Document Detail


Commentary: the case for expanding general surgery residencies.
MedLine Citation:
PMID:  20520020     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Despite the significant growth in population in the United States since 1980 and societal and demographic factors such as an aging population, there has been no increase in the number of graduating general surgery residents each year, which has created a worsening shortage of general surgeons. Other factors, such as stricter duty hours requirements and an increase in the number and variety of procedures general surgeons must perform, have also contributed to this shortage. Yet, applicant demand for general surgery positions is currently strong and will increase as new medical schools are created and current medical schools expand class size. The authors of this commentary propose an expansion of the Accreditation Council for Graduate Medical Education-approved general surgery categorical resident positions as the necessary first step in addressing the current and projected shortage of general surgeons. Before this expansion of general surgery residencies can occur, impediments such as the availability of residency spots for both U.S. and international medical graduates, the availability of educational opportunities for residents in teaching hospitals, and inadequate financial resources, such as a lack of funding from the Centers for Medicare and Medicaid, must be overcome.
Authors:
John C Russell; M Timothy Nelson; Donald E Fry
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Academic medicine : journal of the Association of American Medical Colleges     Volume:  85     ISSN:  1938-808X     ISO Abbreviation:  Acad Med     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-06-03     Completed Date:  2010-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8904605     Medline TA:  Acad Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  749-51     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, University of New Mexico, Albuquerque, New Mexico 87131-0001, USA. jrussell@salud.unm.edu
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MeSH Terms
Descriptor/Qualifier:
Forecasting
Foreign Medical Graduates
General Surgery / education*
Hospitals, Teaching
Humans
Internship and Residency / economics,  statistics & numerical data*
Needs Assessment
Personnel Staffing and Scheduling / legislation & jurisprudence
Physicians / supply & distribution*
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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