Inglis F G
Can J Surg. 1986 May;29(3):166-8.
The Canadian Association of General Surgeons distributed a questionnaire to members located in communities of 40 000 population or less. The objective was to establish a minimal referral base of general surgeons, to identify the scope of procedures performed and the adequacy of training for serving smaller communities and to gain knowledge of the need for other specialists and the activity of the general practitioner-surgeons in smaller centres. A review of 92 replies indicated that, in general, these surgeons are very satisfied with the hospital and laboratory facilities, and perform a broad range of operative procedures for which there is abundant operating time. In communities of 10 000 to 20 000 there appears to be a need for extra training in obstetric, gynecologic and orthopedic procedures. Most of the larger communities have an adequate number of other surgical specialists with the exception of neurosurgeons. Of the respondents, 80% practised on a referral basis only with an average of 10 referring general practitioners; 24% were in competition with general practitioner-surgeons, but most indicated that this is a diminishing problem. It appears that practice in small communities provides a very rewarding and professionally challenging surgical career.
加拿大普通外科医生协会向居住在人口4万及以下社区的会员发放了一份调查问卷。目的是建立普通外科医生的最低转诊基数，确定所实施手术的范围以及为较小社区服务的培训充足程度，并了解对其他专科医生的需求以及小型中心的全科医生-外科医生的活动情况。对92份回复的审查表明，总体而言，这些外科医生对医院和实验室设施非常满意，并且实施种类繁多的手术，有充足的手术时间。在1万至2万人口的社区，似乎需要在产科、妇科和骨科手术方面接受额外培训。除神经外科医生外，大多数较大社区有足够数量的其他外科专科医生。在受访者中，80%仅基于转诊开展业务，平均有10名转诊的全科医生；24%与全科医生-外科医生存在竞争，但大多数表示这一问题正在减少。看来在小社区执业能提供非常有意义且在专业上具有挑战性的外科职业生涯。
