The American Journal of Surgery
Volume 192, Issue 6 , Pages 732-737 , December 2006

Has the trauma surgeon become house staff for the surgical subspecialist?

Presented at the 58th Annual Meeting of the Southwestern Surgical Congress, Kauai, Hawaii, April 3–7, 2006

  • David J. Ciesla, M.D.

      Affiliations

    • Department of Surgery, Washington Hospital Center, 110 Irving St. NW, Suite 4B-39, Washington, DC 20005, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-202-877-5190; fax: +1-202-877-3173.
    • ,
  • Ernest E. Moore, M.D.

      Affiliations

    • Denver Health Medical Center, and the University of Colorado Health Sciences Center, Denver, CO, USA
    • ,
  • C. Clay Cothren, M.D.

      Affiliations

    • Denver Health Medical Center, and the University of Colorado Health Sciences Center, Denver, CO, USA
    • ,
  • Jeffery L. Johnson, M.D.

      Affiliations

    • Denver Health Medical Center, and the University of Colorado Health Sciences Center, Denver, CO, USA
    • ,
  • Jon M. Burch, M.D.

      Affiliations

    • Denver Health Medical Center, and the University of Colorado Health Sciences Center, Denver, CO, USA

Received 15 April 2006 ,Revised 10 August 2006

References 

  1. Committee to Develop the Reorganized Specialty of Trauma, Surgical Critical Care, and Emergency Surgery. Acute care surgery: trauma, critical care, and emergency surgery. J Trauma. 2005;58:614–616
  2. Ciesla DJ, Moore EE, Moore JB, et al. The academic trauma center is a model for the future trauma and acute care surgeon. J Trauma. 2005;58:657–662
  3. Esposito TJ, Maier RV, Rivara FP, et al. Why surgeons prefer not to care for trauma patients. Arch Surg. 1991;126:292–297
  4. Richardson JD, Miller FB. Will future surgeons be interested in trauma care? Results of a resident survey. J Trauma. 1992;32:229–235
  5. Moore EE. Trauma systems, trauma centers, and trauma surgeons: opportunity in managed competition. J Trauma. 1995;39:1–11
  6. Moore EE. Trauma surgery: is it time for a facelift?. Ann Surg. 2004;240:563–564
  7. Spain DA, Miller FB. Education and training of the future trauma surgeon in acute care surgery: trauma, critical care, and emergency surgery. Am J Surg. 2005;190:212–217
  8. Fakhry SM, Watts DD, Michetti C, et al. The resident experience on trauma: declining surgical opportunities and career incentives? Analysis of data from a large multi-institutional study. J Trauma. 2003;54:1–8
  9. David Richardson J, Franklin GA, Lukan JK, et al. Evolution in the management of hepatic trauma: a 25-year perspective. Ann Surg. 2000;232:324–330
  10. Spain DA, Richardson JD, Carrillo EH, et al. Should trauma surgeons do general surgery?. J Trauma. 2000;48:433–438
  11. American College of Surgeons Committee on Trauma. Resources for Optimal Care of the Trauma Patient. 1999–2000.
  12. Rodriguez JL, Christmas AB, Franklin GA, et al. Trauma/critical care surgeon: a specialist gasping for air. J Trauma. 2005;59:1–7
  13. Stewart RM, Johnston J, Geoghegan K, et al. Trauma surgery malpractice risk: perception versus reality. Ann Surg. 2005;241:969–975
  14. Lumpkin MF, Judkins DG, Porter JM, et al. Surgeon reimbursement for trauma care. Am J Surg. 2004;188:767–771
  15. Esposito TJ, Leon L, Jurkovich GJ. The shape of things to come: results from a national survey of trauma surgeons on issues concerning their future. J Trauma. 2006;60:8–16
  16. Austin MT, Diaz JJ, Feurer ID, et al. Creating an emergency general surgery service enhances the productivity of trauma surgeons, general surgeons and the hospital. J Trauma. 2005;58:906–910
  17. Kim PK, Dabrowski GP, Reilly PM, et al. Redefining the future of trauma surgery as a comprehensive trauma and emergency general surgery service. J Am Coll Surg. 2004;199:96–101
  18. Pryor JP, Reilly PM, Schwab CW, et al. Integrating emergency general surgery with a trauma service: impact on the care of injured patients. J Trauma. 2004;57:467–471
  19. Scherer LA, Battistella FD. Trauma and emergency surgery: an evolutionary direction for trauma surgeons. J Trauma. 2004;56:7–12
  20. Steele R, Green SM, Gill M, et al. Clinical decision rules for secondary trauma triage: predictors of emergency operative management. Ann Emerg Med. 2006;47:135
  21. Rogers F, Shackford S, Daniel S, et al. Workload redistribution: a new approach to the 80-hour workweek. J Trauma. 2005;58:911–916
  22. Biffl WL, Harrington DT, Cioffi WG. Implementation of a tertiary trauma survey decreases missed injuries. J Trauma. 2003;54:38–43

PII: S0002-9610(06)00587-3

doi: 10.1016/j.amjsurg.2006.08.035

The American Journal of Surgery
Volume 192, Issue 6 , Pages 732-737 , December 2006

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