Dr Paul Friedmann's recently published comments in the Archives of Surgery1 focused on his concerns about the continuing fragmentation in general surgery. It appears to me that some of his statements are not accurate and certainly deserve a response. It is important for the reader to understand that I am not acting as a spokesperson for any of the organizations with which I am currently affiliated. However, I have had an opportunity to be somewhat involved in the last few years, serving as a member and now Chair of the Residency Review Committee for Otolaryngology. The numbers of operative head and neck surgical procedures in 1988 that were performed by otolaryngologist-head and neck surgery residents demonstrates that there was a much greater operative experience in otolaryngology in spite of the fact that it involved only 277 residents compared with 988 general surgery residents. This numerical information is
SCHULLER DE. A Unified Otolaryngology-Head and Neck Surgery. Arch Otolaryngol Head Neck Surg. 1989;115(12):1422–1423. doi:10.1001/archotol.1989.01860360024010
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