Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Evaluation of mentorship experience of doctors undergoing the postgraduate residency training programme in Nigeria.

Background: Mentorship or mentoring is 'the process whereby an experienced, highly regarded, empathic person (the mentor), guides another individual (the mentee) in the development and reexamination of their own ideas, learning and personal and professional development.Aim: This study aims at ascertaining Resident doctors' experiences of mentorship in their respective institutions and what they recommend as ways of bridging the gap between them (the mentees), and their trainers (mentors).Methods: The study was a cross-sectional descriptive study using a 19-item self-administered questionnaire. The study population consisted of all Resident Doctors attending the mandatory update courses of the Postgraduate Colleges. Statistical analysis was performed using SPSS version 20.Results: Four hundred and thirty-seven doctors fully completed the questionnaires. There were 262 and 175 males and females respectively, giving a male to female ratio of 1.5 to 1. One hundred and eleven (25.4%) respondents claimed that their institutions had a structured mentorship program.Conclusion: Although the understanding of the concept of mentorship is widespread among resident doctors, there is a dearth of mentoring experiences among resident doctors in Nigeria due to the lack of formal mentoring schemes. The integration of formal mentoring programmes into the postgraduate medical curriculum may increase its prevalence. Keywords: mentorship, resident doctors, postgraduate, mentor, mente