Guillermo Careaga-Reyna Guillermo
Departamento de Cirugía Cardiotorácica y Asistencia Circulatoria, Hospital General, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, México, DF Mexico.
Cir Cir. 2011 Jan-Feb;79(1):90-3.
Cardiothoracic surgery is one of the younger surgical specialties. We present a review of current and future needs for assistance derived of life expectancy and the main causes of mortality. We also analyze the profile of the cardiothoracic surgeon, duration of professional life, and how knowledge is transmitted. We present a proposal for the ideal characteristics of the future cardiothoracic surgeon. Life expectancy for the Mexican population is 75.7 years. Among the main causes of mortality is ischemic heart disease. In males, neoplasm of the airway and lung causes 16.8% of deaths related to malignant tumors. A cardiothoracic surgeon requires 2 years of general surgical training and 4 years of cardiothoracic surgical training. The mean age of the cardiothoracic surgeons is 49.3 ± 10.1 years, and the mean length of time of professional activity is 16.7 ± 12.5 years. In actuality, 220 surgeons are board certified. The use of medical journals for publications is limited. We now have new surgical options and an increase in the number and complexity of patients is expected. An analysis of the actual social conditions and the profile and number of cardiothoracic surgeons is required for the short-term demand of care in our specialty.
心胸外科是较年轻的外科专科之一。我们综述了基于预期寿命和主要死因的对当前及未来援助的需求。我们还分析了心胸外科医生的概况、职业生涯时长以及知识的传授方式。我们提出了一份关于未来心胸外科医生理想特质的提案。墨西哥人口的预期寿命为75.7岁。缺血性心脏病是主要死因之一。在男性中，气道和肺部肿瘤导致16.8%的恶性肿瘤相关死亡。一名心胸外科医生需要2年普通外科培训和4年心胸外科培训。心胸外科医生的平均年龄为49.3±10.1岁，职业活动的平均时长为16.7±12.5年。实际上，有220名外科医生获得了委员会认证。医学期刊用于发表文章的情况有限。我们现在有了新的手术选择，预计患者数量及其病情复杂性将会增加。为满足我们专科短期护理需求，需要对实际社会状况以及心胸外科医生的概况和数量进行分析。
