KRG assisted in preparing research questions and in the data analysis and we all look forward to the completion of this dissertation.

Other KRG projects are listed below

No Results Found

The page you requested could not be found. Try refining your search, or use the navigation above to locate the post.

South African surgical registrar perceptions of the research project component of training: Hope for the future?

South African surgical registrar perceptions of the research project component of training: Hope for the future?

In the February issue of the South African Medical Journal I published a paper on the perceptions that South African registrars (residents) have regarding the research component of their training.  You can read the paper here.

Background. The Health Professions Council of South Africa requires that a research project be submitted and passed before registration as a specialist.

Objective. To describe surgical registrars’ perceptions of the compulsory research project.

Method. Ethics clearance was received before commencing the study. A questionnaire was developed to collect feedback from surgical registrars throughout South Africa (SA). Completed questionnaires underwent descriptive analysis using MS Excel. Fisher’s exact test and the χ2 test were used to compare perceptions of the research-experienced and research-naive groups.

Results. All medical schools in SA were sampled, and 51.5% (124/241) of surgical registrars completed the questionnaire. Challenges facing registrars included insufficient time (109/124), inadequate training in the research process (40/124), inadequate supervision (31/124), inadequate financial resources (25/124) and lack of research continuity (11/124). Of the registrars sampled, 67.7% (84/124) believed research to be a valuable component of training. An overwhelming percentage (93.5%, 116/124) proposed a dedicated research block of time as a potential solution to overcoming the challenges encountered. Further proposals included attending a course in research methodology (79/124), supervision by a faculty member with an MMed or higher postgraduate degree (73/124), and greater research exposure as an undergraduate (56/124). No statistically significant differences were found between the perceptions of the research-experienced and research-naive groups.

Conclusion. Challenges facing surgical registrars in their efforts to complete their research projects were identified and solutions to these problems proposed. It is heartening that respondents have suggested solutions to the problems they encounter, and view research as an important component of their careers.

Other KRG projects are listed below