How many doctors should we train for Sri Lanka? System dynamics modelling for training needs

Silva, D De

doi:10.4038/cmj.v62i4.8573

Cited by 16 publications

(11 citation statements)

References 5 publications

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“…The study was conducted as a descriptive cross-sectional study among middle and intermediate-grade doctors in Sri Lanka. Considering 20,000 practicing doctors' population were eligible for our study [4] and level of awareness on LAST in a regional study among doctors [5] being around 30% (outcome factor of 30% selected), at 7.5% confidence limit and 95% confidence interval with a design effect (2.0) for cluster sampling, a sample size of 285 was calculated. Following attrition for 20% for non-responders, the minimum sample size required was 342.…”

Section: Methodsmentioning

confidence: 99%

Study of knowledge and practices of local anaesthetic systemic toxicity among Doctors in Sri Lanka

Munasinghe

Arambepola

Subramaniam

et al. 2021

Preprint

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Background Local anaesthetic systemic toxicity (LAST) could be potentially life threatening. This study focused on describing the knowledge and practices of use of local anaesthetics (LA) among the doctors in Sri Lanka and the ability to detect and manage an event of LAST. Materials and methods A descriptive cross-sectional study was conducted among doctors in Sri Lanka using an online self-administered questionnaire based on AAGBI guidelines (2010). Descriptive statistics were analyzed by cross-tabulations and presented as numbers and percentages using IBM-SPSS 25. Results The response rate was 60% out of 600. Majority were males (58%) while 45% of the respondents were anesthetists. Ultrasound was used by 47.4% during LA. The majority considered total body weight for dose calculations. Around 50% of respondents identified bupivacaine as the most cardiotoxic. The majority utilized some form of monitoring and were knowledgeable on identification, prevention and initial management of LAST. Approximately 45% identified Intralipid (ILE) as the definitive treatment of LAST, out of which, 66.8% knew the correct dose and 77.2% and 26.5%, the availability and location of storage, respectively. Conclusion The basic knowledge on LAST was satisfactory among the respondents. A statistically significant difference on knowledge on maximum safe doses of LA, ILE in established LAST, its dosage and the availability was identified between anaesthetic and non-anaesthetic doctors and post graduate trainees and the rest of the doctors. Overall, significant lapses were noted with regard to the use of total body weight for dose calculations, use of ultrasound during LA administration and dosage, availability and storage of the definitive therapy, ILE, suggesting updates in these key areas.

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Section: Methodsmentioning

confidence: 99%

Study of knowledge and practices of local anaesthetic systemic toxicity among Doctors in Sri Lanka

Munasinghe

Arambepola

Subramaniam

et al. 2021

Preprint

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“…The domestic production of medical graduates is also set to rise substantially by about 150-175 graduates a year from the now-defunct South Asian Institute of Technology and Medicine (SAITM) and General Sir John Kotelawala Defence University. The currently abolished SAITM had about 900 registered students (4). Further, the Government has already established two new medical faculties at Kuliyapitiya (Wayamba University of Sri Lanka) and at Ratnapura (Sabaragamuwa University of Sri Lanka).…”

Section: Scientific Cadre Projections For Health Workforcementioning

confidence: 99%

“…Therefore, it is estimated that another 150-200 from these three new state medical faculties will enter the health workforce, 6-7 years hence. There-fore, there is a possibility that there will be an over-supply of medical graduates in Sri Lanka by 2027 (4).…”

Section: Scientific Cadre Projections For Health Workforcementioning

confidence: 99%

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An update on the human resources of Ministry of Health, Nutrition & Indigenous Medicine, Sri Lanka

Silva¹

2019

J Coll Community Phys Sri Lanka

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“…In addition, private sector provides care charging user fees. Doctors employed in the state health sector are allowed to carry out private practice after hospital duty hours (De Silva, 2017).…”

Section: Introductionmentioning

confidence: 99%

A Survey of Knowledge and Practices in Generic Prescribing Among Doctors in Kurunegala District, Sri Lanka

Maduragoda

Mallawarachchi

2021

Journal of International Health Sciences and Management

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Generic prescribing is promoted by most governments and insurers as a measure of reducing health care cost. Doctors are key player's health care provision and powerful deciders in drug market. The practice of doctors in prescribing is critical in determining both clinical and economic efficiency and effectiveness of a health system. The study aimed to assess the doctors' knowledge and practices in generic prescribing. The study was questionnaire based and conducted in Kurunegala district in Sri Lanka with the participation of government doctors. It was revealed that most doctors were engaged in generic prescribing and they had a satisfactory knowledge regarding the concept. Practice of generic prescribing among doctors was not significantly associated with their work experience, gender, engagement in private practice or post graduate qualifications. It was depicted that the promotional visits by representatives of pharmaceutical companies mainly focused at doctors who did part time private practice. Yet it was claimed that most doctors did not consider brand name when purchasing drugs for their practices.

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How many doctors should we train for Sri Lanka? System dynamics modelling for training needs

Cited by 16 publications

References 5 publications

Study of knowledge and practices of local anaesthetic systemic toxicity among Doctors in Sri Lanka

Study of knowledge and practices of local anaesthetic systemic toxicity among Doctors in Sri Lanka

An update on the human resources of Ministry of Health, Nutrition & Indigenous Medicine, Sri Lanka

A Survey of Knowledge and Practices in Generic Prescribing Among Doctors in Kurunegala District, Sri Lanka

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