[The survey on the work environment of young cardiovascular surgeons]

We carried out the questionnaire of the working environment of young cardiovascular trainees, which are equal and less than ten years after graduation from medical school. We asked 261 surgeons for questionnaire on direct mail and 76 (29.1%) replied. Most of them thought they were working in poor environment. 47 surgeons (61.3%) were not satisfied with their current works. Main reasons were less chance of surgical cases as primary surgeons and lots of duties and paper works which were not related to operations and pre-and post-operative management. Primary thing that we have to do, would be to construct the system, which the medical clerk and physician's assistant share duties and reduce the labor burden on doctors. Many young surgeons expect to built up their social status as cardiovascular specialist. We considered that the improvement of working circumstances with establishing a system of physician assistant, drastic practice curriculums, would be necessary, before the discussion to put together cardiovascular institutions.