Yastı Ahmet Çınar, Uçar Ahmet Deniz, Kendirci Murat
Health Sciences University, General Surgery, Ankara, Turkey.
Bozyaka Education and Research Hospital, General Surgery, Izmir, Turkey.
Turk J Surg. 2019 Jan 3;36(1):82-95. doi: 10.5578/turkjsurg.4643. eCollection 2020 Mar.
As one of the oldest and main branches of medicine, process of General Surgery speciality training is long, expensive and difficult. Along with the principle of using limited sources wisely, there is a need for national forward planning in order to keep the number of General Surgery specialists in the proper level and in the proper quality. This study is made for the assurement of training quality specialists and for the sustainability in the best conditions after determining of the number of general surgeons, work force, and working conditions.
The number of General Surgery specialists (professors, associate professors, specialists or General Surgery subspecialists) and assistants who actively work in our country from the end of 2017 in the public sector, private sector, and university hospitals, is examined. These numbers were subjected to cross evaluation according to the provinces, academic titles and number of assistants. The estimated ratio of the existing number of General Surgery specialists to upcoming five and ten years were calculated according to the data of Turkish Statistical Institute.
From the end of 2017, 3957 General Surgery specialists are actively working in 1031 of 1499 health facilities. Four hundred and forty of them are titled as professors, 324 of them are titled as associate professors. For every 25 thousand people, there exist 1.22 surgeons. Ten years ago, this ratio was calculated as 1.27. The number of assistans, which was 1005 ten years ago, is decreased to 768 today, but the increase of the number of specialists is 409.
The number of General Surgeons in our country is above the ideal ratio, which is one for 25 thousand people. In case rate of increase of the number of General Surgeons for the last 10 years continues, when the decrease of population growth rate is considered, there will be an uncontrolled increase in the number of surgeon per 25 thousand people. Just as the distribution of General Surgery specialists -whether or not having an academic title- is not balanced, the number of instructor per assistant is also excessive.
作为医学最古老且主要的分支之一，普通外科专科培训过程漫长、成本高昂且难度较大。本着明智利用有限资源的原则，需要进行国家前瞻性规划，以使普通外科专科医生的数量保持在适当水平并具备适当质量。本研究旨在确定普通外科医生数量、劳动力及工作条件后，确保培养出高质量的专科医生并在最佳条件下实现可持续发展。
对2017年底起在我国公共部门、私营部门及大学医院中积极工作的普通外科专科医生（教授、副教授、专科医生或普通外科亚专科医生）及助理的数量进行了调查。这些数据按省份、学术职称及助理数量进行了交叉评估。根据土耳其统计局的数据计算了现有普通外科专科医生数量与未来五年及十年的预计比例。
自2017年底起，3957名普通外科专科医生在1499家医疗机构中的1031家积极工作。其中440人拥有教授职称，324人拥有副教授职称。每2.5万人中有1.22名外科医生。十年前，这一比例为1.27。助理数量从十年前的1005人降至如今的768人，但专科医生数量增加了409人。
我国普通外科医生数量高于每2.5万人一名的理想比例。若过去十年普通外科医生数量的增长速度持续，考虑到人口增长率下降，每2.5万人中的外科医生数量将出现无节制增长。正如普通外科专科医生（无论有无学术职称）的分布不均衡一样，每名助理的带教老师数量也过多。
