Report of the 2005 STS Congenital Heart Surgery practice and manpower survey

Report of the 2005 STS Congenital Heart Surgery practice and manpower survey
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DOI:
10.1016/j.athoracsur.2006.04.022
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发表时间:
2006-09-01
影响因子:
4.6
通讯作者:
Pelletier, Glenn J.
Pelletier, Glenn J.
中科院分区:
医学2区
文献类型:
--
作者:
Jacobs, Marshall L.;Mavroudis, Constantine;Pelletier, Glenn J.

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背景。有关北美先天性心脏手术劳动力的信息有限。为了获得可靠的数据,胸外科医师协会(STS)劳动力对先天性心脏手术进行了专注于专为专注的调查。对网站和数据库的初步研究揭示了一个潜在的263位先天性心脏外科医生的目标组,其中包括248位美国中心的外科医生,在加拿大八个站点上有15个。调查已发送给这些调查,以及在CTS-NET或STS网站上列出了对先天性或小儿心脏手术兴趣的其他人。反应者包括主动先天性心脏外科医生,非活性或退休的外科医生,成人心脏外科医生以及培训外科医生。分析仅基于217名活跃先天性心脏外科医生(> 80%的目标)的反应。平均年龄为48.3 +/- 8.3岁(范围为33至78)。十名是女性(5%),207名男性(95%)。美国医学院的毕业生为170(79%),有9.2 +/- 1。6年的研究生培训。百分之八十五是胸部董事会认证。 29(14%)获得了美国或加拿大以外的先天心脏手术训练。一百二十八(59%)完全是先天性心脏手术。三分之一的表现少于100个先天性案例,三分之一的表现100到199,三分之一的表现为200或更多。先天性心脏外科医生目前处于9.5 +/- 8。2年。十一名是练习的第一年。平均预期退休年为15.7 +/- 7.5(范围1至34)。三个预计在1年内退休。同时,今年将在28个中心完成39名研究员的研究生培训,其中19名将在北美寻求职位。这些数据应有助于促进理性计划,以满足人力需求,包括发展有关培训和认证的政策。
Background. Limited information is available concerning the congenital heart surgery workforce in North America. To obtain reliable data, The Society of Thoracic Surgeons (STS) Workforce on Congenital Heart Surgery undertook a subspecialty focused survey.Methods. Preliminary research of websites and databases revealed a potential target group of 263 congenital heart surgeons, including 248 surgeons at 121 US centers and 15 at eight Canadian sites. Surveys were sent to these, plus any additional individuals who listed an interest in congenital or pediatric heart surgery on CTS-Net or STS websites. Responders include active congenital heart surgeons, inactive, or retired surgeons, adult cardiac surgeons, and surgeons in training. Analysis is based exclusively on the responses of 217 active congenital heart surgeons (> 80% of target).Results. Average age was 48.3 +/- 8.3 years (range, 33 to 78). Ten were female (5%), 207 male (95%). American Medical School graduates were 170 (79%), with 9.2 +/- 1.6 years of postgraduate training. Eighty-five percent are Thoracic Board certified. Congenital heart surgery training outside the United States or Canada was obtained by 29 (14%). One hundred twenty-eight (59%) do exclusively congenital heart surgery. One third perform fewer than 100 congenital cases per year, one third perform 100 to 199, and one third perform 200 or more. Congenital heart surgeons have been in their current positions for 9.5 +/- 8.2 years. Eleven are in their first year of practice. Mean anticipated years to retirement is 15.7 +/- 7.5 (range, 1 to 34). Three anticipate retirement within 1 year. At the same time, 39 fellows will complete postgraduate training at 28 centers this year, and 19 will seek positions in North America.Conclusions. These data should help to facilitate rational plans to meet manpower needs, including evolving policies concerning training and certification.