Bornman P C, Krige J E, Terblanche J, Rode H, de Villiers J C
Department of General Surgery, University of Cape Town, South Africa.
Arch Surg. 1996 Jan;131(1):6-12; discussion 13. doi: 10.1001/archsurg.1996.01430130008001.
The practice of surgery in South Africa ranges from full-time service in state-funded and academic hospitals serving a largely indigent population to a private sector for medically insured patients. Surgical training occurs at eight medical schools, and specialist registration is obtained after 4 to 5 years with either a university-conferred degree or a fellowship from the College of Surgeons of South Africa. The wide spectrum of First- to Third-World diseases and the high incidence of trauma provide comprehensive experience for practical training. Surgical standards are uniformly high, matching and sometimes pioneering the very best of Western medicine. The health care system is undergoing radical change to correct the imbalances of the apartheid era. Academic institutions are under pressure, and with incipient major financial cutbacks, there is concern that the proud record of service, teaching, and research excellence may be compromised. To facilitate the mission of broadening health care services, diploma training in surgery for rural practitioners is being developed. Outreach programs and closer liaisons with surgical societies in sub-Saharan African countries have also been initiated.
在南非，外科手术业务范围广泛，涵盖为大量贫困人群服务的公立及学术医院的全职服务，以及针对参保患者的私立医疗服务。外科培训在八所医学院校开展，完成4至5年学业后，可凭借大学授予的学位或南非外科医师学院的研究员资格获得专科医师注册。从第一世界到第三世界的各类疾病以及高创伤发生率，为实践培训提供了全面的经验。外科手术标准始终保持较高水平，与西方医学的最佳标准相当，有时甚至领先。医疗保健系统正在经历彻底变革，以纠正种族隔离时代的不平衡状况。学术机构面临压力，随着初期大幅削减财政预算，人们担心其引以为傲的服务、教学和卓越研究记录可能受到影响。为推动扩大医疗保健服务的使命，正在为乡村从业者开展外科手术文凭培训。还启动了外展项目，并加强了与撒哈拉以南非洲国家外科学会的联系。
