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[胸外科实习医生短缺:我们是需要做出调整还是走向消亡?]

[Deficit of trainees in thoracic surgery : Do we need to adapt or become extinct?].

作者信息

Rösch Romina Maria, Griffo Raffaella, Berger-Groch Josephine, Brendel Lena, Presotto Maria Ada, Metelmann Isabella, Winter Hauke, Klotz Laura Valentina

机构信息

Abteilung für Thoraxchirurgie, Thoraxklinik Heidelberg, Röntgenstr. 1, 69126, Heidelberg, Deutschland.

Deutsches Zentrum für Lungenforschung - Zentrum für Translationale Lungenforschung (TLRC), Universitätsklinikum Heidelberg, Neuneheimer Feld 130.3, 69120, Heidelberg, Deutschland.

出版信息

Chirurgie (Heidelb). 2024 Sep;95(9):748-755. doi: 10.1007/s00104-024-02106-w. Epub 2024 May 31.

Abstract

BACKGROUND

Although thoracic surgery is a challenging and versatile surgical specialty, a shortage of qualified and motivated thoracic surgery residents is expected in the coming years. In the inpatient setting, a shortage of approximately 7300 surgeons is expected. Therefore, there is an urgent need to attract more interested young medical students and improve the medical training of our next generation of surgeons.

METHODS

To assess the current nationwide status quo among medical students, an online survey with 39 questions on participant demographics, medical education, interest in surgical and thoracic surgery training, and attractiveness of residency was designed.

RESULTS

In all, 224 questionnaires were analyzed. Overall, there was a high level of interest in (thoracic-) surgery at the start of training. It should be noted that one third of the respondents did not know that the 'thoracic surgeon' is an independent specialist. This statement raises further questions about the presence of thoracic surgery in medical studies. When asked about typical characteristics that students associate with thoracic surgery, the majority answered 'a high level of practical activity'. The main reason they gave for not pursuing further surgical training was the unfavorable work-life balance.

CONCLUSION

Students know exactly what they want for their future and where surgery has its weaknesses. They want transparent and practical training, a work-life balance, and recognition of their work and themselves.

摘要

背景

尽管胸外科手术是一个具有挑战性且用途广泛的外科专业,但预计未来几年合格且有积极性的胸外科住院医师会短缺。在住院环境中,预计外科医生短缺约7300名。因此,迫切需要吸引更多感兴趣的年轻医学生,并改善我们下一代外科医生的医学培训。

方法

为评估医学生当前的全国现状,设计了一项在线调查,包含39个关于参与者人口统计学、医学教育、对外科和胸外科培训的兴趣以及住院医师培训吸引力的问题。

结果

总共分析了224份问卷。总体而言,在培训开始时,对(胸)外科手术有很高的兴趣。应当指出的是,三分之一的受访者不知道“胸外科医生”是一个独立的专科医生。这一说法引发了关于胸外科在医学课程中存在情况的进一步问题。当被问及学生认为胸外科手术的典型特征时,大多数人回答是“高度的实践活动”。他们不继续接受外科培训的主要原因是工作与生活的平衡不理想。

结论

学生确切知道他们未来想要什么,以及外科手术的不足之处。他们希望获得透明且实用的培训、工作与生活的平衡,以及对他们的工作和自身的认可。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd7f/11333516/aaf264037688/104_2024_2106_Fig1_HTML.jpg

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