Can We Make Training in Surgical Critical Care More Attractive?

When the ICU is the operating room

“…Moreover, operating in the ICU expands the operative undertakings of the surgical critical care fellowVa key feature cited as enhancing fellow satisfaction with their training and career path decision making. 18,20 Ensuring safe operation conduct is also a learned skill supported by ICU operations. Relatedly, a radiograph is routinely obtained after all laparotomy pads were believed removed from those who were previously packed, before final closure regardless of method, and at the end of any case where more than one team was involved.…”

Surgical Resident Perceptions of Trauma Surgery as a Specialty

“…5(p15) This business model should be adopted by those who are restructuring the face of trauma surgery. [5][6][7][8][9][10][11][12] Despite years of discussion about proposed changes to the field, it has not become more marketable to the incoming generations of surgeons. Our survey provides a window into the business model, determining what potential recruits want.…”

“…This article is an additional piece to the puzzle of restructuring the face of trauma surgery and the advent of the field of acute care surgery. [11][12][13] It is imperative that residents' views are included in the discussion of the future of trauma surgery, as they are the incoming generation who will be tomorrow's trauma surgeons. For the benefit of the patient and the multidisciplinary teams involved in patient care, all parties must be satisfied with their positions and skill sets to provide optimal care to the patient with trauma injury.…”

Acute care surgery

“…2,12 With a need for emergency services at an all time high, the fields of trauma and surgical critical care are particularly affected; however, these clinical fields have attracted a decreasing percentage of trainees based on the number of positions unfilled during the past 15 years. 2,3,13 Reasons for this lack of interest frequently cited by residents and practicing surgeons alike include the perception that trauma is a nonoperative field, has an uncontrollable lifestyle, and has poor reimbursement as well as an increased medicolegal risk. 5Y7 Of interest, Cohn et al 2 reported that the field of trauma surgery was expected to have 1,500 unfilled physician positions by this year.…”

“…This trend has been ongoing for many years and has not been paralleled by nonsurgical critical care training programs sponsored by other specialties such as pulmonary medicine and anesthesia. 13,14 This study explores the opinions of current categorical general surgery residents about ACS and its appeal as a fellowship and career option in comparison with other specialties within surgery such as trauma, surgical critical care, and general surgery. Factors influencing their positive or negative opinions regarding this new discipline and propensity to enter the field are examined as well.…”