Abstract
Background
The integration of general and endocrine surgery was studied as a potential career
model for fellowship trained general surgeons.
Methods
Case logs collected from 1991–2016 and academic milestones were examined for a single
general surgeon with a focused interest in endocrine surgery. Operations were categorized
using CPT codes and the 2017 ACGME “Major Case Categories” and there frequencies were
determined.
Results
10,324 operations were performed on 8209 patients. 412.9 ± 84.9 operations were performed
yearly including 279.3 ± 42.7 general and 133.7 ± 65.5 endocrine operations. A high-volume
endocrine surgery practice and a rank of tenured professor were achieved by years
11 and 13, respectively. At year 25, the frequency of endocrine operations exceeded
general surgery operations.
Conclusion
Maintaining a foundation in broad-based general surgery with a specialty focus is
a sustainable career model. Residents and fellows can use the model to help plan their
careers with realistic expectations.
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Article info
Publication history
Published online: August 09, 2017
Accepted:
August 7,
2017
Received in revised form:
July 26,
2017
Received:
June 19,
2017
Identification
Copyright
© 2017 Published by Elsevier Inc.
