Fellowship training in Acute Care Surgery: from inception to current state

Abstract

Recognizing the need for urgent and emergent surgical care across America, the American Association for the Surgery of Trauma developed and implemented, and oversees, the Acute Care Surgery Fellowship Training Program. Now in its 10th year, the fellowship has become an established post-General Surgery Fellowship Training Program, with 20 approved programs and 82 fellows trained. Consistent with the desire to have this non-Accreditation Council for Graduate Medical Education (ACGME) fellowship one with the highest standards, several educational improvements have occurred since its origin. The following is an account of the background and evolution of what has become a significant educational contribution to surgery.

Keywords: acute care surgery; emergency general surgery; graduate medical education; surgical training.

Figure 1

Projections of Physicians by Specialty Group. FTE, full time employee. Source: Dill et al, used with permission.

Figure 2

Projected Surgical Physician Shortfall, 2013–2025. Source: IHS Inc, used with permission.

Figure 3

Trends in the Surgical Critical Care Match Results. Source: National Resident Matching Program used with permission.