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Presidential Address

J. Bradley Aust, MD, PhD

Arch Surg. 1990;125(7):829-831.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The future responsibilities of general surgery are directly dependent on the training afforded future surgeons. Surgeons will be capable of doing only what they have been trained to do. In turn, surgical training is dependent on the training environment, practice pattern needs, the changing spectrum of surgical diseases, the competition, both within and outside general surgery, and the role forecast for surgeons in the future.

TRAINING ENVIRONMENT

The training environment varies widely across the country, affecting the kind of surgeon emerging from any given region. For example, city and county hospitals, which care predominantly for indigent populations, emphasize trauma and all the diseases of the underemployed. In these programs, there is usually emphasis on direct care of patients by the residents, who therefore develop independent care skills earlier. In contrast, a university-based program is often predominantly a tertiary care environment, accepting referrals through the reputation and skills of a subspecialty-oriented . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Surgery, The University of Texas Health Science Center at San Antonio.

Footnotes
Accepted for publication January 11, 1990.

Read as the Presidential Address at the 97th Annual Meeting of the Western Surgical Association, St Louis, Mo, November 15, 1989.

Reprint requests to Department of Surgery, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr, San Antonio, TX 78284-7840 (Dr Aust).

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