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  Vol. 138 No. 8, August 2003 TABLE OF CONTENTS
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The Arguments Against Fellowship Training and Early Specialization in General Surgery

Charles M. Ferguson, MD
Boston, Mass

Arch Surg. 2003;138:915-916.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

HOW COULD anyone not be in favor of fellowship training and further subspecialization in surgery? Residents certainly want it, as evidenced by the response to a question included on the 2001 American Board of Surgery In-Training Examination: 76% of residents stated that they planned to continue with further training in a fellowship. In our program, 87% of residents finishing in 2001 underwent further training, a percentage that has been stable for the past 10 years. Residents believe that fellowship training will provide them with expertise in a specific area, which will increase their marketability. Educators certainly want fellowships, as evidenced by the rapid proliferation of fellowships in surgical oncology, breast surgery, laparoscopy, advanced gastrointestinal surgery, and other areas. A large body of data suggest that increased volume decreases morbidity and mortality rates, although even the strongest proponents of specialization concede that it is unclear whether surgeon . . . [Full Text of this Article]



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