Jurnal Internasional Afrika vol. 11 issue 1 2021
African Journal of Emergency Medicine
The views and experiences of Zambia’s emergency medicine registrars in South Africa: Lessons for the development of emergency care in Zambia
Dublin Core
Title
Jurnal Internasional Afrika vol. 11 issue 1 2021
African Journal of Emergency Medicine
The views and experiences of Zambia’s emergency medicine registrars in South Africa: Lessons for the development of emergency care in Zambia
African Journal of Emergency Medicine
The views and experiences of Zambia’s emergency medicine registrars in South Africa: Lessons for the development of emergency care in Zambia
Subject
Emergency medicine
Residency
Training
Low- and middle-income countries
Residency
Training
Low- and middle-income countries
Description
Introduction: Although low- and middle-income countries (LMICs) are beginning to integrate emergency medicine
(EM) specialist physicians into their healthcare systems, they must often send these trainees to other countries
with established registrar programmes. Given that retention of foreign-trained EM specialist physicians is low
following repatriation, there is interest in understanding their expectations and intentions when they return. This
study aimed to describe the expectations of Zambia’s EM registrars regarding the development of various aspects
of emergency care in Zambia.
Methods: In this qualitative, descriptive study, individual telephonic interviews were conducted with current
Zambian EM registrars using a semi-structured interview schedule. Recorded interviews were transcribed
verbatim, validated by participants, and subjected to inductive content analysis.
Results: Four interviews were completed, representing the entire population of interest. Two key categories
emerged from these discussions: that the state of emergency care in Zambia was inadequate, and that there were
numerous priority areas for further developing the emergency care system. A lack of recognition of EM as a
specialty, resource and training constraints in emergency units, and the lack of a formal prehospital emergency
care system were prominently identified as challenges. Priority aspects that registrars hoped to focus on when
developing emergency care included expanding local training and knowledge, improving the supply chain for
essential medications and equipment, increasing interprofessional collaborative practice, and advocating for
emergency care.
Conclusion: Zambian EM registrars characterised the nascent emergency care system by challenges that are
common in many LMICs and align with previous in-country assessments of emergency care. In order to ensure
that registrars’ strategies are ultimately implemented upon their return to Zambia, it is imperative they are
communicated with stakeholders in-country. From there, mutual planning can occur between future EM specialists
and government stakeholders, to ensure that there are mechanisms in place to facilitate dissemination.
(EM) specialist physicians into their healthcare systems, they must often send these trainees to other countries
with established registrar programmes. Given that retention of foreign-trained EM specialist physicians is low
following repatriation, there is interest in understanding their expectations and intentions when they return. This
study aimed to describe the expectations of Zambia’s EM registrars regarding the development of various aspects
of emergency care in Zambia.
Methods: In this qualitative, descriptive study, individual telephonic interviews were conducted with current
Zambian EM registrars using a semi-structured interview schedule. Recorded interviews were transcribed
verbatim, validated by participants, and subjected to inductive content analysis.
Results: Four interviews were completed, representing the entire population of interest. Two key categories
emerged from these discussions: that the state of emergency care in Zambia was inadequate, and that there were
numerous priority areas for further developing the emergency care system. A lack of recognition of EM as a
specialty, resource and training constraints in emergency units, and the lack of a formal prehospital emergency
care system were prominently identified as challenges. Priority aspects that registrars hoped to focus on when
developing emergency care included expanding local training and knowledge, improving the supply chain for
essential medications and equipment, increasing interprofessional collaborative practice, and advocating for
emergency care.
Conclusion: Zambian EM registrars characterised the nascent emergency care system by challenges that are
common in many LMICs and align with previous in-country assessments of emergency care. In order to ensure
that registrars’ strategies are ultimately implemented upon their return to Zambia, it is imperative they are
communicated with stakeholders in-country. From there, mutual planning can occur between future EM specialists
and government stakeholders, to ensure that there are mechanisms in place to facilitate dissemination.
Creator
Kephas E. Mwanza , Willem Stassen , Jennifer L. Pigoga , Lee A. Wallis
Source
www.elsevier.com/locate/afjem
Publisher
elsevier
Date
4 August 2020
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Kephas E. Mwanza , Willem Stassen , Jennifer L. Pigoga , Lee A. Wallis, “Jurnal Internasional Afrika vol. 11 issue 1 2021
African Journal of Emergency Medicine
The views and experiences of Zambia’s emergency medicine registrars in South Africa: Lessons for the development of emergency care in Zambia,” Repository Horizon University Indonesia, accessed November 22, 2024, https://repository.horizon.ac.id/items/show/2519.
African Journal of Emergency Medicine
The views and experiences of Zambia’s emergency medicine registrars in South Africa: Lessons for the development of emergency care in Zambia,” Repository Horizon University Indonesia, accessed November 22, 2024, https://repository.horizon.ac.id/items/show/2519.