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February 1977

National Surgical Work Patterns as a Basis for Residency Training PlansThe Response of a Panel of Surgeons

Author Affiliations

From Peter Bent Brigham Hospital, Boston (Dr Moore); Harvard Medical School, Boston (Ms Nickerson and Dr Colton); Falmouth (Mass) Hospital (Dr Harvey); Boston University Medical Center, Boston (Dr Egdahl); Jordan Hospital, Plymouth, Mass (Dr Babson); New England Deaconess Hospital, Boston (Dr McDermott); and Massachusetts General Hospital, Boston (Dr Austen). Dr Colton is now with Dartmouth Medical School, Hanover, NH.

Arch Surg. 1977;112(2):125-147. doi:10.1001/archsurg.1977.01370020019003

Dr Moore: A proposal to limit surgical residency training rates has been laid before the surgical profession as a result of the National Surgical Study (SOSSUS) set forth in the SOSSUS summary volume as published in August 1975.1-3

The object of any such residency constraint in surgery would be to stabilize numbers in a profession that has grown explosively since the close of World War II. Although medical manpower in the United States has grown in its population ratio, the numbers both of qualified surgeons and of others performing surgery has grown disproportionately rapidly.

We are gathered here this morning in one of our surgical seminars to review these data. We wish particularly to scrutinize the evidence that bears on any evaluation of the number of persons who should perform surgical operations in this country, or are performing them now. We hope to review the data, criticize them, and,

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