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Related Concept Videos

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Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
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Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
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Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
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What is the future for General Surgery in Model 3 Hospitals?

K Mealy1, F Keane2, P Kelly3

  • 1National Clinical Programme in Surgery, Royal College of Surgeons in Ireland, 2 Proud's Lane, Dublin 2, Ireland. kmealy@rcsi.ie.

Irish Journal of Medical Science
|January 6, 2017
PubMed
Summary
This summary is machine-generated.

Ireland's Model 3 Hospitals face a General Surgery consultant shortage due to low trainee interest and an aging workforce. Urgent changes in surgical training or service organization are needed to prevent a manpower crisis.

Keywords:
General surgical activityManpowerModel 3 hospitalRecruitmentRetention

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Area of Science:

  • Health Services Research
  • Surgical Workforce Planning
  • Hospital Management

Background:

  • General Surgery consultant recruitment is a significant challenge in Ireland's Model 3 Hospitals.
  • These hospitals play a crucial role in delivering surgical services within the Irish healthcare system.

Purpose of the Study:

  • To analyze General Surgery activity and consultant staffing in Model 3 Hospitals.
  • To provide data-driven insights for future manpower and service planning.
  • To identify factors contributing to recruitment and retention challenges.

Main Methods:

  • Utilized the 2014 Hospital Inpatient Enquiry (HIPE) dataset to assess surgical activity.
  • Collected current consultant staffing data from hospital personnel departments.
  • Surveyed trainees on the National Surgical Training Programme regarding career intentions.

Main Results:

  • Model 3 Hospitals handle 50% of General Surgery discharges, with many procedures being low acuity (e.g., minor lesion excision, appendectomy).
  • A substantial portion of General Surgeons in these hospitals are locums (25%) or trained internationally (54%), with 22% nearing retirement.
  • Surgical trainees expressed a strong preference for Model 4 Hospitals, citing issues with rotas, skill enhancement, complex case exposure, research opportunities, and support.

Conclusions:

  • An impending General Surgery consultant manpower crisis in Model 3 Hospitals is evident.
  • Averting this crisis requires substantial changes to surgical training emphasis or a significant reorganization of surgical services.
  • Addressing trainee concerns regarding career development and work environment is critical for future recruitment.