Attitude of Final Year Medical Students and House Officers to Otorhinolaryngology Surgery Training

Main Article Content

Ibekwe Matilda Uju

Abstract

Background: A good proportion of medical students and house officers will consider specialization in different aspects of medicine following graduation. However, there are still individuals who at this stage are undecided both in the question of specialization as well as on what area to pursue a career in. In a developing and resource poor country such as our environment where the doctor-patient ratio is very poor, proper distribution of physicians to meet the health demands of the people becomes of utmost importance.

Study Design: A descriptive questionnaire based study.

Place and Duration: Department of otorhinolaryngology surgery university of Port Harcourt Teaching Hospital between January 2019 and March 2019.

Methodology: We distributed semi structured self- administered questionnaire to all the final year medical students and the house officers of university of port Harcourt and university of port Harcourt teaching hospital. Only the house officers that did rotation in the ORL surgery department and final year medical students that gave their consent were recruited into the study. Those that did not do a rotation in ORL among the house officers and those that did not give consent were excluded. The data obtained was analyzed using SPSS version 20.0 and results presented in simple statistical tables.

Results: In this study there was a recovery rate of 82.4% with 70 respondents, 45 males and 25 females with a ratio of 1.8:1. Age range was 20 to 39 years. The age range 25-29 (58.57%) was the highest and least in age 35-39(4.29%). The final year medical students constituted 57.14% of the study population, 60% (n=42) did not want to specialize; only about 31.43% will like to specialize. while57.14% rated their clinic exposure as excellent, most rated the trainer`s method mainly average.   Most; 74.3% will not choose ORL, 14.3% were undecided and only 11.4% will like to specialize in ORL.  Main reason for this choice is exposure during clinical rotation and mentorship.

Conclusion: The interest in ORL among medical trainees is poor. Among those interested, exposure during clinical rotation is paramount. Dedication and innovative ideas on the part of teachers and mentors may arouse the interest in this specialty.

Keywords:
Otorhinolaryngology, training, specialization, medical students

Article Details

How to Cite
Uju, I. (2019). Attitude of Final Year Medical Students and House Officers to Otorhinolaryngology Surgery Training. Asian Journal of Medicine and Health, 15(4), 1-8. https://doi.org/10.9734/ajmah/2019/v15i430129
Section
Original Research Article

References

McManus IC, Lefford F, Furnham AF, Shahidi S, Pincus T. Career preference and personality difference in medical school applicants. Psychol Health Med.1996;1:235-248.

Sierles FS, Taylor MA. Decline of United States medical student career choice of psychiatry and what to do about it. Am J Pschiatry. 1995;152:1416-1426.

World Health Organization. Global Health Workforce Statistics. Update. Geneva: World Health Organization; 2013.

The World Bank. Working for a world free of poverty. Physicians (per 1000) Data. Available:http://www.data.worldbank.org/indicator/SP.RUR.TOTL.ZS.
(Accessed 30th September 2016)

Medical and Dental council of Nigeria. Accredited medical schools, medical and dental schools in Nigeria.
Available:https://www.mdcn.gov.ng/page/accredited.medical-schools
(Accessed 30th September 2016.

Asuzu MC. Millenium development goals. Nigeria now and beyond. The Isaac Ladipo Oluwole memorial lecture. For public health doctors in Nigeria. Delivered at Makurdi, Nigeria; 2015. (Google scholar).

Khader Y, Al-Zoubi D, Amarin Z, Alkafagei A, Khasawneh M, Bargar S et al. Factors affecting medical students in formulating their specialty preference in Jordan . BMC Med Educ. 2008;8:32.

Avegerinos ED, Msaouel P, Koussidis GA, Keramaris NC, Bessas Z, Gourgoulianis K. Greek medical students` career choices indicate strong tendency towards specialization and training abroad. Health Policy. 2006;79:101-106.

Fagan JJ, Jacobs M. Survey of ENT services in Africa: Need for a comprehensive intervention. Glob Health Action. 2009;2:1932-1939.

Sharaf FK. Qassim medical graduates: Factors influencing choice of medical specialty. Ann Aluds Med. 2015; 11:17-26.

Ohaeri JU, Akinyinka OO, Asuzu MC. The specialty choice of clinical year students at the Ibadan medical school. Afr J Med Med Sci. 1993;21(2):101-108.

Ossai EN, Uwakwe KA, Anyanwagu UC, Ibiok NC, Azuogu BN, Ekeke N. Specialty preferences among final year medical students in medical schools of southeast Nigeria: Need for career guidance. BMC Med Educ. 2016;16:259.

Adoga SA, Ma`an ND, Adekwu A, Kodiya AM, Nwaorgu OB, Ozoilo KN. Otorhino-laryngology postgraduate training in Nigeria: Trainees perspective. J Health Res Rev. 2018;5:48-56.

Rosenberg TL, Kelley K, Dowdall JR, Replogle WH, Liu JC, Raol NP, et al. section for residents and fellows-in-training survey results. Otolaryngol Head Neck Surg. 2013;148:582-588.

Association of American Medical Colleges. More women than men enrolled in U.S. medical schools in 2017.
Available:https://news.aamc.org >article>app
(Accessed on Dec 18 2017)

Azu OO, Naidu E, Naidu J. Choice of specialty amongst first year medical students in the Nelson R Mandela School of medicine, university of KwaZulu- Natal. Afr J Prim Healthcare Fam Med. 2013;5:1.

Mwachaka PM, Mbugua ET. Specialty preferences among medical students in a Kenyan university. Pan Afr Med J. 2010; 5:8.

Bittaye M, Odukogbe AT, Nyan o, Jallow B, Onigbodun AO. Medical students` choices of specialty in The Gambia: The need for career counselling. BMC Med Educ. 2012;12:80.

Weissman C, Zisk-Rony RY, Schroeder JE, Weiss YG, Avidan A, Elchalal U et al. Medical specialty considerations by medical students early in their clinical experience. Isr J Health Policy Res. 2012; 1:13-22.

Egbi OG, Unuigbe EI. Choice of medical specialties among final year medical students in two universities in south-south Nigeria. West Afr J Med. 2014;33(1):44- 50.

West African college of surgeons. Pass list for part 2 fellowship examination; 2017.
Available:https://www.wacscoac.org/download
(Accessed on 19 July 2019)

West African college of physicians. WACP 2017 October exam results-Part 2. West African College of Physicians.
Available: https://wac-physicians.org
(Accessed on 19 July 2019)

National postgraduate medical college. Pass list for part 2 fellowship examination; 2017.
Available:https://npmcn.edu.ng>pass-list (Accessed on 19 July 2019)

Ogbonnaya LU, Agu AP, Nwonwu EU, Ogbonnaya CE. Specialty choice of residents in the university of Nigeria hospital, Enugu 1989-1999. Orient J Med. 2004;16(3-4):7-12.

Mulwafa W, Ensink R, Kuper H, Fagan J. Survey of ENT services in Sub-Saharan Africa: Little progress between 2009 and 2015. Glob Health Action. 2017;10:1-7.

Burch VC, McKinley D, Van Wyk J, Kiguli-Walube S, Cameron D, Gilliers FJ et al. Career intentions of medical students trained in six sub-Saharan African countries. BMC Educ Health. 2011;24:3.

Wadhwa V, Nagy P, Chhabra A, Lee CS. How effective are your mentoring relationships? Mentoring quiz for residents. Curr Probl Diagn Radiol. 2017;46:3-5.