Challenges and strategies for determining workforce requirements in plastic surgery

Cheung, Kevin; Sweetman, Arthur

doi:10.4172/plastic-surgery.1000773

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…However, this model fails to take into account many important supply and demand characteristics. 25,26 Alternative models, each with their own imperfections, have been explored and include demand-based approaches, 27 needs-based approaches, 28,29 and economic analyses. 30,31 Specifically, in the plastic surgery literature, wait times have been used to estimate workforce demand.…”

Section: Discussionmentioning

confidence: 99%

The Canadian Plastic Surgery Workforce Analysis: Forecasting Future Need

et al. 2018

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Background: Projecting the demand for plastic surgeons has become increasingly important in a climate of scarce public resource within a single payer health-care system. The goal of this study is to provide a comprehensive workforce update and describe the perceptions of the workforce among Canadian Plastic Surgery residents and surgeons. Methods: Two questionnaires were developed by a national task force under the Canadian Plastic Surgery Research Collaborative. The surveys were distributed to residents and practicing surgeons, respectively. Results: Two-hundred fifteen (49%) surgeons responded, with a mean age of 51.4 years (standard deviation [SD] ¼ 11.5); 78% were male. Thirty-three percent had been in practice for 25 years or longer. More than half of respondents were practicing in a large urban center. Fifty-nine percent believed their group was going to hire in the next 2 to 3 years; however, only 36% believed their health authority/provincial government had the necessary resources. The mean desired age of retirement was 67 years (SD ¼ 6.4). We predict the surgeons-to-population ratio to be 1.55:100 000 and the graduate-to-retiree ratio to be 2.16:1 within the next 5 to 10 years. Seventy-seven (49%) residents responded. Most were "very satisfied" with their training (61%) and operative experience (90%). Eighty-nine percent of respondents planned to pursue addqitional training after residency, with 70% stating that the current job market was contributing to their decision. Most residents responded that they were concerned with the current job market. Conclusions: The results of this study predict an adequate number of plastic surgeons will be trained within the next 10 years to suit the population's requirements; however, there is concern that newly trained surgeons will not have access to the necessary resources to meet growing demands. Furthermore, there is an evident shortage of those practicing in rural areas. Many trainees worry about the availability of jobs, despite evidence of active recruitment. The workforce may benefit from structured career mentorship in residency and improved transparency in hiring practices, particularly to attract young surgeons to smaller communities. It may also benefit from a coordinated national approach to recruitment and succession planning. Résumé Historique : Il est de plus en plus important de projeter la demande de plasticiens compte tenu des ressources publiques rares dans un système de santé à un seul payeur. La présenteétude vise à présenter une mise à jour complète des effectifs et à décrire les perceptions de la main-d'oeuvre chez les résidents et les chirurgiens canadiens en chirurgie plastique. Méthodologie : Un

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Section: Discussionmentioning

confidence: 99%

The Canadian Plastic Surgery Workforce Analysis: Forecasting Future Need

et al. 2018

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“…However, given plastic surgery's unique overlap with other specialties 2 and the constant evolution of the methods of delivering health care, predicting the future workforce needs is a complex task. [3][4][5][6] Additionally, in a publicly funded health-care system such as Canada's, job availability is largely dependent on governmental funding and thus the current economy. 4,7 Recently, the Royal College of Physicians and Surgeons of Canada (RCPSC) 4 has suggested that graduates from several surgical specialties are finding difficulty with employment in Canada, including plastic surgery.…”

Section: Introductionmentioning

confidence: 99%

Advanced Training and Job Satisfaction Among Recent Canadian Plastic Surgery Graduates

et al. 2019

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Background: In order to increase one’s competitiveness in the current job market, Canadian plastic surgery graduates may complete additional degrees and multiple fellowships. The authors sought to determine the impact of this additional training on the practice profile of recent graduates and determine the current state of job satisfaction among this group. Methods: An anonymous cross-sectional online survey was created and sent to all 250 graduates of Canadian plastic surgery residencies from 2005 to 2015. Demographics were collected and questions grouped into clinical, teaching, research, and administrative components. Questions pertaining to job satisfaction were also included. Results: The response rate to the survey was 39%. Sixty-nine (71%) respondents had permanent attending positions at the time of survey completion, while the remaining 28 respondents did not. Among those with permanent positions, 59 (86%) completed at least one fellowship and 30 (43%) have an advanced degree. Of those who did fellowship training, 76% practice primarily in their area of subspecialty. Having an advanced degree showed a trend to a higher percentage of practice dedicated to research (5.6% vs 1.9%; P = .074) and more publications per year were seen among this group (1.31 vs 0.30; P = .028). Eighty-six percent of respondents are satisfied with their current attending position. Conclusions: The majority of recent Canadian plastic surgery graduates are undergoing fellowship training and are practicing primarily in their fields of subspecialty training. Having a postgraduate degree was associated with a higher number of publications per year as an attending surgeon. Job satisfaction is high among recent graduates.

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Challenges and strategies for determining workforce requirements in plastic surgery

Cited by 2 publications

References 11 publications

The Canadian Plastic Surgery Workforce Analysis: Forecasting Future Need

The Canadian Plastic Surgery Workforce Analysis: Forecasting Future Need

Advanced Training and Job Satisfaction Among Recent Canadian Plastic Surgery Graduates

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