Mentorship in orthopaedic and trauma residency training programme in Nigeria: the residents' perspective.

Background: Mentorship is important in residency training as it is necessary for personal and professional development of the resident trainees. Objectives: This study documents mentorship in orthopaedic residency training programme in Nigeria by assessing the awareness of orthopaedic residents on the role of a mentor, willingness to be mentored and their perceived reasons for the possible lack of mentors/ participation of senior colleagues in a mentorship programme. Method: This was a descriptive cross sectional study of 37 orthopaedic residents attending a revision course of the Faculty of Orthopaedics, National Postgraduate Medical College of Nigeria. Self-administered structured questionnaires were used to collect data. Data obtained was analyzed using SPSS version 21.0. Results: The mean age of the respondent was 34.7 ± 4.7 years. The Male: Female ratio was 19:1. The average number of years already spent in the residency programme by the respondents was 2.8 ± 0.9 years. Only 27% of residents had participated in a mentorship programme since they began residency programme but only half were still being mentored at the time of the study. Sixty-five percent reported no formal mentorship programme in their institutions. However, 73% of the respondents would want a formal mentorship programme in their institution. Ninety percent of the respondents desired to be mentored. Conclusion: Most residents are willing to be mentored. Consultants and trainers should ensure that the trainees are mentored.

Gross vulva odema complicating severe pre-eclampsia/eclampsia: a case series.

BACKGROUND: Pre-eclampsia/Eclampsia is one of the leading causes of maternal and perinatal morbidity and mortality in sub-Saharan Africa including Nigeria. Pre-eclampsia presenting with gross vulva edema is not commonly encountered and its significance is yet to be established. METHODOLOGY: A clinical case series of four patients with Pre-eclampsia that presented with gross vulva edema. RESULT: Three patients had evidence of worsening severity of disease characterized by acute renal failure with oliguria, HELLP Syndrome, Intrauterine Growth Restriction and adverse perinatal outcome. The fourth was complicated with eclampsia, adult respiratory distress and maternal death. CONCLUSION: The presence of gross vulva oedema in pre-eclampsia may be an indicator of severity of disease and or deteriorating fetomaternal condition. Further studies are required to demonstrate the significance of gross vulva edema in pre-eclampsia.