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In the presidential address delivered to the Western Surgical Association, Dr Richardson reiterates many of the points made in a symposium in the March issue of the ARCHIVES entitled "The Generation Gap." He presents the fact that surgery is losing applicants for residency training and relates this to 3 elements of professional satisfaction: loss of prestige, loss of economic incentives, and lifestyle issues. His solutions include an in-depth study of workforce needs in surgery, support for the American College of Surgeons' efforts to inform those making decisions on physician reimbursement of the current inequities, more emphasis on advocating surgical experience early in medical school and meaningful representation on the curriculum committee, and, perhaps most important, modifying many aspects of the surgical residency program, including work hours, more education and less service, better use of ancillary personnel, and attention to the requirements of women with regard to family planning.
This Month in Archives of Surgery. Arch Surg. 2002;137(5):514. doi:https://doi.org/10.1001/archsurg.137.5.514
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