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

doi:10.1007/s11605-014-2514-4

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 journal › Article › peer-review

26 Scopus citations

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 language	English (US)
Pages (from-to)	1523-1531
Number of pages	9
Journal	Journal of Gastrointestinal Surgery
Volume	18
Issue number	8
DOIs	https://doi.org/10.1007/s11605-014-2514-4
State	Published - Aug 2014
Externally published	Yes

Keywords

Fellowship training in surgery
History of surgery training
Subspecialization of surgery

ASJC Scopus subject areas

Surgery
Gastroenterology

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10.1007/s11605-014-2514-4

Cite this

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note = "Funding Information: Acknowledgments The authors wish to acknowledge the support of the Society for Surgery of the Alimentary Tract (SSAT) and the members of the Resident Education Committee.",

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AU - Davis, Brian R.

AU - Demirjian, Aram N.

AU - Ganai, Sabha

AU - House, Michael G.

AU - Saidi, Reza F.

AU - Shah, Bhavin C.

AU - Tan, Sanda A.

AU - Murayama, Kenric M.

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AB - 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.

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The Subspecialization of Surgery: A Paradigm Shift

Abstract

Keywords

ASJC Scopus subject areas

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