Will Future Surgeons Be Interested in Trauma Care? Results of a Resident Survey

Jd, Richardson; Fb, Miller

doi:10.1097/00005373-199202000-00020

Cited by 124 publications

(50 citation statements)

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“…In the USA, fewer than 100 residents per year pursue additional specialty training in trauma and surgical critical care 4 . Modern trauma care involves an increased amount of non‐operative management 5,6 and may leave the surgeon dissatisfied with trauma as a career, or advised by senior colleagues not to pursue this area 7,8 . A comprehensive trauma and emergency general surgery service may be an attractive model for the future of trauma surgery and provide logistical and medical advantages to the emergency general surgery patient population 9 .…”

Section: Discussionmentioning

confidence: 99%

Acute‐care surgical service: a change in culture

Parasyn

Truskett

Bennett

et al. 2009

ANZ Journal of Surgery

130

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The provision of acute surgical care in the public sector is becoming increasingly difficult because of limitation of resources and the unpredictability of access to theatres during the working day. An acute-care surgical service was developed at the Prince of Wales Hospital to provide acute surgery in a more timely and efficient manner. A roster of eight general surgeons provided on-site service from 08.00 to 18.00 hours Monday to Friday and on-call service in after-hours for a 79-week period. An acute-care ward of four beds and an operating theatre were placed under the control of the rostered acute-care surgeon (ACS). At the end of each ACS roster period all patients whose treatment was undefined or incomplete were handed over to the next rostered ACS. Patient data and theatre utilization data were prospectively collected and compared to the preceding 52-week period. Emergency theatre utilization during the day increased from 57 to 69%. There was a 11% reduction in acute-care operating after hours and 26% fewer emergency cases were handled between midnight and 08.00 hours. There was more efficient use of the entire theatre block, suggesting a significant cultural change. Staff satisfaction was high. On-site consultant-driven surgical leadership has provided significant positive change to the provision of acute surgical care in our institution. The paradigm shift in acute surgical care has improved patient and theatre management and stimulated a cultural change of efficiency.

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Section: Discussionmentioning

confidence: 99%

Acute‐care surgical service: a change in culture

Parasyn

Truskett

Bennett

et al. 2009

ANZ Journal of Surgery

130

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“…In similar studies in the USA, two-thirds of residents stated that trauma care was a rewarding field but only 18% of graduating surgical residents wanted trauma care to be a major part of their future practices. 4 Furthermore only 80% of available trauma Fellow training positions were filled in 1991. 6 Compared with this 83% of Canadian trainees expressed plans for future clinical activity in trauma care.…”

Section: Discussionmentioning

confidence: 99%

“…7 The only previously published surveys of trainees' attitudes to trauma have been from the USA and Canada. [4][5][6] Trauma in Australia and New Zealand, compared to the USA, is markedly different due to factors such as geography, road safety campaigns and levels of urban violence. But these surveys and American trauma guidelines can still be useful in reaching conclusions from our survey.…”

Section: Discussionmentioning

confidence: 99%

Trauma training in Australia and New Zealand: Results of a survey of advanced surgical trainees

Thomson

Civil

Danne

et al. 2001

ANZ Journal of Surgery

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“…Following establishment of the trauma centre the total number of trauma admissions increased by less than SO per cent. Operations on all patients with trauma, both severely and non-severely injured, formed only a small proportion (approximately 2 per cent) of the overall 16 per cent before establishment of the trauma centre; most of those patients were seen during the initial resuscitation process in the accident and emergency department. In comparison, the majority of the severely injured were seen by the neurosurgical and orthopaedic teams; their involvement remained relatively unchanged.…”

Section: General Surgical Trauma Admissionsmentioning

confidence: 99%

Role of the general surgeon in a British trauma centre

et al. 1996

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A prospective audit of trauma patients seen or treated by the Department of General Surgery at the North Staffordshire Hospital Trauma Centre has been carried out, examining both the effect of a newly established trauma centre on overall workload and the outcome of patients admitted with severe injury. Trauma comprised approximately 2 per cent of the overall general surgical emergency workload. General surgeons were involved in the assessment of 25 per cent of severely injured patients but overall operated on fewer than 10 per cent of patients in this group. No patient died during the study period as a consequence of missed or inadequately treated intra-abdominal injury. These data suggest that there is insufficient work to justify specialist general surgical trauma surgeons in the UK. When general surgical intervention is required, however, it is usually vital and potentially life-saving.

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Will Future Surgeons Be Interested in Trauma Care? Results of a Resident Survey

Cited by 124 publications

References 0 publications

Acute‐care surgical service: a change in culture

Acute‐care surgical service: a change in culture

Trauma training in Australia and New Zealand: Results of a survey of advanced surgical trainees

Role of the general surgeon in a British trauma centre

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