Laskar Marc, Spinosi Anne Marie, Bendjebla Yamina, Moreau Jeanne, Dahan Marcel
Department of Cardiac Surgery, University Hospital Dupuytren, Limoges, France.
Interact Cardiovasc Thorac Surg. 2013 Apr;16(4):470-4. doi: 10.1093/icvts/ivs563. Epub 2013 Jan 11.
The aim of the study was to accurately evaluate the inflow and outflow of thoracic and cardiac surgeons in France.
The French Society of Thoracic and Cardiovascular Surgery (SFCTCV) built a database of the surgeons involved in thoracic and/or cardiac surgery in France. It included all surgeons who perform cardiac or thoracic surgery regardless of the number of operations performed per year, whether or not they are members of the SFCTCV and all trainees once they have expressed an interest in thoracic and/or cardiac surgery.
The database included 552 senior surgeons (professors, attending surgeons in public practice and attending surgeons in private practice) practicing cardiac and/or thoracic surgery. Of these, 206 practiced cardiac, 278 thoracic and 68 both. The 'inflow' includes 128 residents and 83 senior residents. Global analysis of age distribution showed a mean predictable outflow of 17.6 senior surgeons per year between 2013 and 2022. The 'inflow' of finishing senior residents for the next 5 years was 18 per year. The number of residents was 25 per year of residency. Cardiac surgeon 'outflow' was 7.7 per year and the inflow of finishing senior residents 10-11 per year. The difficult period will be 2015-19 with an excess of 5 finishing senior residents per year. Thoracic surgeon 'outflow' was 11.7 and inflow 10 per year. Gender distribution indicated an increasing feminization. The female proportion was 5, 23 and 31% among senior surgeons, senior residents and residents, respectively.
France will not run out of cardiothoracic surgeons. The inflow compensates for the outflow of surgeons liable to stop their activity in the next 10 years.
本研究旨在准确评估法国胸心外科医生的流入与流出情况。
法国胸心血管外科学会（SFCTCV）建立了一个法国胸心外科医生数据库。该数据库涵盖了所有从事心脏或胸外科手术的医生，无论其每年的手术量多少，是否为SFCTCV成员，以及所有对胸心外科手术表示兴趣的实习生。
该数据库包含552名从事心脏和/或胸外科手术的资深外科医生（教授、公立医院主治医生和私立医院主治医生）。其中，206人从事心脏外科，278人从事胸外科，68人同时从事两者。“流入”包括128名住院医师和83名高级住院医师。年龄分布的总体分析显示，2013年至2022年期间，每年预计有17.6名资深外科医生流出。未来5年，即将结束培训的高级住院医师的“流入”量为每年18人。住院医师数量为每年25人。心脏外科医生的“流出”量为每年7.7人，即将结束培训的高级住院医师的流入量为每年10 - 11人。困难时期将是2015 - 2019年，每年有5名以上即将结束培训的高级住院医师过剩。胸外科医生的“流出”量为每年
