Hinchey E J
Division of General Surgery, Montreal General Hospital, PQ.
Can J Surg. 1988 Mar;31(2):94-6.
Manpower studies carried out by the Canadian Association of General Surgeons revealed a need for approximately 70 new general surgeons to enter practice each year to replace those who will discontinue practice for various reasons. The Royal College of Physicians and Surgeons of Canada certifies about 70 general surgeons each year; however, two-thirds of these pursue further specialty training, leaving only 20 to 25 to continue in general surgery. Training programs in Canada are of variable length and content. Less than half the trainees have substantial research experience. Programs designed to train the comprehensive community general surgeon are lacking in Canadian medical schools and reductions in residency training posts and other governmental constraints may worsen the anticipated shortage of general surgeons. Strong leadership is needed to bring together organized medicine, the surgical specialties, universities and government to address the training and manpower requirements for general surgeons in Canada.
加拿大普通外科医生协会开展的人力研究表明，每年大约需要70名新的普通外科医生进入临床工作，以取代因各种原因停止执业的医生。加拿大皇家内科医师和外科医师学院每年认证约70名普通外科医生；然而，其中三分之二的人会继续接受进一步的专科培训，只有20至25人会继续从事普通外科工作。加拿大的培训项目时长和内容各不相同。不到一半的受训人员有丰富的研究经验。加拿大医学院校缺乏旨在培养全面的社区普通外科医生的项目，住院医师培训岗位的减少以及其他政府限制可能会使预计的普通外科医生短缺情况恶化。需要强有力的领导来召集有组织的医学团体、外科专科、大学和政府，以解决加拿大普通外科医生的培训和人力需求问题。
