medigraphic.com
ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)

2010, Number 2

<< Back Next >>

Cir Gen 2010; 32 (2)

The future of the general surgeon

Hernández CJR, Carrasco RJA, Tapia JJ, Hurtado LLM, Carrasco RA

Language: Spanish
References: 18
Page: 106-108
PDF size: 107.90 Kb.


ABSTRACT

Objective: To know the perception of the just graduated general surgeon regarding his/her surgical training during the residency, his/her present and future work status within the specialty and his/her membership in academic organizations.
Setting: Mexican Association of General Surgery (AMCG, for its initials in Spanish).
Design: Survey type, observational, transversal study.
Statistical analysis: Percentages as summary measures for qualitative variables.
Material and methods: We performed a multiple choice survey applied to just graduated general surgeons in March 2006 in eight hospitals, assessing: level of training in the main procedures of the specialty, working perspective at the end of the specialty, membership in academic associations of the specialty.
Results: Fifty-four recently graduated general surgeons answered the survey. Of them, 96% feel able to perform the main procedures of general surgery; whereas 26% do not consider himself/herself able to solve the main surgical complications; 48.1% consider that the main deficiency lies in the insufficient number of surgeries in which they participate during their training. In addition, 98.2% of the just graduated general surgeons feel frustrated and worried about their economic certainty. Only 16.6% have received a satisfactory response to be admitted to a public health institution. A third (33.3%) of the surgeons is not a member of any surgical association, mainly because of the high cost and because they see no benefits in it.
Conclusion: The general surgeon at the end of the training considers a stage of economic and emotional uncertainty for which he/she is not prepared that generates a large frustration and disappointment. He/she identifies a deficiency in the teaching on resolving surgical complications.


REFERENCES

  1. Debas HT, Bass BL, Brennan MF, Flyb TC, Folse JR, Freschlag JA, et al. American Surgical Association Blue Ribbon Committee Report on Surgical Education 2004. Ann Surg 2005; 241: 1-8.

  2. Kwakwa F, Jonasson O. The longitudinal study of surgical residents. 1994 to 1996. J Am Coll Surg 1999; 188: 575-585.

  3. De la Fuente R. La especialización en medicina. Rev Fac Med UNAM 1992; 35: 133-137.

  4. Barshes NR, Vavra AK, Miller A, Brunicardi FC, Goss JA, Sweeney JF. General surgery as a career: a contemporary review of factors central to medical student specialty choice. J Am Coll Surg 2004; 199: 792-799.

  5. Lifschitz A. Perfil profesional de especialista en medicina. Rev Fac Med UNAM 1992; 35: 149-155.

  6. Hernández CJR, Carrasco RJA. Percepción del campo de trabajo del residente en cirugía general al terminar la residencia: ¿Suficiente o insuficiente? Cir Gen 2006; 28: 37-41.

  7. Gates RL, Walker JT, Denning DA. Workforce patterns of rural surgeons in West Virginia. Am Surg 2003; 69: 367-371.

  8. Sariego J. Patterns of surgical practice in a small rural hospital. J Am Coll Surg 1999; 189: 8–10.

  9. Shively EH, Shively SA. Threats to rural surgery. Am J Surg 2005; 190: 200–205.

  10. Richardson JD. Training of general surgical residents: what model is appropriate? Am J Surg 2006; 191: 296–300.

  11. Silen W. Crisis in surgical education. J Am Coll Surg 2001; 193: 514–515.

  12. Richardson JD. Workforce and lifestyle issues in general surgery training and practice. Arch Surg 2002; 137: 515–520.

  13. Henningsen JA. Why the numbers are dropping in general surgery: the answer no one wants to hear–lifestyle! Arch Surg 2002; 137: 255–256.

  14. Wright SM, Carrese JA. Excellence in role modelling: insight and perspectives from the pros. CMAJ 2002; 167: 638–643.

  15. Weber SM, Fergestad J, Lewis B, Tefera G, Chen H. How should medical student rotations be structured to optimize education? J Surg Res 2005; 126: 145–148.

  16. Lind DS, Deladisma AM, Cue JI, Thomas AM, MacFadyen BV, Nesbit RR. Survey of student education in surgery. J Am Coll Surg 2007; 204: 969-976.

  17. Graschew G, Roelofs TA, Rakowsky S, Schlag PM. Network design for telemedicine--e-health using satellite technology. Stud Health Technol Inform 2008; 131: 67-82.

  18. Russomano T, Cardoso RB, Fernandes J, Cardoso PG, Alves JM, Pianta CD, et al. Tele-surgery: a new virtual tool for medical education. Stud Health Technol Inform 2009; 150: 866-70.




2020     |     www.medigraphic.com