Wheatley Grayson H, Diethrich Edward B
Department of Cardiovascular and Endovascular Surgery, Arizona Heart Institute, 2632 N. 20th Street, Phoenix, AZ 85006, USA.
Interact Cardiovasc Thorac Surg. 2006 Jun;5(3):236-7. doi: 10.1510/icvts.2005.126904. Epub 2006 Feb 8.
It is both an exciting and challenging time for cardiothoracic surgeons. Declining case volumes and diminishing reimbursement are causing a major disruption in the way practicing cardiothoracic surgeons approach their specialty and graduating cardiothoracic surgery residents seek employment. However, new advances in the treatment of cardiovascular diseases, such as endoluminal grafting for diseases of the thoracic aortic, are rapidly becoming available. It will take a significant commitment on behalf of busy practicing cardiothoracic surgeons to 'retrain' and develop the necessary skill-set to become proficient in catheter-based therapies and other emerging therapeutic modalities. We review the factors that contributed to the rise of cardiothoracic surgery as a specialty, the current state of the specialty and the potential that endovascular surgery offers cardiothoracic surgeons and examine the obstacles and solutions for retraining cardiothoracic surgeons.
对于心胸外科医生来说，这是一个既令人兴奋又充满挑战的时期。病例数量的下降和报销费用的减少，正在给执业心胸外科医生对待其专业的方式以及即将毕业的心胸外科住院医师寻找工作的方式带来重大干扰。然而，心血管疾病治疗方面的新进展，如用于胸主动脉疾病的腔内 grafting，正迅速普及。忙碌的执业心胸外科医生需要做出重大努力来“重新培训”并培养必要的技能，以熟练掌握基于导管的治疗方法和其他新兴治疗方式。我们回顾了促使心胸外科成为一个专业领域兴起的因素、该专业的当前状况以及血管内手术为心胸外科医生提供的潜力，并研究了重新培训心胸外科医生的障碍和解决方案。
