Macadam Sheina A, Kennedy Steven, Lalonde Don, Anzarut Alex, Clarke Howard M, Brown Erin E
Vancouver, British Columbia; Saint John, New Brunswick; Edmonton, Alberta; and Toronto, Ontario, Canada From the Department of Surgery, Division of Plastic and Reconstructive Surgery, and Faculty of Medicine, University of British Columbia; Department of Plastic and Reconstructive Surgery, Dalhousie University; Department of Surgery, Divisions of Plastic Surgery and Public Health Sciences and Epidemiology Coordinating Center, University of Alberta; and Department of Surgery, Division of Plastic Surgery, University of Toronto.
Plast Reconstr Surg. 2007 Jun;119(7):2299-2306. doi: 10.1097/01.prs.0000261039.86003.f0.
Few studies have monitored physician supply in Canada, and no studies have specifically examined the Canadian plastic surgery workforce.
In this study, data were gathered by three methods. A survey was distributed to all members of the Canadian Society of Plastic Surgeons in October of 2004. Opinions on the availability of plastic surgery services were solicited. A second survey that focused on demographics and workload was distributed in December of 2004. Finally, the locations of all Canadian trainees graduating between 1995 and 2005 were reviewed.
The response rate to the first survey was 42 percent. Seventy-eight percent of respondents felt that there was a shortage of plastic surgeons in their community. The response rate to the second survey was 40 percent. Twenty-eight percent of respondents were within 5 years of retirement and 3.2 percent stated that they planned to emigrate by 2010. The mean waiting time for an elective consultation was 32 +/- 33 weeks. Review of all 179 plastic surgery graduates over the past 10 years revealed that 23 percent now practice outside of Canada.
When these results are projected to the total workforce, they indicate that there will be a future shortage of plastic surgeons in Canada. To prevent a further deficit, there is a need to increase the number of plastic surgery trainees in Canada, to offer incentives for graduates to stay in Canada, and to possibly recruit more foreign-trained plastic surgeons to practice within Canada.
很少有研究对加拿大的医生供给情况进行监测，而且没有研究专门考察过加拿大整形外科医生队伍。
在本研究中，通过三种方法收集数据。2004年10月向加拿大整形外科医生协会的所有成员发放了一份调查问卷，征求他们对整形外科服务可及性的意见。2004年12月发放了第二项聚焦于人口统计学和工作量的调查问卷。最后，对1995年至2005年间毕业的所有加拿大实习医生的去向进行了审查。
第一项调查问卷的回复率为42%。78%的受访者认为他们所在社区的整形外科医生短缺。第二项调查问卷的回复率为40%。28%的受访者距离退休不到5年，3.2%的受访者表示他们计划在2010年前移民。择期会诊的平均等待时间为32±33周。对过去10年所有179名整形外科毕业生的审查显示，23%的人现在在加拿大境外执业。
如果将这些结果推算至整个医生队伍，表明加拿大未来将面临整形外科医生短缺的问题。为防止进一步短缺，有必要增加加拿大整形外科实习医生的数量，为毕业生留在加拿大提供激励措施，并可能招募更多在国外接受培训的整形外科医生在加拿大执业。
