RESUMEN
BACKGROUND: Medical students' assessment is an important aspect of medical undergraduate training that requires periodic review to achieve objectivity and improve training. We reviewed the outcome and factors that influenced outcome of undergraduate students' final surgery examination. MATERIALS AND METHODS: Final examination records of undergraduate medical students in surgery from a single institution for 5 years (2013-2017) were retrospectively reviewed. Scores of the students in continuous assessments (CA), multiple-choice questions (MCQs), essays, long case, short cases, orals, and objective structured clinical examinations (OSCE) were extracted as appropriate. The data were analyzed using SPSS® for Windows version 21. RESULTS: A total of 960 candidates' results were analyzed over 5 successive years, 722 candidates (75.2%) were males, and 238 (24.8%) were females. The overall pass rate was 62.6%. Success rate in the clinical examinations was higher in females (84.5%) compared to males (72.7%). χ2 = 13.381, P < 0.001. MCQs section of the examinations had the highest failure rate (49.5%). Female gender (P < 0.001), passing CA (P < 0.001), and shorter duration-<9 years in medical school (P < 0.001) were strongly associated with passing the final surgery examination. Pass rate was 73.1% for females and 56.2% for males during the OSCE period. CONCLUSION: CA is the single most important determinant of success in final surgery examination, while MCQs constitutes the most difficult aspect of the examinations. Irrespective of method of assessment, females seem to do better than males.
Asunto(s)
Competencia Clínica , Educación de Pregrado en Medicina , Evaluación Educacional/métodos , Cirugía General/educación , Estudiantes de Medicina/psicología , Femenino , Humanos , Masculino , Estudios Retrospectivos , Factores de Tiempo , Adulto JovenAsunto(s)
Huesos Faciales , Displasia Fibrosa Poliostótica/complicaciones , Trastornos de la Audición/etiología , Hiperostosis Frontal Interna/etiología , Pubertad Tardía/etiología , Cráneo , Adulto , Femenino , Displasia Fibrosa Poliostótica/diagnóstico por imagen , Displasia Fibrosa Poliostótica/epidemiología , Displasia Fibrosa Poliostótica/genética , Genotipo , Humanos , Incidencia , Enfermedades Musculoesqueléticas/etiología , Nigeria/epidemiología , Dolor/etiología , Radiografía , Índice de Severidad de la Enfermedad , Distribución por SexoRESUMEN
Amphotericin B has been the standard treatment for deep mycoses including African histoplasmosis, but its use is complicated by its toxicity. More recently, Fluconazole, a water-soluble triazole with antimycotic activity and little side effects, has become available. A case of African histoplasmosis from Nigeria, manifesting as multiple osteomyelitis and successfully treated with oral Fluconazole, is presented. Fluconazole may be preferred in the therapy of African histoplasmosis.
Asunto(s)
Antifúngicos/uso terapéutico , Fluconazol/uso terapéutico , Histoplasmosis/complicaciones , Histoplasmosis/tratamiento farmacológico , Osteomielitis/microbiología , Administración Oral , Antifúngicos/química , Niño , Fluconazol/química , Humanos , Masculino , Nigeria , Osteomielitis/diagnóstico por imagen , Selección de Paciente , RadiografíaRESUMEN
Bone lesions in African histoplasmosis caused by Histoplasma capsulatum var, duboisii, without other signs of the infection, are often misdiagnosed as cancer. A case of isolated osteomyelitis due to this fungus in a 30-year-old woman is described. Diagnostic and therapeutic problems of isolated bone lesions in African histoplasmosis are discussed. A high diagnostic index of African histoplasmosis is advocated in isolated bone lesions in the endemic region of this disease.
Asunto(s)
Histoplasmosis/diagnóstico , Osteomielitis/diagnóstico , Radio (Anatomía)/patología , Adulto , Femenino , Antebrazo/diagnóstico por imagen , Histoplasmosis/complicaciones , Histoplasmosis/tratamiento farmacológico , Humanos , Nigeria , Osteomielitis/complicaciones , Osteomielitis/tratamiento farmacológico , RadiografíaRESUMEN
We have presented a case of bilateral Madelung's deformity in a 15-year-old Nigerian girl. The authors believe that this is the first case to be reported in Nigeria. The deformities were corrected surgically by a combination of Darrach's procedures and bi-plane osteotomy. The clinical and radiological features were highlighted with particular reference to subluxation of the lower ulna; bowing of the distal radius and ulna; increase in interosseous space; lucency in the medial end of the distal radius; triangularization of the distal radial epiphysis and wedging of the carpal bones with the lunate at the apex and bayonet deformity of the hand. It is hoped that these features will help to unravel more cases and enable the correct incidence of this deformity to be determined in Nigeria