Johnson Laura S, Jordan Marion H, Shupp Jeffrey W
The Burn Center, Department of Surgery, MedStar Washington Hospital Center, District of Columbia.
Department of Surgery, Georgetown University School of Medicine, Washington, District of Columbia.
J Burn Care Res. 2018 Oct 23;39(6):863-868. doi: 10.1093/jbcr/iry047.
There is a paucity of information in the peer-reviewed literature characterizing the current burn surgeon workforce and compensation potential, and, in a parallel topic, training opportunities and recruitment methods. What does exist documents minimal exposure to the field and surgeon shortages. A comprehensive survey was created to address 1) the demographics of current burn surgeons in practice, and 2) the structure of burn centers training models. Finally, three questions were asked regarding job satisfaction. With a response rate of 23%, demographics reflect representative involvement across the age spectrum. The majority of respondents (73.9%) had training in general surgery, with subsequent postgraduate training primarily in surgical critical care or burn fellowships. Two-thirds of respondents have active practices, cover multiple specialties, and take multispecialty call throughout the month. A variety of models are used to calculate compensation. The vast majority of burn centers train residents: general surgery residents (89%), plastic surgery residents (63%), and emergency medicine residents (32%), most of whom are in their first 3 years of training. The majority of respondents would become a burn surgeon again if they had to do it over and would recommend it to young surgeons as a career. A representative sample of burn surgeons from across North America sustains practices in similar ways. Access to the next generation of surgeons is at an early period in training (PGY1-3) which may prove valuable as surgical education evolves. Overall, burn surgeons express good job satisfaction, a significant point of interest as attention turns towards succession planning.
同行评审文献中关于当前烧伤外科医生队伍、薪酬潜力,以及与之相关的培训机会和招聘方法的信息匮乏。现有资料显示,该领域的接触机会极少,且存在外科医生短缺的情况。为此开展了一项全面调查,以了解:1)当前在职烧伤外科医生的人口统计学特征;2)烧伤中心培训模式的结构。最后,还询问了有关工作满意度的三个问题。回复率为23%,人口统计学数据反映了各年龄段的代表性参与情况。大多数受访者(73.9%)接受过普通外科培训,随后的研究生培训主要是外科重症监护或烧伤专科培训。三分之二的受访者从事活跃的临床工作,涵盖多个专科,并在整个月内承担多个专科的值班任务。薪酬计算采用多种模式。绝大多数烧伤中心培训住院医师:普通外科住院医师(89%)、整形外科住院医师(63%)和急诊医学住院医师(32%),其中大多数处于培训的前三年。大多数受访者表示,如果必须重新选择,他们仍会成为烧伤外科医生,并会向年轻外科医生推荐这一职业。来自北美各地的具有代表性的烧伤外科医生样本以类似方式开展临床工作。下一代外科医生的培养尚处于培训早期(住院医师第1 - 3年),随着外科教育的发展,这可能会被证明具有重要价值。总体而言,烧伤外科医生表达了较高的工作满意度,在关注继任计划之际,这是一个重要的关注点。