Smith Randi N, Freedberg Mari, Bailey Joanelle, DeMoya Marc, Goldberg Amy, Staudenmayer Kristan
Grady Health System, Atlanta, Georgia, USA.
Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Trauma Surg Acute Care Open. 2024 Jul 4;9(1):e001307. doi: 10.1136/tsaco-2023-001307. eCollection 2024.
Acute care surgery (ACS) encompasses five major pillars - trauma, surgical critical care, emergency general surgery, elective general surgery and surgical rescue. The specialty continues to evolve and due to high-acuity, high-volume and around-the-clock care, the workload can be significant leading to workforce challenges such as rightsizing of staff, work-life imbalance, surgeon burnout and more. To address these challenges and ensure a stable workforce, ACS as a specialty must be deliberate and thoughtful about how it manages workload and workforce going forward. In this article, we address the importance, benefits and challenges of defining full-time equivalence for ACS as a method to establish a stable ACS workforce for the future.
急性护理外科(ACS)包含五个主要支柱——创伤、外科重症护理、急诊普通外科、择期普通外科和外科救援。该专业不断发展,由于高 acuity、高工作量和全天候护理,工作量可能很大,导致人员配置调整、工作与生活失衡、外科医生职业倦怠等劳动力挑战。为应对这些挑战并确保稳定的劳动力,作为一个专业领域,ACS 必须认真思考未来如何管理工作量和劳动力。在本文中,我们探讨了将 ACS 的全职等效定义作为为未来建立稳定 ACS 劳动力的一种方法的重要性、益处和挑战。