A survey of Heads of Surgery and Residents on accessibility and employment in liver transplant teams in Spain
Por:
Fernandez, G, Bravo, M, Delgado, J, Lopez, A, Lopez-Guerra, D, Rodriguez G, Villar-del-Moral, J, Sanchez, F, Santoyo, J, Andujar, R, Nuno, J, Turrion, V, Pinto, I, Jimenez, C, Baena, J, Gutierrez, M, Prous, J, Sanchez, D, Barrera, M, Garcia-Gil, A, Ramirez, P, Varo, E, Bilbao, I, Fondevila, C, Rodriguez-Sanjuan, J and Grp Espanol Trabajo Trasplante Hep
Publicada:
1 dic 2019
Categoría:
Surgery
Resumen:
Introduction: The access of surgeons to liver transplant teams in Spain is heterogeneous. This study aims to portray the current human resources of Spanish transplant teams, distribution of transplant duties among team members, how transplant team members acquire their skills, their leaders' view of their future, as well the motivations of Spanish General Surgery residents to choose transplantation as their future career choice.
Methods: Two different surveys were created, one for head surgeons and one for residents, about the number of team members and their training, recruitment, organization of tasks and motivation to work in transplantation. The questionnaires were e-mailed to both the transplant program directors and the surgical residents.
Results: There are on average 8 surgeons in each transplant unit. More than four surgeons perform the hepatectomy in 54.2% of the groups, while the graft implantation is performed by more than 4 surgeons at just 25% of the centers. Forty-two percent of the transplant chiefs advocated a fellowship training system, and 87.5% believe that generational turnover is guaranteed.
Out of 525 residents, 101 responded. Regarding training, 12.8% had no interest in transplantation. Concerning their work preferences, 37.6% were not interested in transplantation because it is excessively demanding, and 52.5% would not like to be part of a liver transplant team in the future.
Conclusions: The generational turnover seems to be guaranteed according to liver transplant program directors. The new generations of surgeons generally opt for other areas of surgery other than transplantation. Studies with a greater number of responses are necessary to validate these results (C) 2019 AEC. Published by Elsevier Espana, S.L.U. All rights reserved.
Filiaciones:
Fernandez, G:
Univ Extremadura, Serv Cirugia Hepatobiliopancreat & Trasplante Hep, Hosp Univ Badajoz, Badajoz, Spain
Bravo, M:
Hosp Univ Virgen Rocio, Serv Cirugia Gen & Aparato Digest, Secc Cirugia Hepatobiliopancreat & Trasplante Hep, Seville, Spain
Asociac Espanola Cirujanos, Secc Cirugia HPB, Madrid, Spain
Delgado, J:
Hosp Univ Reina Sofia, Serv Cirugia Gen & Aparato Digest, Unidad Trasplantes, Cordoba, Spain
Asociac Espanola Cirujanos, Secc Trasplantes, Madrid, Spain
Lopez, A:
Hosp Univ Cruces, Secc Cirugia Hepatobiliopancreat & Trasplante Hep, Serv Cirugia Gen & Aparato Digest, Bilbao, Spain
Asociac Espanola Cirujanos, Secc Trasplantes, Madrid, Spain
Lopez-Guerra, D:
Hosp Univ Badajoz, Serv Cirugia Hepatobiliopancreat & Trasplante Hep, Badajoz, Spain
Rodriguez G:
Hosp Gen Univ Alicante, Serv Cirugia Gen & Aparato Digest, Unidad Trasplante Hepat, Alicante, Spain
Villar-del-Moral, J:
Hosp Univ Virgen Nieves, Unidad Trasplante Hepat, Serv Cirugia Gen & Aparato Digest, Granada, Spain
Sanchez, F:
Clin Univ Navarra, Serv Cirugia Gen & Aparato Digest, Unidad Trasplante Hepat, Pamplona, Spain
Santoyo, J:
Hosp Reg Univ Malaga, Serv Cirugia Gen & Aparato Digest, Unidad Trasplante Hepat, Malaga, Spain
Andujar, R:
Hosp Univ & Politecn La Fe, Serv Cirugia Gen & Aparato Digest, Unidad Trasplante Hepat, Valencia, Spain
Nuno, J:
Hosp Univ Ramon y Cajal, Serv Cirugia Gen & Aparato Digest, Unidad Trasplante Hepat, Madrid, Spain
Turrion, V:
Hosp Univ Puerta Hierro, Serv Cirugia Gen & Aparato Digest, Unidad Trasplante Hepat, Majadahonda, Spain
Pinto, I:
Hosp Univ Cent Asturias, Serv Cirugia Gen & Aparato Digest, Unidad Trasplante Hepat, Oviedo, Spain
Jimenez, C:
Hosp Univ 12 Octubre, Serv Cirugia Gen & Aparato Digest, Unidad Trasplante Organos Abdominales, Madrid, Spain
Baena, J:
Hosp Gen Univ Gregorio Maranon, Serv Cirugia Gen & Aparato Digest, Unidad Trasplante Hepat, Madrid, Spain
Gutierrez, M:
Complejo Hosp Univ La Coruna, Serv Cirugia Gen & Aparato Digest, Unidad Trasplante Hepat, La Coruna, Spain
Prous, J:
Hosp Llobregat, Serv Cirugia Gen & Aparato Digest, Unidad Trasplante Hepat, Catalonia, Spain
Sanchez, D:
Hosp Univ Rio Hortega, Serv Cirugia Gen & Aparato Digest, Unidad Trasplante Hepat, Valladolid, Spain
Barrera, M:
Hosp Univ Nuestra Senora Candelaria, Serv Cirugia Gen & Aparato Digest, Unidad Trasplante Hepat, Santa Cruz De Tenerife, Spain
Garcia-Gil, A:
Hosp Clin Univ Lozano Blesa, Serv Cirugia Gen & Aparato Digest, Unidad Trasplante Hepat, Zaragoza, Spain
Ramirez, P:
Hosp Clin Univ Virgen Arrixaca, Serv Cirugia Gen & Aparato Digest, Unidad Trasplante Hepat, Murcia, Spain
Varo, E:
Hosp Clin Univ Santiago, Serv Cirugia Gen & Aparato Digest, Santiago De Compostela, Spain
Bilbao, I:
Hosp Univ Vall dHebron, Serv Cirugia Gen & Aparato Digest, Unidad Trasplante Hepat, Barcelona, Spain
Fondevila, C:
Hosp Clin Barcelona, Serv Cirugia Gen & Aparato Digest, Unidad Trasplante Hepat, Barcelona, Spain
Rodriguez-Sanjuan, J:
Hosp Univ Marques Valdecilla, Serv Cirugia Gen & Aparato Digest, Unidad Trasplante Hepat, Santander, Spain
|