Department of Plastic Surgery and Burns, Pinderfields Hospital, Mid Yorkshire NHS Trust, UK.
Department of Plastic Surgery and Burns, Pinderfields Hospital, Mid Yorkshire NHS Trust, UK.
Burns. 2022 Feb;48(1):34-39. doi: 10.1016/j.burns.2021.03.008. Epub 2021 Apr 7.
The aim of this study was to gain insight into potential pitfalls in workforce planning for future consultant burns surgeons. An anonymous online survey was sent to current plastic surgery registrars in the UK to assess their subspecialty career choices, the perceived barriers to a career in burns surgery and possible solutions to these.
The response rate was 33%. Of 44 respondents, burns surgery was the primary subspecialty of choice for 2% (n = 1) and the secondary choice for 9% (n = 4). Reasons given for not selecting burns surgery included a lack of exposure to the subspecialty, a perceived narrow scope of clinical practice and a concern about the potential negative impact on personal lifestyle.
Our results may be extrapolated to demonstrate a potential shortfall in the workforce for burns surgery in the future. To address the perceived barriers highlighted by trainees, a coordinated response at a national and international level is most likely to be successful through the cooperation of burns associations. Possible solutions include increasing burns subspecialty exposure during training, incorporating experience in intensive care into surgical training, and highlighting the numerous research opportunities in burns surgery.
本研究旨在深入了解未来顾问烧伤外科医生的劳动力规划中的潜在问题。我们向英国的现任整形外科住院医师发送了匿名在线调查，以评估他们的亚专科职业选择、从事烧伤外科职业的感知障碍以及解决这些问题的可能方法。
响应率为 33%。在 44 名答复者中，2%（n=1）将烧伤外科作为主要亚专科选择，9%（n=4）将其作为次要选择。选择不从事烧伤外科的原因包括缺乏对该亚专科的了解、认为临床实践范围狭窄以及担心对个人生活方式可能产生负面影响。
我们的结果可以推断出未来烧伤外科劳动力可能短缺。为了解决受训者所强调的感知障碍，通过烧伤协会的合作，在国家和国际层面上协调一致的应对措施最有可能取得成功。可能的解决方案包括在培训期间增加烧伤亚专科的接触、将重症监护经验纳入外科培训、以及强调烧伤外科的众多研究机会。
