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June 1988

Clinical Surgery

Arch Surg. 1988;123(6):785. doi:10.1001/archsurg.1988.01400300131033

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This massive textbook uses the philosophy of the problem-oriented record that was conceived and popularized at the University of Vermont, Burlington, some 20 years ago. The editors (three are from Vermont) state that this approach reflects "the way surgeons actually practice their science." The resulting two volumes eclipse in length (3532 pages) and weight (15 lb) all previous textbooks of surgery. This is a lavish production. All chapters feature faceplates, most in color, and each is followed by a helpful summary outline.

Innovative chapters cover the history of surgical education, certification requirements, the clinicians' role in health care costs, and basic statistics, all of which are unique topics in a surgical textbook. Surgeons will treasure the chapter on "Critical Evaluation of Data," a superb summary of modern statistics that includes the t tests, χ2 test, and analysis of variance.

Several chapters add a novel issue to this textbook—the costs

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