Department of Surgery, University of Louisville, Louisville, KY 40292, USA.
Ann Surg. 2012 Apr;255(4):611-7. doi: 10.1097/SLA.0b013e31824b194b.
OBJECTIVE(S): The goals of this focused meeting were to verify and clarify the causes and extent of the general surgery (GS) workforce shortfalls. We also sought to define workable solutions within the existing framework of medical accreditation and certification.
Numerous peer-reviewed and lay reports describe a current and worsening availability of GS services, affecting rural areas as well as large cities, academia, and the military.
Primary recommendations were broadly agreed upon by attendee surgeons who were selected from numerous different professional scenarios and included 2 nonmedical observers.
(1) enhance the number of GS trainees and the breadth of training, (2) incorporate more flexibility and breadth in residency, (3) minimally invasive surgery should largely return to GS, (4) broader use of community hospitals in these efforts, (5) publicize loan forgiveness and improved visa status for international medical graduates going into GS, and (6) select candidates with a bias toward a general surgical career.
These methods are promising approaches to this serious deficiency but will require regular reporting and publicity for the recording of actual increases in GS output.
本次专题会议的目的是核实和阐明普通外科（GS）劳动力短缺的原因和程度。我们还试图在现有的医学认证和认证框架内确定可行的解决方案。
许多同行评审和外行报告描述了当前和日益严重的 GS 服务可用性问题，影响到农村地区以及大城市、学术界和军队。
主要建议得到了来自众多不同专业环境的与会外科医生的广泛认可，其中包括 2 名非医学观察员。
（1）增加 GS 受训者的数量和培训范围，（2）在住院医师培训中增加更多的灵活性和广度，（3）微创外科应主要回归 GS，（4）在这些努力中更广泛地利用社区医院，（5）宣传贷款减免和改善 GS 国际医学毕业生的签证状况，（6）选择有普外科职业倾向的候选人。
这些方法是解决这一严重缺陷的有希望的方法，但需要定期报告和宣传，以记录 GS 产出的实际增长。
