Takano Tamaki, Fuke Megumi, Takahashi Kouhei, Ohtsu Yoshinori, Terasaki Takamitsu, Wada Yuko, Fukui Daisuke, Amano Jun
Department of Surgery (II), Shinshu University School of Medicine.
Nihon Geka Gakkai Zasshi. 2010 May;111(3):201-5.
Shortage of medical doctors has been conspicuous since the residency program has been changed in 2004. We investigated the changes in the number of cardiovascular surgeons, surgical cases and institutes of Nagano from 1996 to 2008. The number of cardiovascular surgeons decreased from 28 to 19. The number of newly joined cardiovascular surgeons were 2.7 +/- 1.4/year from 1996 to 2001 and 1.1 +/- 0.4/year from 2002 to 2008. The number of retirement were 0.7 +/- 0.8/year and 2.3 +/- 1.0/year from 1996 to 2001 and from 2002 to 2008, respectively. The number of surgery cases increased from 340 in 1996 to 771 in 2008. Kaplan-Mayer analysis showed the 50% of cardiovascular surgeons retired in 19 years of their career, and the only 20% of surgeons survived after 29 years. The number of newly joined general surgeons was the only 3 since 2004. We are consolidating the institutes of cardiovascular surgery in Nagano to perform more surgery by fewer surgeons. It is important that working condition of cardiovascular surgeon adapt to young doctor's favor, and new positions should be created for elder cardiovascular surgeons to prevent early retirement.
自2004年住院医师培训项目改革以来，医生短缺的问题一直很突出。我们调查了1996年至2008年长野县心血管外科医生数量、手术病例数和机构的变化。心血管外科医生数量从28人减少到19人。1996年至2001年新加入的心血管外科医生数量为每年2.7±1.4人，2002年至2008年为每年1.1±0.4人。1996年至2001年以及2002年至2008年的退休人数分别为每年0.7±0.8人和2.3±1.0人。手术病例数从1996年的340例增加到2008年的771例。Kaplan-Mayer分析显示，50%的心血管外科医生在其职业生涯的19年内退休，只有20%的外科医生在29年后仍在工作。自2004年以来，新加入的普通外科医生只有3人。我们正在整合长野县的心血管外科机构，以便用更少的外科医生进行更多的手术。重要的是，心血管外科医生的工作条件要适应年轻医生的喜好，并且应该为年长的心血管外科医生创造新的职位以防止他们过早退休。
