Department of General Surgery, Wexford General Hospital, Newton Road, Wexford, Ireland.
Royal College of Surgeons, 123 St Stephen's Green, Dublin, Ireland.
Ir J Med Sci. 2022 Apr;191(2):945-950. doi: 10.1007/s11845-021-02641-z. Epub 2021 May 29.
Postgraduate specialty training in Ireland is associated with considerable cost. Some of these are mandatory costs such as medical council fees, while others are necessary to ensure career progression, such as attendance at courses and conferences. In particular, surgical specialities are believed to be associated with high training costs. It is unknown how these costs compare to those borne by counterparts in other specialities.
The aims of this study were to 1. Quantify the amount that trainees in Ireland spend on postgraduate training 2. Determine whether a difference exists between surgery and other non-skill-based specialties in terms of expenditure on training METHODS: A standardised non-mandatory questionnaire was circulated to trainees across two training centres in Ireland. Trainees at all levels were invited to participate.
Sixty responses were obtained. Fifty-seven questionnaires were fully completed and included for analysis. The median expenditure on training was higher for surgical than non-surgical specialities. Subgroup analysis revealed surgical training was associated with higher expenditure on higher degrees and courses compared to medical training (p = 0.035). > 95% of trainees surveyed felt that greater financial support should be available for trainees during the course of their training.
This study demonstrated that a career in surgery is associated with higher ongoing costs for higher degrees and courses than counterparts in non-surgical training. All surgical trainees surveyed felt that better financial support should be available. Increasing financial support for may be a tangible way to mitigate against attrition during training.
在爱尔兰，研究生专业培训与相当大的成本相关联。其中一些是强制性费用，如医学委员会费用，而另一些则是确保职业发展所必需的，如参加课程和会议。特别是，外科专业被认为与高昂的培训成本有关。目前尚不清楚这些成本与其他专业的同行相比如何。
本研究旨在 1. 量化爱尔兰受训者在研究生培训上的花费；2. 确定在培训支出方面，手术和其他非技能专业之间是否存在差异。
向爱尔兰两个培训中心的受训者分发了一份标准化的非强制性问卷。邀请各级受训者参加。
共收到 60 份回复。57 份完整的问卷被包括进行分析。外科专业的培训支出中位数高于非外科专业。亚组分析显示，与医学培训相比，外科培训与更高学位和课程的更高支出相关（p=0.035）。超过 95%的调查受训者认为，在培训期间，受训者应该获得更多的财政支持。
本研究表明，与非外科培训的同行相比，外科职业培训在更高学位和课程方面的持续成本更高。所有接受调查的外科受训者都认为应该提供更好的经济支持。增加对的财政支持可能是减轻培训期间人员流失的一种切实可行的方法。
