Division of Thoracic Surgery, Faculty of Medicine, University of Calgary, Calgary, Alberta, Canada.
J Surg Educ. 2010 Sep-Oct;67(5):325-34. doi: 10.1016/j.jsurg.2010.07.004.
The resident component of the Canadian Thoracic Manpower and Education Study (T-MED) was conducted to understand the basic demographic of Canadian thoracic surgery residents, the factors influencing their selection of training programs, current work conditions, training and competencies, and opinions in regard to the manpower needs for the specialty.
A modified Delphi process was used to develop a survey applicable to thoracic surgery residents. In May and June 2009, residents completed the voluntary anonymous Internet-based survey. All Canadian residents participated in the survey, providing a 100% response rate.
Most respondents were male (11/12), and the average age was 34 years old with an anticipated debt greater than $50,000 on graduation. All residents worked more than 70 hours per week, with most doing 1 : 3 or 1 : 4 on-call. Two-thirds of respondents reported being satisfied or very satisfied with their training program. Rates of anticipated competence in performing various thoracic surgeries on graduation differed between residents and program directors. Two-thirds (8/12) of residents planned to practice thoracic surgery exclusively, and hoped to practice in an academic setting. Most residents (10/12) agreed or strongly agreed that not enough jobs are available in Canada for graduating trainees and that the number of residency positions should reflect the predicted availability of jobs.
This study has provided detailed information on thoracic surgery resident demographics and training programs. Most thoracic surgery residents are satisfied with their current training program but have concerns about their job prospects on graduation, and they believe that the number of training positions should reflect potential job opportunities. This survey represents the first attempt to characterize the current state of thoracic surgery training in Canada from the resident's perspective and may help in directing educational and manpower planning.
加拿大胸外科人力和教育研究（T-MED）的住院医师部分旨在了解加拿大胸外科住院医师的基本人口统计学资料、影响他们选择培训项目的因素、当前的工作条件、培训和能力以及对该专业人力需求的看法。
采用改良 Delphi 法制定适用于胸外科住院医师的调查。2009 年 5 月和 6 月，住院医师完成了这项自愿性匿名在线调查。所有加拿大住院医师都参与了这项调查，应答率为 100%。
大多数受访者为男性（11/12），平均年龄为 34 岁，预计毕业后债务超过 50,000 美元。所有住院医师每周工作超过 70 小时，大多数人每周值班 1:3 或 1:4。三分之二的受访者报告对他们的培训计划感到满意或非常满意。预计在毕业时能够进行各种胸外科手术的能力在住院医师和项目主任之间存在差异。三分之二（8/12）的住院医师计划专门从事胸外科手术，并希望在学术环境中执业。大多数住院医师（10/12）同意或强烈同意，加拿大没有足够的工作岗位供毕业培训生使用，并且住院医师的数量应该反映出预期的工作机会。
这项研究提供了有关胸外科住院医师人口统计学和培训计划的详细信息。大多数胸外科住院医师对他们目前的培训计划感到满意，但对毕业后的就业前景感到担忧，他们认为培训职位的数量应反映潜在的工作机会。这项调查代表了首次从住院医师的角度描述加拿大胸外科培训现状的尝试，可能有助于指导教育和人力规划。
