Unbundling General Surgery: Have We Taken Specialization Too Far?

The authors would like to make the case for a “Surgical Generalist,” a comprehensive surgeon capable of treating most benign and malignant diseases of the abdomen. Acute care surgery model: while providing benefits to the patients and the hospital systems, this model results in increased emergency r...

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Bibliographic Details
Published in:The American surgeon 2022-06, Vol.88 (6), p.1310-1311
Main Authors: Jackson, Terence, Cho, Edward E., Marks, Jeffrey, Jeyarajah, D. Rohan
Format: Article
Language:English
Subjects:
Abdomen
Emergency medical care
Emergency medical services
Esophagus
Foregut
Gastric bypass
General Surgery
Humans
Laparoscopy
Liver
Medical referrals
Scholarships & fellowships
Specialization
Surgeons
Surgery
Thorax
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Summary:The authors would like to make the case for a “Surgical Generalist,” a comprehensive surgeon capable of treating most benign and malignant diseases of the abdomen. Acute care surgery model: while providing benefits to the patients and the hospital systems, this model results in increased emergency room staffing at the expense of elective rotations, decreased operative exposure, inculcation of a shift based mentality, and fragmentation of care. [...]in the case of a vertical band gastroplasty that needs to be converted to a gastric bypass, rather than having a liver surgeon lyse the left liver off the stomach, a foregut surgeon dissects the crus/hiatus and a thoracic surgeon dissects the esophagus to complete this procedure; it would be logical that a surgeon with expertise in all these areas close to home and family support take care of the problem.
ISSN:0003-1348
1555-9823
DOI:10.1177/0003134820940626