In Reply: I only have firsthand knowledge of data concerning the shortage in the general surgical workforce in critical access hospitals (small urban or rural hospitals) on which 54 million patients depend.1 Over the past decade, the number of family physicians and internists has increased while the number of general surgeons has remained flat,
despite an aging population.2
Fischer JE. The Future of General Surgery—Reply. JAMA. 2008;299(9):1014–1016. doi:10.1001/jama.299.9.1015-b
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