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The Lost Sheep: Presidential Address

The Lost Sheep: Presidential Address Abstract I wish to examine a serious problem facing American surgery that has plagued us with increasing intensity for years and about which I have some very strong feelings. My remarks will consider the changes occurring in this country in the last 40 years relative to population, technical complexity of medicine, the rise in specialization, and the "marketing" of surgical services for "consumers." I will discuss what has happened in surgical education, certification, and practice during this period and will consider the changes that are needed and the possibility of these changes occurring. This seems, at first glance, to be a subject impossible to encompass in a few pages. However, education, certification, and practice are closely intertwined. I hope that my attempts at simplification and concentration will not fail. DEMOGRAPHIC CHANGES IN RELATION TO SURGICAL PRACTICE The changes in demographics in the last 40 years are basically a doubling of the References 1. Directory of Medical Specialists 1941-1942 . Chicago, Marquis Who's Who Inc, 1942, vol 2. 2. Directory of Medical Specialists 1981-1982 , ed 20. Chicago, Marquis Who's Who Inc, 1981. 3. Longmire WP Jr: Surgical turf or who should do what to whom? Surg Gynecol Obstet 1983;156:76-78. 4. Booklet of Information: July 1984–June 1985 . Philadelphia, American Board of Surgery Inc, 1985. 5. Forrest APM: Surgical education in Britain, Australasia and South Africa . Am Coll Surg Bull 1984;69:5-10. 6. Kiser WS: Buying and selling health care: A battle for the medical marketplace . Am Coll Surg Bull 1985;70:2-7. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

The Lost Sheep: Presidential Address

Braasch, John W.
Archives of Surgery , Volume 121 (4) – Apr 1, 1986
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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1986 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1986.01400040021001
Publisher site
See Article on Publisher Site

Abstract

Abstract I wish to examine a serious problem facing American surgery that has plagued us with increasing intensity for years and about which I have some very strong feelings. My remarks will consider the changes occurring in this country in the last 40 years relative to population, technical complexity of medicine, the rise in specialization, and the "marketing" of surgical services for "consumers." I will discuss what has happened in surgical education, certification, and practice during this period and will consider the changes that are needed and the possibility of these changes occurring. This seems, at first glance, to be a subject impossible to encompass in a few pages. However, education, certification, and practice are closely intertwined. I hope that my attempts at simplification and concentration will not fail. DEMOGRAPHIC CHANGES IN RELATION TO SURGICAL PRACTICE The changes in demographics in the last 40 years are basically a doubling of the References 1. Directory of Medical Specialists 1941-1942 . Chicago, Marquis Who's Who Inc, 1942, vol 2. 2. Directory of Medical Specialists 1981-1982 , ed 20. Chicago, Marquis Who's Who Inc, 1981. 3. Longmire WP Jr: Surgical turf or who should do what to whom? Surg Gynecol Obstet 1983;156:76-78. 4. Booklet of Information: July 1984–June 1985 . Philadelphia, American Board of Surgery Inc, 1985. 5. Forrest APM: Surgical education in Britain, Australasia and South Africa . Am Coll Surg Bull 1984;69:5-10. 6. Kiser WS: Buying and selling health care: A battle for the medical marketplace . Am Coll Surg Bull 1985;70:2-7.

Journal

Archives of Surgery – American Medical Association

Published: Apr 1, 1986

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