Choice of Future Location of Surgical Practice: A Survey of Surgical Trainees in Nigeria and Implications for Timely Access to Surgical Care

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dc.contributor.authorSeyi-olajide, J. O.
dc.contributor.authorAmeh, E. A.
dc.contributor.authorOlajide, T. O.
dc.contributor.authorAwofeso, O.
dc.date.accessioned2022-01-10T09:25:46Z
dc.date.available2022-01-10T09:25:46Z
dc.date.issued2019-06-20
dc.descriptionScholarly articlesen_US
dc.description.abstractBackground There is inequity and maldistribution of the surgical workforce in Nigeria. Most specialists practice in second- and third-level hospitals often located in urban or semi-urban areas. A knowledge of the proposed choice of practice location of surgical trainees and the factors that influence the choice could provide insight into future surgical coverage and help in planning and policy-making. Methods This is a cross-sectional survey of surgical trainees attending the mandatory integrated revision and update course of the West African College of Surgeons. Anonymous structured questionnaires were self-administered to 200 trainees, of which 143 completed the questionnaires. Results The response rate was 71.5%. One hundred and six (74.1%) trainees preferred to work in a tertiary hospital on completion of training, 13 (9.1%) were in a Private Hospital, and 16 (11.2%) were undecided. Nearly all tertiary hospitals are in urban or semi-urban towns. The commonest factors influencing choice of practice location were proximity to family 19 (13.3%), proximity to hometown 11 (7.6%), availability of working facilities 10 (6.9%), income 7 (4.9%) and underserved areas 7 (4.9%). Of 122 (85.3%) trainees who agreed to work for some period each year (ranging from 1 week to 6 months) in a rural setting, 42 (29.3%) would do it without additional financial incentive. Conclusion The choice of most surgical trainees not to work in a rural setting as specialists would exacerbate the ongoing surgical workforce maldistribution and inequity in Nigeria. However, the willingness of 85.3% to provide periodic rural surgical coverage could be leveraged in planning of initiatives to address the maldistribution.en_US
dc.identifier.citationSeyi-Olajide JO, Ameh EA, Olajide TO, Awofeso O. Choice of Future Location of Surgical Practice: A Survey of Surgical Trainees in Nigeria and Implications for Timely Access to Surgical Care. World J Surg 2019;43(10):2351-6en_US
dc.identifier.otherDOI:10.1007/s00268-019-05066-z
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/10054
dc.language.isoenen_US
dc.publisherWorld Journal of Surgeryen_US
dc.subjectsurgical trainees, surgical, surgical workforceen_US
dc.subjectSurgical traineesen_US
dc.subjectSurgical workforceen_US
dc.subjectNigeriaen_US
dc.subjectSemi-urban areasen_US
dc.subjectResearch Subject Categories::MEDICINE::Surgeryen_US
dc.titleChoice of Future Location of Surgical Practice: A Survey of Surgical Trainees in Nigeria and Implications for Timely Access to Surgical Careen_US
dc.typeArticleen_US
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