Satisfaction of Saudi Board Plastic Surgery Residents with the Training Program: A National Survey

Assessing the Efficacy and Resident Satisfaction of Cardiac Surgery Training Programs in Saudi Arabia

INTRODUCTION

The Saudi Cardiac Surgery Training Program, a recent addition to Saudi Arabia's medical landscape, demands proactive assessment for potential renovations. This study aims to assess the Cardiac Surgery Training Program's structure, utilizing stakeholder satisfaction as a predictive measure in Saudi Arabia.

METHOD

A cross-sectional study from March to September 2023 targeted current cardiac surgery residents in Saudi Arabia.

RESULT

Achieving a 76.4% response rate from 26 out of 34 residents. 65.4% of participants aged 25-30, 65.4% males, and 53.8% females were married. Financially, 46.2% earn less than 20,000 Saudi Riyals. Rotation effectiveness ratings highlighted strengths in cardiac surgery, thoracic surgery, and vascular surgery, with areas for improvement in mid-rotation feedback and exit interviews. Participants reported moderate constructive feedback use and occasional program ambiguity (both with a median of 3.00). Concerns about the future encompassed knowledge (34.6%), surgical skills (26.9%), and employability (26.9%) post-graduation. Satisfaction analysis revealed emotional exhaustion and frustration (both with a median of 4.00), contrasting with effective problem-solving skills (median of 7.00) and a positive influence on others' lives (median of 6.00). Educational satisfaction was high, with faculty care and a sense of being respected (both with a median of 3.00). Many individuals have expressed the intent to choose the program again, contributing to a moderate overall satisfaction level (median of 4.3).

CONCLUSION

These findings offer valuable insights for program enhancement, focusing on successes and addressing concerns to elevate the training experience and satisfaction of cardiac surgery residents in Saudi Arabia.

Nationwide Study: Public Adults' Perception of Cosmetic Surgery in Saudi Arabia

Background

Knowing what influences people to pursue cosmetic surgery can aid current and aspiring cosmetic surgeons as they develop their techniques and enhance their market practice. This study aimed to evaluate Saudi adults' perceptions of cosmetic surgery using the three subscales of the Acceptance of Cosmetic Surgery Scale, namely Social, Consider, and Intrapersonal.

Methods

This cross-sectional, nationwide study involved members of the public from all provinces of Saudi Arabia. The inclusion criteria were being a Saudi resident over 18 years old and consenting to participate; those who did not meet the criteria were excluded. The study was implemented between October 25 and December 16, 2022. The electronic survey was composed of a demographic characteristics section and a previously constructed questionnaire modified for Arabic speakers to assess the population's perceptions of cosmetic surgery. Statistical analysis was conducted using the SPSS 22 statistical package.

Results

Of the 8006 Saudi adults who participated in the study, 5551 (69.3%) were women, and 2245 (30.7%) were men. We found that intrapersonal factors were the primary motivator, followed by factors addressed by the Consider and Social subscales. However, attitudes differed by gender, age, and other demographic characteristics: men and younger individuals (18-29) showed the lowest score for likelihood to pursue cosmetic surgery, whereas women and older individuals (40-50) ranked the highest on total scale scores. Overall, the Saudi adult population showed diminished perceptions of cosmetic surgery nationwide.

Conclusion

The results confirmed the authors' hypothesis that there is a diminished perception of cosmetic surgery among adults in Saudi Arabia.

Establishment of Saudi Arabia's Plastic Surgery Interest Club: First-year Outcomes and Future Directions

The purpose of this article is to share our first-year outcomes and the overall impact of the plastic surgery interest club (PSIC) since its establishment, and to discuss the future directions that any interested club may follow and benefit from.

Methods

This cross-sectional study utilized a self-developed questionnaire that experts in the field revised. The authors recruited active PSIC members during the year 2021-2022 to assess the overall impact of the club in their various interests of the field as well as to have an overview of their opinions of this newly done initiative in Saudi Arabia. The data collection spanned from October 2021 to September 2022.

Results

The authors analyzed the responses from 66 active members with a response rate of 78%. We found various significant positive impacts of the PSIC in the community of plastic surgery in Saudi Arabia. There was a significant difference in the interest in pursuing a career in plastic surgery before and after being a member of PSIC, with a P value of 0.0001. The members became noticeably more interested in pursuing an academic career and publishing field data after enrolling in PSIC research activities.

Conclusions

The authors provided an analysis of 1-year outcomes of the PSIC in Saudi Arabia; there were many positive impacts of such an initiative in enhancing the local community of plastic and reconstructive surgery. The authors strongly encourage the adaption of such initiatives in various parts of the globe to develop the field of plastic surgery further.

Determinants of satisfaction and self-perceived proficiency of trainees in surgical residency programs at a single institution

BACKGROUND

We aimed to identify factors contributing to training program satisfaction and self-perceived proficiency of residents in 5 integrated surgical residency programs within the same referral institution.

METHODS

We conducted a cross-sectional survey including all senior surgical residents in all integrated sub-specialty and general surgery residency programs at Tikur Anbessa Specialized Hospital (TASH) in Addis Ababa, Ethiopia. Training programs were assessed on 6 educational components including operative case volume and diversity, intra-operative hands-on training, morning teaching sessions, seminars, ward rounds, and research opportunities.

RESULTS

Of 82 eligible residents, 69 (84.1%) responded to the survey. Overall resident satisfaction (rated from 0-10) varied between the 5 training programs, from a mean of 6.03 to 7.89 (overall p = 0.03). The percentage of residents who agreed they would be proficient by the end of their training ranged from 44.2%-88.9%. General surgery residents had the lowest overall satisfaction score, and lowest scores in all educational components except seminar teaching. In multivariable analysis, operative case volume and diversity (AOR 3.67; 95% CI, 1.24-10.83; P = 0.019), and hands-on training (AOR 4.15; 95% CI, 1.27-13.5; P = 0.018) were significantly associated with overall resident satisfaction. In ordinal logistic regression, hands-on training (OR 3.94, 95% CI, 1.69-9.2; P = 0.001), and seminar sessions (OR 2.43, 95% CI, 1.11-5.33; P = 0.028) were significantly associated with self-perceived proficiency.

CONCLUSION

Different surgical residency training programs within the same institution had divergent resident satisfaction scores and proficiency scores. Operative case volume and diversity, and intraoperative hands-on training are the most important predictors of resident satisfaction while hands-on training and seminar sessions independently predicted self-perceived proficiency. Attention to these key components of resident education is likely to have a strong effect on training outcomes.