Jordan G L
Cora and Webb Mading Department of Surgery, Baylor College of Medicine, Houston, Texas 77030.
Am J Surg. 1991 Feb;161(2):194-202. doi: 10.1016/0002-9610(91)91129-7.
The origin of the term "general surgery" is uncertain, but it is known that it has been in the lexicon of surgical parlance for more than a century. Although specialization began at least 150 years ago, it became a major trend at the end of World War I. The potential fragmentation of the specialty is the most significant problem currently faced by general surgeons. Other areas affecting the future of general surgery are discussed, including residency requirements, manpower analyses, and physician reimbursement. Because of rapid technologic changes and the aging of the population, surgeons need to incorporate those features that will improve patient care into their practices to meet the needs of the future.
“普通外科” 这一术语的起源尚不确定，但已知它在外科用语词汇中已存在一个多世纪了。尽管专科化至少在150年前就已开始，但在第一次世界大战结束时它才成为一种主要趋势。专科潜在的细分是普通外科医生目前面临的最重大问题。文中还讨论了影响普通外科未来的其他方面，包括住院医师要求、人力分析和医生报销。由于技术的快速变革和人口老龄化，外科医生需要将那些能改善患者护理的特点融入到他们的业务中，以满足未来的需求。
