Experience; various cases Burden (per one surgeon) Training environment for Professional medical staff Flexibility for absentee maternity / childcare family caregiver / sickness Impact of hospital consolidation for surgery Small team Big team @ཱੴ ࣮ઌੜʢྴদපӃ ৺ଁ݂֎Պʣ
on mid-career surgeons • Questionnaire Survey of doctors changed their career from CVS. (N=56) • CVS experience (mean) 15.4 year • Certified CVS 65%, experience of research/work abroad 32% “ Survey of Doctors Who Changed Their Clinical Specialty from Cardiac Surgery ” ҩྍऀ͕ෆʹͳ͍͚ͬͯͳ͍ ͯ͢ͷྍՊͰ࣮ݱ͞ΕΔ͖ @ཱੴ ࣮ઌੜʢྴদපӃ ৺ଁ݂֎Պʣ
cardiovascular surgery… However, 77% of them do not regret quitting their CVS career. Only one person regrets it. Free comments ü There is a lot of self-sacrificing work, but the salary is not rewarding their contribution. ü Cardiac surgery cannot be performed operation in early stage, has a lot of miscellaneous work, and difficult to think the future career. ü Too Difficult to update Certified CVS. ⼼臓⾎管外科学会雑誌 2012年,41巻2号, 63-66 @ཱੴ ࣮ઌੜʢྴদපӃ ৺ଁ݂֎Պʣ
6,719 SEIREI HAMAMATSU GENERAL HOSPITAL “Task shifting / sharing” PBPM (Pharmacy-based protocol medication) : Based on the protocol, pharmacist order for continuous / shortage prescriptions, correct the inappropriate order, plan and propose the dosage design, point out the side-effects…etc. ü Pharmacist ü Nurse Specialized cardiovascular surgery NP will put in from April 2020 ü Clinical Engineer 78 CEs work in our hospital, 20-28 CEs exclusively works in operating room. They manage and organize robot surgery, implantable equipment, Laparoscope, and support anesthesiologists.