General thoracic surgery workforce: training, migration and practice profile in Brazil.

Autor:	Tedde ML; Department of Thoracic Surgery, Heart Institute (InCor), Hospital das Clínicas, Medical School, University of São Paulo, São Paulo, SP, Brazil tedde@usp.br., Petrere O Jr; School of Politics and Sociology, University of São Paulo, São Paulo, SP, Brazil., Pinto Filho DR; Brazilian Society of Thoracic Surgery (Sociedade Brasileira de Cirurgia Torácica, SBCT), São Paulo, SP, Brazil., Pereira ST; Brazilian Society of Thoracic Surgery (Sociedade Brasileira de Cirurgia Torácica, SBCT), São Paulo, SP, Brazil., Monteiro R; Department of Thoracic Surgery, Heart Institute (InCor), Hospital das Clínicas, Medical School, University of São Paulo, São Paulo, SP, Brazil., Sassaki AM; Health Technology Assessment Center, Hospital das Clínicas, Medical School, University of São Paulo, São Paulo, SP, Brazil., Togoro SY; Department of Thoracic Surgery, Heart Institute (InCor), Hospital das Clínicas, Medical School, University of São Paulo, São Paulo, SP, Brazil., Trindade E; Health Technology Assessment Center, Hospital das Clínicas, Medical School, University of São Paulo, São Paulo, SP, Brazil., Saad R Jr; Brazilian Society of Thoracic Surgery (Sociedade Brasileira de Cirurgia Torácica, SBCT), São Paulo, SP, Brazil., Jatene FB; Department of Thoracic Surgery, Heart Institute (InCor), Hospital das Clínicas, Medical School, University of São Paulo, São Paulo, SP, Brazil.
Jazyk:	angličtina
Zdroj:	European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery [Eur J Cardiothorac Surg] 2015 Jan; Vol. 47 (1), pp. e19-24. Date of Electronic Publication: 2014 Nov 12.
DOI:	10.1093/ejcts/ezu411
Abstrakt:	Objectives: This study is aimed at drawing the profile of the Brazilian general thoracic surgeon. This experience has been fruitful in other areas, helping attract manpower and to better serve the interests of other Societies. This is the first survey of this kind in Brazil and in Latin America. Methods: An electronic invitation was sent to the members of the Brazilian Society of Thoracic Surgery to answer a web-based questionnaire and physicians potentially practising thoracic surgery, with 82 questions including demographic data, medical education, training in general and thoracic surgery, continued professional education, practice profile, research activities and certifications, participation in medical societies, income/compensation and career satisfaction. Quantitative and qualitative analyses are presented. Results: The estimated level of participation was 82% (468). The mean age of the active general thoracic surgeon is 43.2 (range 45.3±11.4) years. Women comprised 8% (37) of respondents, and 60% (277) of the participants had graduated from public medical schools. Four states nationwide trained 88% (391) of the thoracic surgeons. Only 32% (149) of the surgeons work exclusively with thoracic surgery. The public health system is the main provider of income for thoracic surgeons. Only 11 of 27 states have an adequate, although poorly distributed, number of thoracic surgeons. Conclusions: Although Brazil has a reasonable number of general thoracic surgeons, inequalities in their distribution through the country arise as one of the most concerning problems of the speciality. The results of this study show that leadership actions and consistent government policies are required to improve work conditions and provide efficient workforce planning. (© The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.)
Databáze:	MEDLINE
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