Hadzikadic Lejla, Burke Peter A, Esposito Thomas J, Agarwal Suresh
Department of General Surgery, Boston University Medical Center, 850 Harrison Ave, Boston, MA 02118, USA.
Arch Surg. 2010 May;145(5):445-50. doi: 10.1001/archsurg.2010.49.
Presenting the opinions of surgical residents about the appeal of trauma surgery as a specialty may influence current reform.
Survey study.
Academic research.
General surgery residents (postgraduate years 1-5 and recent graduates) registered with the American College of Surgeons.
A 22-item survey.
Career plans and perceptions about trauma surgery as a specialty.
Of 6006 mailed surveys, we had a 20.1% response rate. Midlevel residents comprised most of the respondents, and most were undecided about their career choice or planned to enter general surgical private practice. The typical residency programs represented were academic (81.7%), urban (90.6%), and level I trauma centers (78.7%), and included more than 6 months of trauma experience (77.6%). Most respondents (70.6%) thought that trauma surgery was unappealing. The most important deterrents to entering the field were lifestyle, poor reimbursement, and limited operating room exposure, while increased surgical critical care was not seen as a restriction. When questioned about the future of trauma surgery, they believed that trauma surgeons should perform elective (86.8%) and nontrauma emergency (91.5%) cases and would benefit from active association with an outpatient clinic (76.0%). Intellectual challenge and exciting nature of the field were listed as the most appealing aspects, and ideal practice characteristics included guaranteed salary and time away from work.
As demand for trauma surgeons increases, resident interest has dwindled. As a specialty, trauma surgery must undergo changes that reflect the needs of the incoming generation. We present a sampling of current surgical resident opinion and offer these data to assist the changing discipline and the evolving field of acute care surgery.
呈现外科住院医师对于创伤外科作为一门专业的吸引力的看法，可能会影响当前的改革。
调查研究。
学术研究。
在美国外科医师学会注册的普通外科住院医师（研究生1至5年级以及应届毕业生）。
一项包含22个条目的调查。
职业规划以及对创伤外科作为一门专业的看法。
在邮寄的6006份调查问卷中，回复率为20.1%。中级住院医师占大多数受访者，大多数人尚未决定其职业选择，或计划进入普通外科私人执业领域。所代表的典型住院医师培训项目为学术型（81.7%）、城市型（90.6%）以及一级创伤中心（78.7%），并且包括超过6个月的创伤经验（77.6%）。大多数受访者（70.6%）认为创伤外科缺乏吸引力。进入该领域的最重要阻碍是生活方式、薪酬待遇差以及手术室操作机会有限，而增加外科重症监护方面的机会并未被视为一种限制。当被问及创伤外科的未来时，他们认为创伤外科医生应该进行择期手术（86.8%）和非创伤性急诊手术（91.5%），并且与门诊诊所积极合作会从中受益（76.0%）。该领域的智力挑战和令人兴奋的性质被列为最具吸引力的方面，理想的执业特征包括有保障的薪资和工作之余的时间。
随着对外科创伤医生需求的增加，住院医师的兴趣却在减少。作为一门专业，创伤外科必须进行变革以反映新一代的需求。我们展示了当前外科住院医师意见的抽样情况，并提供这些数据以协助不断变化的学科以及急性护理外科这一不断发展的领域。
