부산대학교 도서관

Background: Little is known regarding the research and training expectations faced by modern general surgery graduates interested in pursuing academic surgical careers. In this study, we describe the changing face of the Canadian academic general surgeon by outlining the in-residency research productivity and postresidency clinical and academic training trends over time. Methods: Our cross-sectional cohort included Canadian academic general surgeons, defined as those with a university-affiliated appointment as assistant, associate or full professor. Academic surgeons were identified by the Royal College of Physicians and Surgeons of Canada online directory as well as directories of university and hospital websites. Data points included institution, faculty appointment and rank, graduation year, graduate education, fellowship training and research productivity. Results: Our cohort included 417 surgeons from 17 Canadian academic institutions. The majority of surgeons were male (72.9%), had completed at least 1 fellowship (72.9%) and had had some form of supplementary research training (51.8%). Surgeons in the cohort had practised a median of 17 (10-27) years. The mean number of total and first-author publications for the participants in this study has increased consistently each decade before the 1980s (p < 0.001). The proportion of academic surgeons completing graduate degrees has increased steadily every decade, reaching a peak of 61.5% for surgeons graduating in the 2010s. Conclusion: The Canadian academic surgeon is becoming increasingly productive in research during residency and is pursuing higher levels of graduate education and more fellowships than ever before. These changes probably correspond to an evolving employment and research funding landscape that places tremendous academic pressure on surgical trainees. Contexte: On en sait peu sur les attentes en matiere de recherche et de formation auxquelles doivent aujourd'hui repondre les diplomes en chirurgie generale qui souhaitent poursuivre une carriere professorale dans le domaine. Nous decrivons ici l'evolution du parcours des professeurs de chirurgie generale canadiens a partir des tendances de productivite en recherche durant la residence et de formation theorique et pratique apres la residence. Methodes: Nous avons forme une cohorte transversale de professeurs de chirurgie generale adjoints, agreges et titulaires affilies a un etablissement universitaire canadien a partir du repertoire en ligne du College royal des medecins et chirurgiens du Canada ainsi que des repertoires figurant sur les sites Web des universites et des hopitaux. Les variables examinees comprenaient l'etablissement, le poste et le rang occupes, l'annee d'obtention du diplome, les etudes superieures, la formation postdoctorale et la productivite en recherche. Resultats: La cohorte etait constituee de 417 chirurgiens representant 17 etablissements universitaires canadiens. La majorite d'entre eux etaient des hommes (72,9%), avaient effectue au moins 1 stage postdoctoral (72,9%) et avaient recu une formation supplementaire en recherche (51,8%). Le nombre d'annees de pratique median etait de 17 (10 a 27) ans. Le nombre moyen de publications des membres de la cohorte a titre de coauteur et d'auteur principal a augmente chaque decennie jusqu'aux annees 1980 (p < 0,001). Le pourcentage des professeurs de chirurgie ayant un diplome d'etudes superieures a aussi augmente de facon constante d'une decennie a l'autre, pour atteindre 61,5% dans les annees 2010. Conclusion: Les professeurs de chirurgie canadiens font de plus en plus de recherche durant la residence, sont plus nombreux a poursuivre des etudes a des niveaux superieurs et effectuent plus de stages postdoctoraux que jamais. Ces changements s'expliquent probablement par l'evolution du marche de l'emploi et du financement en recherche, 2 facteurs qui exercent une pression enorme sur les chirurgiens en formation.
Recognizing that technical advances, increasing subspecialization and resource limitations have contributed to significant changes to surgical practice, (1) a national Task Force on the Future of General Surgery recently completed [...]