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Related Experiment Videos

The community general surgeon: a time for renaissance

F G Inglis1

  • 1Department of Surgery, University of Saskatchewan, Saskatoon.

Canadian Journal of Surgery. Journal Canadien De Chirurgie
|April 1, 1995
PubMed
Summary

Canada faces a growing shortage of general surgeons, particularly in smaller communities. Recent training changes and an aging surgeon population necessitate adaptable strategies to maintain surgical care standards.

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Area of Science:

  • Medical Education
  • Surgical Practice
  • Health Workforce Planning

Background:

  • General surgery in smaller Canadian communities demands broad training, with new Royal College requirements addressing community needs.
  • Evolving hospital governance to regional health boards requires surgeon adaptability to maintain care standards.
  • Canadian Medical Association studies predict a significant general surgeon shortage, exacerbated by an aging workforce.

Purpose of the Study:

  • To analyze the implications of new training requirements for general surgery in Canada.
  • To assess the current and future supply of general surgeons, especially in rural areas.
  • To explore strategies for recruitment and retention in general surgery.

Main Methods:

  • Review of Royal College of Physicians and Surgeons of Canada training requirements.
  • Analysis of Canadian Medical Association manpower studies from 1990.
  • Survey data analysis of surgical residents' career paths post-fellowship (1991-1993).

Main Results:

  • A significant proportion of Canadian general surgeons are over 55, indicating an impending shortage.
  • Post-fellowship training choices show varied career paths, with a substantial number not entering community practice or leaving surgery.
  • Rural communities have a higher proportion of older general surgeons.

Conclusions:

  • Urgent strategies are needed to address the projected shortage of general surgeons in Canada.
  • Recruitment and retention efforts must be enhanced to ensure adequate surgical services in all communities.
  • Collaboration between surgical associations and colleges is crucial for developing effective solutions.

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