The general surgeon shortage: Causes, consequences, and solutions

Southern Medical Journal

Volumn 102, Issue 3, 2009, Pages 291-294

  Sanchez, Mark ^a   Sariego, Jack ^a  

^a TEMPLE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

General surgeon; Malpractice crisis; Quality of life; Shortage; Subspecialization

Indexed keywords

EMERGENCY SURGERY; GENERAL SURGERY; LIFESTYLE; MALPRACTICE; MEDICAL CARE; MEDICAL EDUCATION; MEDICAL PRACTICE; MEDICAL SCHOOL; MEDICAL SERVICE; MEDICAL STAFF; MEDICAL STUDENT; REVIEW; SURGEON; SURGICAL TECHNIQUE; ARTICLE; EDUCATION; HUMAN; MANPOWER; UNITED STATES; UNIVERSITY HOSPITAL;

ACADEMIC MEDICAL CENTERS; GENERAL SURGERY; HOSPITALISTS; HUMANS; INTERNSHIP AND RESIDENCY; SCHOOLS, MEDICAL; UNITED STATES;

EID: 63149157504     PISSN: 00384348     EISSN: None     Source Type: Journal    
DOI: 10.1097/SMJ.0b013e31818c96ac     Document Type: Review

References (19)

1. Lynge DC, Larson EH, Thompson MJ, et al. A longitudinal analysis of the general surgery workforce in the United States, 1981-2005. Arch Surg 2008;143:345-351.
2. Sentinel Event Alert, No.26, The Joint Commission. June 17, 2002. Available at: http://jointcommission.org/SentinelEvents/SentinelEventAlert/sea- 26.html. Accessed April 29 2008.
3. Salsberg E, Grover A. Physician workforce shortages: implications and issues for academic health centers and policymakers. Acad Med 2006;81:782-787. (Pubitemid 44319113)
4. Rao M. The surgical workforce shortage: in search of answers. Gen Surg News 2008;35:8-9.
5. Levitan D. Where do all the residents go? Gen Surg News 2007;34:1 and 4.
6. Fischer JE. The impending disappearance of the general surgeon. JAMA 2007;298:2191-2193.
7. Stitzenberg KB, Sheldon GF. Progressive specialization within general surgery: adding to the complexity of workforce planning. J Am Coll Surg 2005;201:925-932.
8. Richardson JD. Workforce and lifestyle issues in general surgery training and practice. Arch Surg 2002;137:515-520.
9. Rollman BL, Mead LA, Wang NY, et al. Medical specialty and the incidence of divorce. N Engl J Med 1997;336:800-803.
10. Jolly P. Match Outcomes. July 2006. Available at: http://www.nrmp.org/ matchoutcomes.pdf. Accessed April 29 2008.
11. Chappel AR, Zuckerman RS, Finlayson SR. Small rural hospitals and high-risk operations: how would regionalization affect surgical volume and hospital revenue? J Am Coll Surg 2006;203:599-604.
12. Mello MM, Studdert DM, DesRoches CM, et al. Effects of a malpractice crisis on specialist supply and patient access to care. Ann Surg 2005;242:621-628.
13. Kilgore ML, Morrisey MA, Nelson LJ, et al. Tort law and medical malpractice insurance premiums. Inquiry 2006;43:255-270.
14. A Growing Crisis in Patient Access to Emergency Surgical Care. Report of the American College of Surgeons Division of Advocacy and Health Policy. October 2006. Available at: http://www.facs.org/ahp/emergcarecrisis.pdf. Accessed April 29 2008.
15. Hsiao W, Braun P, Becker ER, et al. A National Study of Resource-based Relative Value Scales for Physician Services: Phase I Final Report to the Health Care Financing Administration. Boston, MA, Harvard School of Public Health, 1988.
16. Hoballah JJ, Liao J, Salameh M, et al. Physician reimbursement for general surgical procedures in the last century: 1906-2006. J Am Coll Surg 2008;206:670-677.
17. Maa J, Carter JT, Gosnell JE, et al. The surgical hospitalist: a new model for emergency surgical care. J Am Coll Surg 2007;205:704-711. (Pubitemid 47615485)
18. Santry H, Cutter CS. New trends and developments in fellowship training. Bull Am Coll Surg 2007;92:43-50.
19. Pryor JP, Reilly PM, Schwab CW, et al. Integrating emergency general surgery with a trauma service: impact on the care of injured patients. J Trauma 2004;57:467-473.