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Table of contents
- ISBN 13: 9789380573205
- Key Notes on Plastic Surgery : Adrian Richards :
- h Marita Eisenmann-Klein, Germany
Consultant plastic surgeon with a special interest in head and neck reconstruction, skin cancer and vascular anomalies. He trained in plastic surgery in Stoke Mandeville, Salisbury, Bristol and Oxford and received further specialist training in Cosmetic Surgery during a fellowship period at the Wellington Hospital, London. He has travelled extensively abroad and undertook further subspecialist training during and in New Zealand, Australia and Hong Kong, developing his interests.
He is widely experienced in all aspects of general plastic surgery procedures, especially in skin cancer, head and neck surgery, general plastic reconstructive surgery and vascular anomalies. He is also very experienced in cosmetic facial and breast aesthetics as well as truncal surgery and liposculpture. He has frequently lectured on all aspects of aesthetic surgery, including non-surgical interventions such as botox and fillers, in which field he has extensive experience. He has a prominent role in the head and neck and skin cancer multidisciplinary teams.
He is also widely published and has lectured on his specialist interests at a national and international level. He is on the General Medical Council for plastic surgery and his registration number is I am a core member of the skin cancer specialist multidisciplinary team, based at the RBH, and also a core member of the head and neck cancer MDT covering Oxford and Reading. Part of my role has been educational; surgical training and teaching on a theoretical and practical basis.
I train medical students, nurses and junior doctors in many of the aspects of plastic reconstructive and aesthetic surgery. I regularly sit on interview panels for appointments of surgeons in training at various levels.
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Breast Surgery Microvascular breast reconstruction DIEP, TUG and muscle-sparing TRAM flaps , Latissimus Dorsi back flaps, implant based reconstruction, breast reduction and augmentation, correction of congenital anomalies and asymmetry of the breast and chest wall, liposculpture, nipple reconstruction and gynaecomastia surgery enlarged male breast.
Skin Surgery Diagnosis, surveillance, removal and reconstruction of skin lesions on the face and other body areas. These include benign and cancerous lesions in both adults and children. Aesthetic Surgery Breast and skin surgery as outlined above. Facial rejuvenation, eyelid surgery, corrective ear surgery, abdominal surgery, scar revision, body contouring and liposuction. Miss Niki Petrie graduated from the University of Bristol in After completing her general surgical training she became a Fellow of the Royal College of Surgeons of England in She has a prominent role in the Breast Surgery multidisciplinary team and also sits on the Skin Cancer multidisciplinary team.
She has lectured, published and presented in her specialist areas at both national and international level and has received awards for her presentations, research, teaching and clinical work. A review of the way surgeons in training are trained and assessed, especially the standard setting used needs to be reviewed. Luckily the federal government just commissioned a committee to review residency program in Nigeria [ 22 ]. An urgent review of the standard setting for postgraduate surgical examinations of the West African college of surgeons and the National postgraduate college may be required to reduce the attrition rate of surgical residents in the country.
ISBN 13: 9789380573205
No conflict of interest except that the author is a trainee surgeon. This research did not receive any grant from funding agencies in public, commercial or not for profit sectors. Cite this article as : Ajah JL Low Pass-rate in postgraduate surgical examination in Nigeria and its contribution to the low surgeon workforce in the country; a review article. National Center for Biotechnology Information , U.
Key Notes on Plastic Surgery : Adrian Richards :
Published online Sep 3. Jonathan L. Author information Article notes Copyright and License information Disclaimer. Received Sep 6; Accepted Feb Abstract Surgical postgraduate examiners and examinees in Nigeria complain of the low pass rate at all levels of the postgraduate surgical training examinations to which several factors are contributing.
Key words: Post graduate surgical examination, Examination pass rate, Workforce and surgeon. Open in a separate window. What is the passrate of the west African college of surgeons' examination before? What is the passrate of the west African college of surgeons' examination now? For here is the summary: I. Does surgery attract higher quality trainees and how does passrate in surgery including orthopaedics compare with other faculties? What are the reasons for failure by candidates?
How does local surgery training factors including training slots and recruitment compare with other countries? Table 3 Demographics of different stage of post graduate surgical exams [ 25 — 32 ]. Country Examining bodies Total accredited training programs Approx. Table 4 Surgical workforce surgeons [ 29 — 32 ]. Country Total surgeons as of Surgeon per Nigeria 0. How surgeons including orthopaedic surgeons dropout rate relates to surgical workforce? Table 6 Statistics on Nigerian Doctors.
The role of overseas examiners and assessors in resetting the standard of the examinations It may be helpful to get assessors and examiners from some of the oldest organized surgical colleges from different continents of the world like the royal colleges from Europe, the American board from North America and the College of Medicine of South Africa to help in resetting the standard of the examinations. Conclusion Based on the findings above amongst other factors the low production of surgeons in Nigeria is likely a significant contributor to the low volume of surgeons in the country.
Conflict of interest No conflict of interest except that the author is a trainee surgeon. Notes Cite this article as : Ajah JL Low Pass-rate in postgraduate surgical examination in Nigeria and its contribution to the low surgeon workforce in the country; a review article. References 1. College History [Internet].
h Marita Eisenmann-Klein, Germany
Ann Afr Med 9 , 4 [ Google Scholar ]. Ajao O, Ugwu B, Eke N Opinion: a case against the membership programme proposal of the west african college of surgeons. Surgeon , Education and training. General Medical Council. Bandages are removed the next day. Recovery periods vary between patients, depending on factors such as your general health and the complexity of the operation.
In general, you should be up and about in a day or two, but plan on taking it easy for the first week after surgery. You will need to be especially gentle with your face and hair since your skin will be both tender and numb at first. Each patient will differ, but in general strenuous activity, including sex and heavy housework, should be avoided for at least two weeks, although, walking and other very mild exercise is allowed.
You should aim to get plenty of rest for at least two weeks after the procedure to allow your body to heal. You should be able to drive about a week after surgery but please check with your car insurer for your specific conditions of cover. In the days immediately after surgery, your face may look and feel rather strange. Your features may be distorted from the swelling, your facial movements may be slightly stiff and you will probably be self-conscious about your scars and appearance.
Some bruising may persist for 2 or 3 weeks and you may tire easily. By the third week, you will look and feel much better. Most patients are back at work about 14 days after surgery. If necessary, special camouflage makeup can help to mask any bruising that remains. The vast majority of patients are delighted with their facelift - often with results exceeding expectations.
However, you should remember that the results may not be immediately apparent. Even after the swelling and bruises are gone, your skin may be thin and might feel dry and rough for several months. Having facelift surgery does leave scars, but these scars are usually well hidden in the natural creases of your face and ears.
Scars go through various phases in their healing, but after about 6 months they should be settling down to be thin, inconspicuous lines. If necessary, your hair can be styled to hide the scars. Men may find they have to shave in new places - behind the neck and ears - where areas of beard-growing skin have been repositioned.
Although having a facelift can turn back the clock, it cannot stop the clock. Your face will continue to age with time, but, the effects of facelift are lasting and you will continue to look younger and fresher for some years following treatment.
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