General Surgery in crisis - the critical shortage

dc.contributor.authorKahn, D
dc.contributor.authorPillay, S
dc.contributor.authorVeller, MG
dc.contributor.authorPanieri, E
dc.contributor.authorWestcott, MJR
dc.date.accessioned2016-02-02T09:48:34Z
dc.date.available2016-02-02T09:48:34Z
dc.date.issued2006
dc.date.updated2016-01-22T12:19:01Z
dc.description.abstractIntroduction: General surgery is facing a serious crisis. There has been a significant decline in the number of applicants for registrar posts and an inability to attract and retain general surgical specialists in the state sector. The Association of Surgeons of South Africa (ASA) undertook this study to determine the extent and cause of the problem. Methods: The study involved a combination of desk research and structured interviews. In addition, the Health Professions Council of South Africa (HPCSA) database was reviewed and compared with the South African Medical Association (SAMA) and ASA databases. The medical schools provided information about student numbers and demographics, and the National Department of Health provided information about the status of medical practitioner and specialist posts in the state sector. Results: Overall, 26.1% of the specialist posts were vacant. The situation was particularly critical in Mpumalanga and the Eastern Cape, where 84% and 58% of the specialist posts were vacant. Using a predictive model, a conservative estimate of the need for general surgeons was found to be at least 50 per year. Currently the eight medical schools graduate about 25 general surgeons per year. The changing demographics of medical students may be partly responsible for the decline in registrar applicants. Conclusion. The findings from this study have revealed that the shortage of general surgeons in the state sector has reached critical levels.en_ZA
dc.identifierhttp://dx.doi.org/10.7196/sajs.106
dc.identifier.apacitationKahn, D., Pillay, S., Veller, M., Panieri, E., & Westcott, M. (2006). General Surgery in crisis - the critical shortage. <i>South African Journal of Surgery</i>, http://hdl.handle.net/11427/16673en_ZA
dc.identifier.chicagocitationKahn, D, S Pillay, MG Veller, E Panieri, and MJR Westcott "General Surgery in crisis - the critical shortage." <i>South African Journal of Surgery</i> (2006) http://hdl.handle.net/11427/16673en_ZA
dc.identifier.citationKahn, D., Pillay, S., Veller, M. G., Panieri, E., & Westcott, M. J. R. (2006). General surgery in crisis-the critical shortage. South African Journal of Surgery, 44(3), 88-94.en_ZA
dc.identifier.issn0038-2361en_ZA
dc.identifier.ris TY - Journal Article AU - Kahn, D AU - Pillay, S AU - Veller, MG AU - Panieri, E AU - Westcott, MJR AB - Introduction: General surgery is facing a serious crisis. There has been a significant decline in the number of applicants for registrar posts and an inability to attract and retain general surgical specialists in the state sector. The Association of Surgeons of South Africa (ASA) undertook this study to determine the extent and cause of the problem. Methods: The study involved a combination of desk research and structured interviews. In addition, the Health Professions Council of South Africa (HPCSA) database was reviewed and compared with the South African Medical Association (SAMA) and ASA databases. The medical schools provided information about student numbers and demographics, and the National Department of Health provided information about the status of medical practitioner and specialist posts in the state sector. Results: Overall, 26.1% of the specialist posts were vacant. The situation was particularly critical in Mpumalanga and the Eastern Cape, where 84% and 58% of the specialist posts were vacant. Using a predictive model, a conservative estimate of the need for general surgeons was found to be at least 50 per year. Currently the eight medical schools graduate about 25 general surgeons per year. The changing demographics of medical students may be partly responsible for the decline in registrar applicants. Conclusion. The findings from this study have revealed that the shortage of general surgeons in the state sector has reached critical levels. DA - 2006 DB - OpenUCT DP - University of Cape Town J1 - South African Journal of Surgery LK - https://open.uct.ac.za PB - University of Cape Town PY - 2006 SM - 0038-2361 T1 - General Surgery in crisis - the critical shortage TI - General Surgery in crisis - the critical shortage UR - http://hdl.handle.net/11427/16673 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/16673
dc.identifier.vancouvercitationKahn D, Pillay S, Veller M, Panieri E, Westcott M. General Surgery in crisis - the critical shortage. South African Journal of Surgery. 2006; http://hdl.handle.net/11427/16673.en_ZA
dc.languageengen_ZA
dc.publisherHealth and Medical Publishing Groupen_ZA
dc.publisher.departmentDepartment of Surgeryen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceSouth African Journal of Surgeryen_ZA
dc.source.urihttp://www.sajs.org.za/index.php/sajs
dc.titleGeneral Surgery in crisis - the critical shortageen_ZA
dc.typeJournal Articleen_ZA
uct.subject.keywordsGeneral surgeryen_ZA
uct.subject.keywordscrisisen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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