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PRESIDENTIAL ADDRESS Workforce and Lifestyle Issues in General Surgery Training and Practice J. David Richardson, MD or the past quarter century, I have had the opportunity to be involved in the training of 145 general surgery chief residents as a member of the surgical faculty at the University of Louisville. I have also been privileged to have served as a director of the American F Board of Surgery and to have been a member of the Residency Review Committee for Surgery. With these several perspectives, I will share some thoughts on the state of our general surgical workforce and the training of surgery residents and address what I view as challenges for the next generation in the provision of surgical care. It is my belief that our country has major general surgical workforce issues that are likely to reach a crisis level within the next decade and beyond. Clearly, this is a bold statement and one that is factually diffi- cult to prove. It is difficult to accurately assess how many surgeons are in active practice in the country; it is doubly diffi- cult to quantify how many surgeons are needed. The calculated proper number of surgeons needed per
JAMA Surgery – American Medical Association
Published: May 1, 2002
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