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The Canadian Pediatric Surgery Workforce: A 10-year Prospective Assessment.

Sherif Emil1, Jacob C Langer2, Geoffrey Blair3

  • 1Harvey E. Beardmore Division of Pediatric Surgery, The Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada.

Journal of Pediatric Surgery
|February 23, 2024
PubMed
Summary

The Canadian pediatric surgery workforce saw modest growth over ten years. While a gap persists between graduates and available positions, the situation improved significantly in the last five years.

Keywords:
CanadaPediatric surgeryTrainingWorkforce

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Area of Science:

  • Surgical Workforce Analysis
  • Medical Education and Training

Background:

  • The Canadian Association of Paediatric Surgeons initiated a decade-long prospective study of the pediatric surgery workforce and training environment starting in 2013.
  • This study presents findings from the latter half (2018-2022) and cumulative data from 2013-2022.

Purpose of the Study:

  • To assess the changes and trends in the Canadian pediatric surgery workforce over a ten-year period.
  • To evaluate the training environment and the availability of positions for fellowship graduates.

Main Methods:

  • A web-based survey was administered annually from 2013 to 2022 to all Canadian pediatric surgery division chiefs.
  • Institutional Review Board (IRB) approval was obtained for the survey.
  • Data collected included workforce statistics and information on fellowship program graduates.

Main Results:

  • A 100% response rate was achieved from all 18 Canadian pediatric surgery divisions.
  • The number of pediatric surgeons and full-time equivalent positions increased from 73 to 81 and 65 to 82, respectively, over the decade.
  • The proportion of Canadian graduates unable to secure a Canadian position decreased from 44% (2013-2017) to 20% (2018-2022).

Conclusions:

  • The Canadian pediatric surgery workforce has experienced a modest but positive increase over the past decade.
  • Despite improvements, a disparity remains between the number of Canadian pediatric surgery graduates and available attending staff positions.
  • The trend indicates a narrowing gap and an improving outlook for newly trained pediatric surgeons in Canada.