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Invited Critique
April 2013

Surgeons as Hospital Employees: Comment on “The Employed Surgeon”

Author Affiliations

Author Affiliation: Department of Surgery, University of Michigan, Ann Arbor.

JAMA Surg. 2013;148(4):329-330. doi:10.1001/jamasurg.2013.1021

Over the past decade, there has been an explosive growth in hospital medicine with regard to hospital-based employment of hospitalists, and now surgeons are following in the footsteps of the hospitalists.1 Overall, data from the American Hospital Association indicate that hospitals currently employ about 25% of all active physicians.2 This increase mirrors the increase in the use of hospitalists from 2003 (30%) to 2010 (60%). The significant increase in the number of hospital-employed surgeons is paralleling this increase in the number of hospital-employed medical physicians. Throughout the United States, hospitals are increasingly implementing programs in which a core group of employed surgeons provide dedicated on-site services.