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当你需要的时候会有优秀的普通外科医生吗?(第二部分)解决方案与夺回普通外科领域

Will there be a good general surgeon when you need one? (Part II) Solutions and taking back general surgery.

作者信息

Smith Richard, Stain Steven C, McFadden David W, Finlayson Samuel R G, Jones Daniel B, Reid-Lombardo K Marie

机构信息

Tripler Army Medical Center, Honolulu, HI, USA.

出版信息

J Gastrointest Surg. 2014 Jul;18(7):1334-42. doi: 10.1007/s11605-014-2522-4. Epub 2014 Apr 19.

DOI:10.1007/s11605-014-2522-4
PMID:24748342
Abstract

INTRODUCTION

Multiple reports have cited the looming shortage of physicians over the next decades related to increasing demand, an aging of the population, and a stagnant level in the production of new physicians. General surgery shares in this problem, and the specialty is "stressed" by a declining workforce related to increasing specialization that leaves gaps in emergency, trauma, and rural surgical care.

SUMMARY

The Society of Surgery of the Alimentary Tract (SSAT) Public Policy and Advocacy Committee sponsored panel discussions regarding the general surgery workforce shortage at the Digestive Disease Week 2012 and 2013 meetings. The 2012 panel focused on defining the problem. This is the summation of the series with the solutions to the general surgery workforce shortage as offered by the 2013 panel.

摘要

引言

多项报告指出,在未来几十年里,由于需求增长、人口老龄化以及新医生数量停滞不前,医生短缺问题迫在眉睫。普通外科也面临这一问题,由于专业化程度提高导致劳动力减少,在急诊、创伤和农村外科护理方面出现缺口,该专业面临“压力”。

总结

消化道外科学会(SSAT)公共政策与宣传委员会在2012年和2013年消化疾病周会议上主办了关于普通外科劳动力短缺问题的小组讨论。2012年的小组讨论重点是界定问题。本文是该系列文章的总结,介绍了2013年小组讨论提出的解决普通外科劳动力短缺问题的方案。

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本文引用的文献

1
Will there be a good general surgeon when you need one?当你需要时,会有一位优秀的普外科医生吗?
J Gastrointest Surg. 2014 May;18(5):1032-9. doi: 10.1007/s11605-013-2416-x. Epub 2013 Dec 19.
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A regent's perspective.一位摄政者的观点。
Bull Am Coll Surg. 2013 Apr;98(4):59-62.
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Early subspecialization and perceived competence in surgical training: are residents ready?早期亚专科化与外科培训中的感知能力:住院医师是否已准备好?
J Am Coll Surg. 2013 Apr;216(4):764-71; discussion 771-3. doi: 10.1016/j.jamcollsurg.2012.12.045.
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Surgical training models: a new vision. Broad-based general surgery and rural general surgery training.外科培训模式:新愿景。基础广泛的普通外科和农村普通外科培训。
Curr Probl Surg. 2012 Oct;49(10):565-623. doi: 10.1067/j.cpsurg.2012.06.008.
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Shortening medical training by 30%.将医学培训缩短30%。
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A proposal for enhancing the general surgical workforce and access to surgical care.提高普通外科劳动力和获得外科护理的建议。
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General surgery workloads and practice patterns in the United States, 2007 to 2009: a 10-year update from the American Board of Surgery.美国普通外科手术工作量和实践模式,2007 年至 2009 年:美国外科学会 10 年更新。
Ann Surg. 2011 Sep;254(3):520-5; discussion 525-6. doi: 10.1097/SLA.0b013e31822cd175.
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Our trainees' confidence: results from a national survey of 4136 US general surgery residents.我们学员的信心:来自对4136名美国普通外科住院医师的全国性调查结果。
Arch Surg. 2011 Aug;146(8):907-14. doi: 10.1001/archsurg.2011.178.
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Early tracking would improve the operative experience of general surgery residents.早期追踪可以提高普通外科住院医师的手术经验。
Ann Surg. 2010 Sep;252(3):445-9; discussion 449-51. doi: 10.1097/SLA.0b013e3181f0d105.
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Am J Surg. 2009 Dec;198(6):798-803. doi: 10.1016/j.amjsurg.2009.05.033.