Fullerton Meryl J
Heart, Lung and Circulation, Department of Cardiothoracic Surgery, Alfred Hospital, PO Box 315, Prahran, Victoria 3181, Australia.
Heart Lung Circ. 2002;11(1):52-8. doi: 10.1046/j.1444-2892.2002.00118.x.
To establish a national profile of the current cardiothoracic surgery workforce and advise the Australian Government on workforce requirements to 2011, the Cardiothoracic Surgery Workforce Working Party brought down a report in May 2001 to The Australian Medical Workforce Advisory Committee. The survey data were taken from half the current Fellows of the Royal Australian College of Surgeons engaged in cardiothoracic surgery. Australian cardiothoracic surgeons are typically middle-aged males working more than 60 h per week. Their work has both private and public sector components and most surgeons provide services in both cardiac and thoracic surgery to an average catchment of 180 000 people. Concentrated in the capital cities, mainly on the eastern seaboard, they devote 90% of their working hours to service delivery, with little time spent in research and developmental aspects of their profession, or in administrative roles. The committee provided 10-year projections for surgical services, predicting an annual growth in service requirements of 1.8% in Australia to 2011. The report concludes that maintenance of the present intake of surgical trainees at five per year - offset by the projected retirements of 2.7 surgeons annually - will be sufficient to meet demand. This conclusion is based on an assumption of a decade of unchanged national health structures and patterns of workforce participation and service delivery.
为了建立当前心胸外科手术从业人员的全国概况,并就到2011年的从业人员需求向澳大利亚政府提供建议,心胸外科手术劳动力工作小组于2001年5月向澳大利亚医疗劳动力咨询委员会提交了一份报告。调查数据取自澳大利亚皇家外科医师学院目前从事心胸外科手术的一半会员。澳大利亚心胸外科医生通常是中年男性,每周工作时间超过60小时。他们的工作包括私营和公共部门的部分,大多数外科医生同时提供心脏和胸外科手术服务,平均服务人口为18万。他们集中在主要位于东部沿海的首都城市,将90%的工作时间用于服务提供,很少花时间在专业的研究和发展方面,或担任行政职务。该委员会提供了外科服务的10年预测,预计到2011年澳大利亚服务需求将以每年1.8%的速度增长。报告得出结论,维持目前每年招收5名外科实习生的数量——每年预计有2.7名外科医生退休——将足以满足需求。这一结论基于这样一个假设,即未来十年国家卫生结构、劳动力参与模式和服务提供模式保持不变。