دانلود رایگان مقاله انگلیسی یک مدل حرفه ای در تخصص جراحی عومی: عقیده یکی از جراحان - الزویر 2018

abstract

Background: The integration of general and endocrine surgery was studied as a potential career model for fellowship trained general surgeons. Methods: Case logs collected from 1991e2016 and academic milestones were examined for a single general surgeon with a focused interest in endocrine surgery. Operations were categorized using CPT codes and the 2017 ACGME “Major Case Categories” and there frequencies were determined. Results: 10,324 operations were performed on 8209 patients. 412.9 ± 84.9 operations were performed yearly including 279.3 ± 42.7 general and 133.7 ± 65.5 endocrine operations. A high-volume endocrine surgery practice and a rank of tenured professor were achieved by years 11 and 13, respectively. At year 25, the frequency of endocrine operations exceeded general surgery operations. Conclusion: Maintaining a foundation in broad-based general surgery with a specialty focus is a sustainable career model. Residents and fellows can use the model to help plan their careers with realistic expectations.

5. Conclusions

A career that combines broad-based general surgery and a specialty of general surgery can be a rewarding practice model with many benefits for an endocrine-fellowship trained surgeon. A highvolume practice can be achieved over time in both a specialty of general surgery and broad based general surgery. Having a clinical practice model for a career in general surgery with a focused interest in a specialty of general surgery provides a young surgeon with realistic expectations and a template to help plan their own careers.