Performance of medical students in paediatric examinations and associated factors

Abstract A student who just enrolled in a medical school has several examinations to write and about six to twelve years of major examinations from the very first year of school to becoming a consultant paediatrician. Paediatrics is a major course which needs to be passed before qualifying as a doctor. Attaining this is a rather formidable task in any Nigerian university. High failure rates in this course have become an allegory or a myth. The aim of this present study is to determine the performance of medical students in paediatric examinations and associated factors. This is an observational prospective study involving 102 medical students seen at the paediatric departments of College of Medicine, University of Nigeria, Enugu Campus and 54 medical students from Enugu State University College of Medicine, Enugu. 126 (80.8%) of the students attended lectures regularly. One hundred and fifteen (73.7%) confirmed that ward rounds are very interesting and important. One hundred and thirty students (83.3%) admitted that performance in paediatrics examinations is poor and 147 (94.2%) students attributed this failure to clinicals .Eighty seven (62.2%) students preferred OSCE as a perfect replacement for clinicals. It is concluded that performance of Medical students in paediatrics is poor and clinical have been pointed out as the major cause of this

Timing of cardiac surgery and other intervention among children with congenital heart disease: A review article

Background: Early diagnosis and improved facilities are necessary for determining the optimal timing of surgery and other interventions in children with congenital heart diseases in Nigeria. This is because late presentation, late diagnosis and delayed surgery can lead to mortality and affect the quality of life among these children. Objectives: This review article is aimed at enumerating the timing of cardiac surgeries and other interventions and to seek if there is any factor associated with the timing of cardiac surgery. Methods: A search on PubMed database, World Health Organization libraries, Google scholar, TRIP database, and reference lists of selected articles on timing of cardiac surgery in children was done. The Cochrane Database of Systematic Reviews was also searched. We noted few data from African setting. Key words such as timing of cardiac surgery; children, congenital heart defect were used. Conclusion: Appropriate timing for cardiac surgery in children with congenital heart disease is very important as late surgical intervention could result in several morbidities and mortality