Acute care surgery

Coleman, Jamie J.; Esposito, Thomas J.; Rozycki, Grace S.; Feliciano, David V.

doi:10.1097/ta.0b013e31827a0bcf

Cited by 29 publications

(8 citation statements)

References 23 publications

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“…Acute biliary admissions contribute significantly the demands placed on health services, particularly in the developed countries [1]. In the United States, the United Kingdom, Canada, Australia and New Zealand, dedicated emergency general surgical services have been established to address the need for improved provision and management of emergency patients [2][3][4][5][6][7]. There have been recent studies assessing the impact of Acute Surgical Units (ASU) on patient outcomes showing improvements in timeliness of care, with reduced emergency department (ED) and overall hospital length of stay (LOS), reduced time to theatre, reduced after-hours operating and a reduction in complications [8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Emergency Management of Gallbladder Disease: Are Acute Surgical Units the New Gold Standard?

et al. 2015

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Section: Introductionmentioning

confidence: 99%

Emergency Management of Gallbladder Disease: Are Acute Surgical Units the New Gold Standard?

et al. 2015

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“…Indeed, increased job satisfaction for trauma surgeons after implementing ACS has been documented [10,24]. Furthermore, trainees observing these benefits when they rotate through ACS has also engendered renewed interest in the specialty formerly known as trauma [31–33]. …”

Section: Discussionmentioning

confidence: 99%

Innovation or rebranding, acute care surgery diffusion will continue

Collins

Pringle

Santry

2015

Journal of Surgical Research

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Background Patterns of adoption of acute care surgery (ACS) as a strategy for emergency general surgery (EGS) care are unknown. Methods We conducted a qualitative study comprising face-to-face interviews with senior surgeons responsible for ACS at 18 teaching hospitals chosen to ensure diversity of opinions and practice environment (three practice types [community, public/charity, university] in each of six geographic regions [Mid-Atlantic, Midwest, New England, Northeast, South, West]). Interviews were recorded, transcribed, and analyzed using NVivo (QSR International, Melbourne, Australia). We applied the methods of investigator triangulation using an inductive approach to develop a final taxonomy of codes organized by themes related to respondents’ views on the future of ACS as a strategy for EGS. We applied our findings to a conceptual model on diffusion of innovation. Results We found a paradox between ACS viewed as a healthcare delivery innovation versus a rebranding of comprehensive general surgery. Optimism for the future of ACS due to increased desirability for trauma/critical care careers and improved outcomes for EGS was tempered by fear over lack of continuity, poor institutional resources and uncertainty regarding financial viability. Our analysis suggests that the implementation of ACS, whether a true healthcare delivery innovation or an innovative rebranding, fits into the Rogers’ Diffusion of Innovation Theory. Conclusions Despite concerns over resource allocation and the definition of the specialty, from the perspective of senior surgeons deeply entrenched in executing this care-delivery model, ACS represents the new face of general surgery that will likely continue to diffuse from these early adopters.

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“…12 The number of Surgical Critical Care Fellowship positions increased by 34% over the 5-year period, while the number of applicants increased by 61% ( figure 3 ). In 2013, Coleman et al 13 surveyed residents regarding a career path in ACS that yielded a greater interest and understanding of ACS as a career. Overall, these studies showed a much greater interest and understanding of ACS as a career choice, encompassing surgical critical care and emergency general surgery.…”

Section: Impact Of Acs Fellowshipsmentioning

confidence: 99%

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

Davis

Jurkovich

2016

Trauma Surg Acute Care Open

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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.

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Acute care surgery

Cited by 29 publications

References 23 publications

Emergency Management of Gallbladder Disease: Are Acute Surgical Units the New Gold Standard?

Emergency Management of Gallbladder Disease: Are Acute Surgical Units the New Gold Standard?

Innovation or rebranding, acute care surgery diffusion will continue

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

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