If you want to be of the greatest service, you must find the place where there are the fewest hands for the greatest need.
W. Larimer Mellon, MD
In recent years, the American Board of Surgery has reemphasized the need for broad training for general surgeons, with experiences and basic capabilities in all specialties. Such a training program best prepares the surgeon to provide excellent overall care for injured patients and for those with problems considered to be in the realm of general surgery. However, there are few, if any, communities in North America where a general surgeon would or could use on a daily basis such skills in the treatment of fractures and obstetric and gynecologic problems, and in the areas of urology, plastic surgery, pediatric surgery, thoracic surgery, gastrointestinal (GI) tract surgery, endocrine surgery, and endoscopy. Such capabilities, however, are needed and used daily by surgeons volunteering or
Baue AE. Surgery in Haiti RevisitedAn Opportunity for a General Surgeon. Arch Surg. 1985;120(9):997-1000. doi:10.1001/archsurg.1985.01390330009001