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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 21, No. 1, 2016, pp. 24-35
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Bioline Code: js16003
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 21, No. 1, 2016, pp. 24-35
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Utilizing the American Board of Surgery In-Training Exam in a Rwandan Surgical Residency program: Alignment of Exam Topics with the University of Rwanda General Surgery Curriculum
Rickard, J; Ntirenganya, F.; Kyamanywa, P. & Ntakiyiruta, G.
Abstract
Background: University of Rwanda (UR) increased postgraduate surgery training
and assessment strategies are needed. We compared American Board of Surgery
In-Training Exam (ABSITE) topics with UR surgery curriculum to determine the
applicability of ABSITE in Rwanda.
Methods: Topics are outlined in the Surgical Council on Resident Education (SCORE)
curriculum whereas the UR utilizes a modular system. Diseases and conditions in
SCORE were compared with UR surgery module content. Operation and procedures
in SCORE were compared with operative procedures in UR surgery curriculum.
Results: Overall, 72% of diseases and conditions from SCORE were covered in UR
curriculum. Of this, 76% of medical knowledge and 71% of patient care content was
covered in UR curriculum. 41% of operations and procedures from SCORE were
identified in UR curriculum. 55% of core operations and 16% of advanced
operations from SCORE were included in UR general surgery curriculum. Content
identified in UR curriculum and not SCORE included infectious and tropical diseases,
orthopedics, urology and neurosurgery.
Conclusions: There is alignment between ABSITE topics and UR general surgery
curriculum suggesting that the ABSITE can be used as an in-training examination
for Rwandan residents. Understanding the limitations of the ABSITE exam can help
utilization of this examination.
Keywords
internship and residency; curriculum; Rwanda; global health
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