In the "Increasing Workload of General Surgery," Liu et al use the best projections available to foresee a workload increase of 31% by 2020, primarily as a result of the aging of the US population. When one combines this with the 80-hour workweek now promulgated for surgical residents, it presents a challenge for general surgeons.
Another concept that deserves attention relates to the use of magnetic resonance imaging mammography in the surgical management of the index breast cancer. Using magnetic resonance imaging mammography immediately after a positive fine-needle aspiration or stereotactic biopsy or prior to the biopsy of a category 4/5 mammogram altered surgical management in half of the breast cancer cases in this small series at a Vermont hospital. This sort of study is an eye-opener.
This Month in. Arch Surg. 2004;139(4):357. doi:10.1001/archsurg.139.4.357