Survey of ophthalmologists-in-training in Eastern, Central and Southern Africa: A regional focus on ophthalmic surgical education [version 1; peer review: awaiting peer review]

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dc.contributor.authorDean, William
dc.contributor.authorGichuhi, Stephen
dc.contributor.authorBuchan, John
dc.contributor.authorMatende, Ibrahim
dc.contributor.authorGraham, Ronnie
dc.contributor.authorKim, Min
dc.contributor.authorArunga, Simon
dc.contributor.authorMakupa, William
dc.contributor.authorCook, Colin
dc.contributor.authorVisser, Linda
dc.contributor.authorBurton, Matthew
dc.date.accessioned2023-03-26T19:38:42Z
dc.date.available2023-03-26T19:38:42Z
dc.date.issued2019
dc.description.abstractThere are 2.7 ophthalmologists per million population in sub-Saharan Africa, and a need to train more. We sought to analyse current surgical training practice and experience of ophthalmologists to inform planning of training in Eastern, Central and Southern Africa. Methods: This was a cross-sectional survey. Potential participants included all current trainee and recent graduate ophthalmologists in the Eastern, Central and Southern African region. A link to a web-based questionnaire was sent to all heads of eye departments and training programme directors of ophthalmology training institutions in Eastern, Central and Southern Africa, who forwarded to all their trainees and recent graduates. Main outcome measures were quantitative and qualitative survey responses. Results: Responses were obtained from 124 (52%) trainees in the region. Overall level of satisfaction with ophthalmology training programmes was rated as ‘somewhat satisfied’ or ‘very satisfied’ by 72%. Most frequent intended career choice was general ophthalmology, with >75% planning to work in their home country post-graduation. A quarter stated a desire to mainly work in private practice. Only 28% of junior (first and second year) trainees felt surgically confident in manual small incision cataract surgery (SICS); this increased to 84% among senior trainees and recent graduates. The median number of cataract surgeries performed by junior trainees was zero. 57% of senior trainees were confident in performing an anterior vitrectomy. Only 29% of senior trainees and 64% of recent graduates were confident in trabeculectomy. The mean number of cataract procedures performed by senior trainees was 84 SICS (median 58) and 101 phacoemulsification (median 0). Satisfaction Conclusion: with post-graduate ophthalmology training in the region was fair. Most junior trainees experience limited cataract surgical training in the first two years. Focused efforts on certain aspects of surgical education should be made to ensure adequate opportunities are offered earlier on in ophthalmology training.en_US
dc.identifier.citationDean, W., Gichuhi, S., Buchan, J., Matende, I., Graham, R., Kim, M., ... & Burton, M. Survey of ophthalmologists-in-training in Eastern, Central and Southern Africa: A regional focus on ophthalmic surgical. https://doi.org/10.12688/wellcomeopenres.15580.1en_US
dc.identifier.urihttps://doi.org/10.12688/wellcomeopenres.15580.1
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/8300
dc.language.isoenen_US
dc.publisherWellcome Open Researchen_US
dc.subjectOphthalmologyen_US
dc.subjectTrainingen_US
dc.subjectAfricaen_US
dc.titleSurvey of ophthalmologists-in-training in Eastern, Central and Southern Africa: A regional focus on ophthalmic surgical education [version 1; peer review: awaiting peer review]en_US
dc.typeArticleen_US
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