Froud P J
Can Med Assoc J. 1985 Feb 15;132(4):351-7.
Cancer has been the second most common cause of death in Canada for decades, and its nonsurgical management has largely been carried out by radiation oncologists for many years. Most of these specialists are not Canadian medical graduates, and the supply of suitably trained radiation oncologists is steadily diminishing in relation to the increasing numbers of patients referred to regional cancer centres. Consequently, the workload of each radiation oncologist has steadily increased to a level well beyond that recommended internationally, and it is still increasing. Unless more Canadian graduates can be attracted into the field, and unless more staff positions can be created in virtually all Canadian regional cancer centres, the high quality of patient care, teaching and research offered by radiation oncologists will suffer irreparably and will probably never recover to its former internationally recognized level. In this paper the author recommends ways in which to increase the number of radiation oncologists, though to be effective they will require the collaboration of provincial governments, medical schools, provincial cancer foundations and the medical profession.
几十年来，癌症一直是加拿大第二大常见死因，其非手术治疗多年来主要由放射肿瘤学家进行。这些专家大多并非加拿大医学专业毕业生，而且随着转诊至地区癌症中心的患者数量不断增加，接受过适当培训的放射肿瘤学家的供应正在稳步减少。因此，每位放射肿瘤学家的工作量稳步增加，已远超国际推荐水平，且仍在上升。除非能吸引更多加拿大毕业生投身该领域，除非几乎所有加拿大地区癌症中心都能增设更多员工岗位，否则放射肿瘤学家所提供的高质量患者护理、教学和研究将受到无法弥补的损害，可能永远无法恢复到以前国际认可的水平。在本文中，作者推荐了增加放射肿瘤学家数量的方法，不过要想有效，这些方法需要省政府、医学院、省级癌症基金会和医学界的合作。
