Subspecialisation in anaesthesia amongst anaesthesiology residents in Port Harcourt, Nigeria.

Buowari DY1*, Ebirim LN2
1Department of Accident and Emergency, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
2Department of Anaesthesiology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
*Correspondence: Dr. Dabota Yvonne Buowari; +234 803 732 4401; dabotabuowari@yahoo.com

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Abstract

Background: There are few anaesthesiologists in Nigeria and fewer anaesthesia subspecialists to serve the general population. Some Nigerian hospitals employ anesthesiology residents who have not yet attempted or passed the required entry primary examination of any of the Postgraduate Medical Colleges. Recently, sub-specialization in anaesthesia is done overseas hence the financial burden for the Nigerian anaesthesiologists.
Materials and Methods: This was a cross-sectional survey of the choice of anaesthesia subspecialty among anesthesiology residents in Port Harcourt, Rivers State. A semi-structured 19-item questionnaire divided into four sections was used for the survey.
Results: Thirty-six anaesthesiology trainees in various levels of training participated in the study. 69.4% were between 30 -39 years old. 16.7% practiced anaesthesia before commencing residency. While 83.3% did not. 5.6% did not study anaesthesia in medical school. All the respondents will like to sub-specialize in anaesthesia. 13.16% have written the primary examination in another department of a postgraduate medical college besides anaesthesia. 2.63% chose anaesthesia because they did not pass the primary examination of their dream specialty while 5.26% did not get a place for residency in their dream specialty. Regarding the choice of anaesthesia subspecialty, Critical care was chosen by 58.3%, pain medicine and regional anaesthesia 8.3%, obstetric anaesthesia 11.1%, paediatric anaesthesia 5.6%, cardiothoracic anaesthesia 8.3% and ambulatory anaesthesia 5.6%. 47.2% of respondents will prefer a sub-specialty with training available in Nigeria.
Conclusion: There is a need for sub-specialization in anaesthesia in Nigeria as from the results of the study most residents will want to subspecialise in the speciality but the training is not available in the country. Anaesthesia subspecialists should work with the relevant authorities to establish training centres in Nigeria.

Keywords: Anaesthesiologist, Anaesthesiology Residents, Subspecialisation, Training

Cite this article: Buowari DY, Ebirim LN, Subspecialisation in anaesthesia amongst anaesthesiology residents in Port Harcourt, Nigeria. Yen Med J. 2021;3(4):205–211.

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