The Subspecialization of Surgery: A Paradigm Shift

Stephen D. Bruns, Brian R. Davis, Aram N. Demirjian, Sabha Ganai, Michael G. House, Reza F. Saidi, Bhavin C. Shah, Sanda A. Tan, Kenric M. Murayama

Research output: Contribution to journalArticlepeer-review

Abstract

General surgery has become increasingly fragmented into subspecialties and diseases previously treated by general surgeons are now managed by "specialists". The Resident Education Committee of the Society for Surgery of the Alimentary Tract (SSAT) has reviewed the history of surgical training and factors that have contributed to this evolution to subsepcialization. As it is unlikely that this paradigm shift is reversible, a clear understanding of the contributing factors is essential. Herein, we present a timeline and taxonomy of forces in this evolution to subspecialization.

Original languageEnglish (US)
Pages (from-to)1523-1531
Number of pages9
JournalJournal of Gastrointestinal Surgery
Volume18
Issue number8
DOIs
StatePublished - Jan 1 2014

Keywords

  • Fellowship training in surgery
  • History of surgery training
  • Subspecialization of surgery

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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