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We read with interest the article by Ko et al¹ published in the August issue of the ARCHIVES. It is about time we take a hard look at US general surgery training, especially surgical resident training, and consider the effects of various subspecialties and newer technologies. Claude H. Organ, Jr, stated that, "Surgeons are completing their surgical training at an age later than the Jesuits are ordaining their priests! . . . Residents in training today must be competent in open and closed operative skills, which has added a new dimension to our educational process."

I currently hold the position of surgical chief resident. There are 3 chief residents within the surgical residency program at this hospital. One has already been accepted to a cardiothoracic surgery fellowship. The other is interested in a colorectal surgery fellowship. My interests lie in general surgery.

Residency review committee rules dictate that each chief . . . [Full Text of this Article]