Department of Surgical Science, Emergency Surgery Unit, Policlinico Universitario "D. Casula", Azienda Ospedaliero-Universitaria di Cagliari, University of Cagliari, SS 554, Km 4,500, 09042, Cagliari, Monserrato, Italy.
Department of Health Sciences, Università del Piemonte Orientale, Novara, Italy.
Updates Surg. 2024 Sep;76(5):1615-1633. doi: 10.1007/s13304-024-01859-7. Epub 2024 Apr 29.
The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 ± 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 ± 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 ± 4.9 and 7.8 ± 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 ± 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity > 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI.
普通外科医生的工作量是多方面的，不仅包括手术操作，还包括无数其他职责。我们于 2023 年 4 月至 5 月进行了一项符合 CHERRIES 标准的互联网调查，分析了临床实践、学术参与和值班后休息情况。问卷包括六个部分，共 35 个问题。统计分析采用卡方检验、方差分析和逻辑回归（SPSS v. 28）。该调查共收到 1046 份回复（65.4%）。超过 78.0%的受访者来自欧洲，65.1%来自普通外科病房；92.8%的欧洲和 87.5%的北美受访者参与研究，而非洲为 71.7%。欧洲在发表研究报告方面领先（每年 6.6±8.6 篇）。北美（100%）和非洲（91.7%）的教学参与度很高。外科医生报告平均每月有 6.7±4.9 次值班，欧洲和北美外科医生每月分别有 6.5±4.9 和 7.8±4.1 次值班。非洲外科医生的值班频率最高（8.7±6.1）。值班后，只有 35.1%的受访者有一天的休息时间。欧洲人最有可能（40%）休息一天，而非洲外科医生最不可能（6.7%）。在调整后的多变量分析中，人类发展指数（HDI）（优势比 1.993）、医院床位容量>400 张（优势比 2.423）、在专科手术病房工作（优势比 2.087）和在医院内部值班（优势比 5.446）显著预测值班后休息的可能性。我们的研究揭示了不同大洲外科医生在工作量、获得研究机会和职业机会方面的显著差异，这些差异突出了人类发展指数的重要性。
