Assessment of Operative Experience of General Surgery Residents of Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

Abstract

Background: The Zwisch Score is a recognized tool for objectively assessing resident competency, particularly in measuring faculty guidance. However, there hasn't been a study in Ethiopia yet to assess surgical residents' operative experience using this standardized objective method. Objective: To assess the operative experience of general surgery residents’ using Zwish score in Yekatit 12Hospital Medical College. Methods: A cross-sectional study design was employed, involving all general surgery residents enrolled in the residency program at Yekatit 12 Hospital Medical College from January 2020 to January 2023. Primary data collection utilized online shared questionnaires, with data entry and analysis conducted using SPSS. Result: In Yekatit 12Hospital Medical College, there are 18 Surgeons and 44 surgery residents. Senior residents tend to give junior residents scores of show and tell (33.3% for year 1, 50% for year 2), while year 1 residents most commonly rate themselves as providing active help (18.4%), and year 2 residents rate themselves as show and tell (59.3%). When comparing senior residents' scores with their own, seniors commonly rate themselves as providing passive help (30% for year 3, 65.4% for year 4), and residents rate themselves similarly (31% for year 3, 62.1% for year 4). Conclusion: There are variations between scores given by junior residents and seniors, but senior residents' self-assessments align closely with those of the seniors. This suggests that residents tend to accurately evaluate their skills as they progress through their residency.