Threats to the current form of surgical training in the academic medical center include financial pressures from the government and managed care organizations. A diminishing medical student interest in surgical careers has been noted. The constraints of managed care hold the potential to introduce weaknesses in surgical training in the academic medical center.
Podnos YD, Wilson SE. Threats to the Surgical Residency in the Academic Medical Center. Arch Surg. 2001;136(2):161–164. doi:10.1001/archsurg.136.2.161