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April 1988

A Plea for Added Qualifications

Author Affiliations

Nashville, Tenn

Arch Otolaryngol Head Neck Surg. 1988;114(4):385. doi:10.1001/archotol.1988.01860160029015

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The surgeon who performs a limited number of major head and neck oncologic procedures, often in a setting without adequate support personnel, poses a problem that influences the quality of care given to patients with head and neck cancer, according to Dr John M. Lore, Jr, President of the American Society of Head Neck Surgery.

In his Presidential Address to the Society on April 30, 1987, Dr Lore attributes this problem primarily to the overproduction of residents (more than 1000 graduates per year) to handle a limited number (50000 annually) of new patients with head and neck cancer. Dr Lore feels this is a result of the Boards of Otolaryngology, Surgery, and Plastic Surgery requiring head and neck oncologic experience for all of their residents, and failure by medical educators to give residents in head and neck oncology a realistic assessment of the "marketplace" they are entering, in terms of

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