The effect of the undergraduate curriculum and intern rotation in anaesthesiology in making a career choice by interns at King Edward VIII Hospital, Durban in 2009.
Introduction South Africa has a shortage of anaesthesiologists. This is worse elsewhere in Africa. With the Anaesthesiologist’s scope of practice becoming wider, the current shortage of trained anaesthesiologists is exacerbated. Exposure is limited during undergraduate training and internship, decreasing the chances of recruitment into the specialty. However, intern training in anesthesiology has increased from 2 weeks to 2 months. This may enable interns to make an informed career choice and improve recruitment. Aim To determine the perceptions recent medical graduates have of Anaesthesiology and whether exposure during internship helps in making a career choice. Methods This observational, analytic cohort study was done at King Edward VIII hospital from July 2009 – June 2010. Interns completed a structured questionnaire before and after completion of the anaesthesiology rotation. The analytical component compared pre and post rotation responses to selected questions. Results Of the 32 interns participating pre-rotation, majority were female (26), Asian (22) and UKZN graduates (12). Five were lost to follow-up. Anaesthesiology was one of top 3 career choices by 12 (3 of 13 1st year; 9 of 19 2nd year interns). After the rotation this increased to 16. There was a trend to older interns choosing Anaesthesiology. A significant factor in making a career choice was limited exposure to HIV. This was not reproduced in the post-rotation questionnaire. In both questionnaires factors more likely to influence career choice were: positive patient outcomes, satisfaction from immediate results seen, intellectual content, hours/working conditions and no ward round or clinics. Discussion There is a growing female predominance in the medical workforce and lifestyle factors are becoming more important in specialty selection. The factors that least influenced career choice were related to knowledge of Anaesthesiology and the role of the Anaesthesiologist prior to entering medical school and during undergraduate training. This implies that there is very limited knowledge in the general public and amongst medical students. Recommendations The study should be repeated at multiple sites with more participants. There should be a drive to have more time in Anaesthesiology during internship and in the undergraduate curriculum. Public perception of Anaesthesiology needs to be improved.
Showing items related by title, author, creator and subject.
An evaluation and assessment of ship repair opportunities for South Africa using the Port of Durban as a case study in an attempt to develop a framework plan for the ship repair industry in the Port of Durban. Jonkers, George Brian. (2003)Over the last couple of years the ship repair industry in South Africa and in particular Durban has expanded significantly and the potential and opportunities for growth are still significant. This should be regarded ...
Shifting spaces in the 'new South Africa' : site-specific performance as an intercultural exploration of sites, using as examples Jay Pather's Cityscapes, Durban (2002) and Home, Durban (2003) Craighead, Clare. (2006)This dissertation aims to investigate an extended notion of site within site-specific dance theatre. Using multiple theoretical frameworks, which include second wave feminism and its recognition of the body as a site of/for ...
A study of the decentralised business nodes of the post-apartheid city of Durban : toward a new business district as part of the greater Durban business system. Timm, Jeffrey. (2011)This dissertation revolves around the topic of office decentralisation. The literature review chapter first discusses a systems approach to planning, and how it is the relationships between the objects within a system ...