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October 25, 1985


JAMA. 1985;254(16):2299-2300. doi:10.1001/jama.1985.03360160131033

The evolution of topics appearing in CONTEMPO since the first issue reflects the acceleration of increasing specialization in American medicine. This is particularly true in surgery. Whereas in CONTEMPO '78 I attempted to provide the highlights of what was exciting in all areas of surgery, I am now joined by a group of surgical specialists. This year, cardiothoracic surgery, neurosurgery, orthopedic surgery, otolaryngology, plastic surgery, and urology all are separate topics described by members of those specialties. The colon and rectal surgeons may soon have a separate topic heading as well. Surgery as presently constituted in CONTEMPO consists of general surgery, vascular surgery, and pediatric surgery.

The importance of surgeons' participation in the diagnosis and care of their patients is increasingly emphasized in the requirements of the American Board of Surgery and by various surgical organizations and committees. Training of surgical residents in endoscopy of the upper and lower gastrointestinal