The general surgery residency program was initiated in 2013 between Istanbul Medeniyet University and Benadir University. A formal training program was established that covered 3-year theoretical and practical training that would form the structure of academic, clinical and technical criteria by evaluating all the requirements of the surgical residency training. A resident logbook was prepared to track exam results, practices, knowledge and skill status that the residents achieved in the training process. Candidates who graduated from medical school and were successful in the multiple-choice exam consisting of basic and clinical sciences were accepted to the program each year in different numbers according to the capacity. From the initiation, 16 surgeons -9 in 2016, 3 in 2017 and 4 in 2018- graduated from the program. This study was designed after the last resident group graduated and worked as an attending surgeon at least for a year.

The data were collected from graduates who were working as surgeons in Somalia to reveal the features and numbers of elective, emergency, trauma, and non-general surgical interventions performed in a month. A questionnaire consisting of pathology, type and numbers of interventions performed in one month by graduate surgeons (GS), including general surgery and other specialties, was prepared.

Inclusion Criteria:

1. surgeons who completed program
2. surgerons who currently working as an attending physician in Somalia

Exclusion Criteria:

1. surgeons who has not completed program
2. surgeons who did not completed the questionare

14 general surgeon who completed the program