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. 2014 Aug;18(8):1523-31.
doi: 10.1007/s11605-014-2514-4. Epub 2014 Apr 23.

The subspecialization of surgery: a paradigm shift

Stephen D Bruns  1 , Brian R Davis, Aram N Demirjian, Sabha Ganai, Michael G House, Reza F Saidi, Bhavin C Shah, Sanda A Tan, Kenric M Murayama; Society for Surgery of Alimentary Tract Resident Education Committee
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The subspecialization of surgery: a paradigm shift

Stephen D Bruns et al. J Gastrointest Surg. 2014 Aug.

Abstract

General surgery has become increasingly fragmented into subspecialties and diseases previously treated by general surgeons are now managed by "specialists". The Resident Education Committee of the Society for Surgery of the Alimentary Tract (SSAT) has reviewed the history of surgical training and factors that have contributed to this evolution to subsepcialization. As it is unlikely that this paradigm shift is reversible, a clear understanding of the contributing factors is essential. Herein, we present a timeline and taxonomy of forces in this evolution to subspecialization.

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