|
Being a gynecologic oncologist in an academic hospital in a developing country can be challenging. Problems that exist include the high number of patients, where most of the cases are at an advanced stage with low education and socioeconomic levels. The small number of gynecologic oncologists provides a high workload for patient care, education, and research for general practitioners, specialists, and gynecologic oncologists training. In addition, gynecologic oncologists often have to practice in private hospitals outside of working hours at government teaching hospitals. The low budget for health, low financing for national health insurance, and not all people having insurance also cause a burden for us as gynecological oncologists to be unable to provide services that are by the latest evidence-based medicine. Despite all these difficulties, the high number of gynecological oncology cases can provide a good ground for education and research, although there are still many shortcomings in the patient database.
|