An Evaluation of The Regional Distribution of Pediatric Surgery Workforce and Surgical Load in Brazil

Bustorff‐Silva, Joaquim Murray; Miranda, Márcio Lopes; Rosendo, Amanda; Filho, António Gonçalves de Oliveira

doi:10.1101/2022.10.19.22281261

Cited by 2 publications

(1 citation statement)

References 37 publications

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“…These ratios are usually met in the wealthiest regions of the country such as the south (e.g., Rio Grande do Sul state) and the southeast regions (e.g., São Paulo and Rio de Janeiro states). The northern regions are usually poorer and underserved 7,13 . We should point out that these world recommendations do not specifically include the practice of pediatric anesthesia, nor do we have reliable data to illustrate the actual regional distribution of this anesthesia subspecialty.…”

Section: The Supply Of Anesthesia Care Services In Brazilmentioning

confidence: 99%

Pediatric anesthesiology in Brazil, Chile, and Mexico

Quintão,

Concha,

Argüello

et al. 2024

Pediatric Anesthesia

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BackgroundLatin America comprises an extensive and diverse territory composed of 33 countries in the Caribbean, Central, and South America where Romance languages–languages derived from Latin are predominantly spoken. Economic disparities exist, with inequitable access to pediatric surgical care. The Latin American Surgical Outcomes Study in Pediatrics (LASOS‐Peds), a multi‐national collaboration, will determine safety of pediatric anesthesia and perioperative care.ObjectiveBelow, we provide a descriptive initiative to share how pediatric anesthesia in Brazil, Chile, and Mexico operate. Theses descriptions do not represent all of Latin America.Descriptions and ConclusionsBrazil an upper middle‐income country, population 203 million, has a public system insufficiently resourced and a private system, resulting in inequitable safety and accessibility. Surgical complications constitute the third leading cause of mortality. Anesthesiology residency is 3 years, with required rotations in pediatric anesthesia; five hospitals offer pediatric anesthesia fellowships. Anesthesiology is a physician‐only practice. A Pediatric Anesthesia Committee within the Brazilian Society of Anesthesiology offers education through seasonal courses and workshops including pediatric advanced life support. Chile is a high‐income country, population 19.5 million, the majority cared for in the public system, the remainder in university, private, or military systems. Government efforts have gradually corrected the long‐standing anesthesiology shortage: twenty 3‐year residency programs prepare graduates for routine pediatric cases. The Chilean Society of Anesthesiology runs a 1‐month program for general anesthesiologists to enhance pediatric anesthesia skills. Pediatric anesthesia fellowship training occurs in Europe, USA, and Australia, or in two 2‐year Chilean university programs. Public health policies have increased the medical and surgical pediatric specialists and general anesthesiologists, but not pediatric anesthesiologists, which creates safety concerns for neonates, infants, and medically complex. Chile needs more pediatric anesthesia fellowship programs. Mexico, an upper middle‐income country, with a population of about 126 million, has a five‐sector healthcare system: public, social security for union workers, state for public employees, armed forces for the military, and a private “self‐pay.” There are inequities in safety and accessibility for children. Pediatric Anesthesiology fellowship is 2 years, after 3 years residency. A shortage of pediatric anesthesiologists limits accessibility and safety for surgical care, driven by added training at low salary and hospital under appreciation. The Mexican Society of Pediatric Anesthesiology conducts refresher courses, workshops, and case conferences. Insufficient resources and culture limits research.

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Section: The Supply Of Anesthesia Care Services In Brazilmentioning

confidence: 99%

Pediatric anesthesiology in Brazil, Chile, and Mexico

Quintão,

Concha,

Argüello

et al. 2024

Pediatric Anesthesia

View full text Add to dashboard Cite

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Pediatric Surgery Workforce Around the World: A Need to Revise Residency Programs?

Khaleghnejad Tabari,

Mohajerzadeh,

Ebrahimian

et al. 2024

Global Pediatric Health

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Objectives:The study aimed to address the shortage of pediatric surgery specialists globally by investigating the discrepancies in training programs and population metrics across different countries and regions. Methods: An international survey of pediatric surgeons gathered data on training duration, examination procedures, certification, and population metrics like mortality rate and surgeon-to-population ratio. Results: The study included 44 countries. The average length of pediatric surgery training was 5.7 years, with no significant difference between different regions. The pediatric mortality rate and surgeons count per 100 000 people were inversely correlated, while training duration was associated with GDP and life expectancy, but not pediatric mortality rate or surgeons’ count. Conclusion: Many countries’ pediatric surgery training programs do not align with their actual need for pediatric surgeons. Nations with limited economic resources may opt to shorten residency programs or offer pediatric surgery as a direct specialty after medical school to mitigate the shortage effectively.

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An Evaluation of The Regional Distribution of Pediatric Surgery Workforce and Surgical Load in Brazil

Cited by 2 publications

References 37 publications

Pediatric anesthesiology in Brazil, Chile, and Mexico

Pediatric anesthesiology in Brazil, Chile, and Mexico

Pediatric Surgery Workforce Around the World: A Need to Revise Residency Programs?

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