Way L W
Department of Surgery, University of California, San Francisco 94143, USA.
Am J Surg. 1996 Jan;171(1):2-9. doi: 10.1016/S0002-9610(99)80064-6.
This paper addresses the current status of General Surgery, the direction in which it is moving, and how to prepare for future changes. The paper points out that, since the predicted effects of new technology on the practice of General Surgery are more technical complexity, decreasing invasiveness, and fewer traditional operations, the consequences for the training of surgeons, the division of responsibilities among specialists, and the organization of surgical care will be substantial. In light of the current difficulty in dealing with the stresses within General Surgery, the paper discusses how changes in residency training and an increased use of Fellowships will enable the specialty to handle such disruptive changes in the future.
本文探讨了普通外科的现状、发展方向以及如何为未来的变化做好准备。文章指出，由于新技术对普通外科实践的预期影响是技术复杂性增加、侵入性降低以及传统手术减少，这将对外科医生的培训、专科医生之间的职责划分以及手术护理的组织产生重大影响。鉴于目前普通外科应对压力存在困难，本文讨论了住院医师培训的变化以及更多地使用研究员培训将如何使该专业在未来应对此类颠覆性变化。
