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Transplant surgeons in training: the present and their future?
1Department of Surgery, Cardiff Royal Infirmary.
Annals of the Royal College of Surgeons of England
|January 1, 1996
Summary
Few surgical trainees desire pure transplantation careers, preferring combined general surgery roles. This mismatch impacts future manpower planning, with many trainees leaving the field.
Area of Science:
- Surgical Training
- Transplantation Surgery
- Medical Education
Background:
- Limited data exists on surgical trainees in transplantation and their career goals.
- National audits were conducted in 1992 and 1994 to assess trainee numbers and aspirations.
Purpose of the Study:
- To investigate the career aspirations of surgical trainees in transplantation.
- To identify potential discrepancies between trainee desires and available consultant positions.
Main Methods:
- National audits in 1992 and 1994 identified registrars (R) and senior registrars (SR) in transplantation surgery.
- Trainees provided data on age, thesis status, training focus, and career preferences via scoring systems.
Main Results:
- Most trainees (43-57%) received renal or liver/renal training.
- Very few trainees (0-5.5%) wished to pursue pure transplantation; most preferred combined general surgery roles.
- Transplantation surgery alone was perceived as unfulfilling and underutilizing general surgical skills.
Conclusions:
- A significant gap exists between transplant trainee aspirations and consultant post offerings.
- This disparity leads to substantial trainee attrition (up to 40%), posing challenges for future manpower planning in transplantation surgery.