The Canadian pediatric surgery workforce: A 5-year prospective study
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In brief
In brief
Five-year prospective survey of Canadian pediatric surgery divisions reveals modest workforce growth from 73 to 78 surgeons despite training 38 fellows, with significant emigration of non-Canadian trainees and mismatch between graduates and available positions. Study validates 2014 workforce predictions and highlights ongoing challenges in surgical manpower planning.
Written by the GCMD Library team from the article.
Background
In 2014, a survey study of the Canadian pediatric surgery workforce predicted a need for 2 new pediatric surgeons/yr. in Canada. We sought to assess these predictions and evaluate the status of the workforce.
Methods
With IRB approval, a web-based survey was sent to pediatric surgery division chiefs in Canada each year (2013–2017). The survey data included: number of practicing pediatric surgeons, full time equivalent (FTE) positions, and fellowship graduates.
Results
There was a 100% response rate (18 divisions). From 2013 to 2017, the number of practicing pediatric surgeons and FTE positions increased (73 to 78, and 64.6 to 67.5, respectively). Eleven positions were vacated (4 retirement, 7 new practice), and 18 were filled. Eight were filled by new Canadian graduates, 7 by Canadians previously working in Canada or abroad, and 3 by European surgeons. Thirty-eight fellows completed training in Canada, including 24 non-Canadians who all left Canada. Nine Canadians who started practicing immediately after fellowship took positions in Canada (5) and the US (4).
Conclusions
Predictions made in 2014 were largely accurate. There has been modest growth in the Canadian pediatric surgery workforce over the last 5 years. A significant mismatch continues to exist between Canadian pediatric surgery graduates and attending staff positions.
Type of study
Survey.
Level of evidence
V