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Ann Thorac Surg 2010;90:1062-1063. doi:10.1016/j.athoracsur.2010.01.039
© 2010 The Society of Thoracic Surgeons
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Correspondence

Are There Enough General Thoracic Surgeons?

Frank A. Baciewicz, Jr, MD, David Edelman, MD

Cardiothoracic Surgery, Wayne State University/DMC, 3990 John R, Suite 8805, Detroit, MI 48201

(Email: fbaciewi{at}dmc.org).

To the Editor:

I enjoyed the article by Schipper and colleagues [1].

I was surprised by the high percentage of general thoracic cases performed by general surgeons. In a recent presentation at the Western Thoracic Surgical Association [2], we noted our general thoracic surgical population included a high percentage of patients who were turned down for surgical intervention with resectable lung cancer.

Could this situation be partially explained by the fact that increasing numbers of patients are being seen by general surgeons rather than thoracic surgeons? Second, will this trend become increasingly problematic with fewer thoracic surgery residencies and fewer thoracic surgeons being trained each year? With the current projections it appears that even more general thoracic cases will be performed by general surgeons in the future.


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  1. Schipper PH, Diggs BS, Ungerleider RM, Welke KF. The influence of surgeon specialty on outcomes in general thoracic surgery: a national sample 1996 to 2005 Ann Thorac Surg 2009;88:1566-1573.[Abstract/Free Full Text]
  2. Edelman D, Baciewicz FA. Outcomes in lung cancer patients initially refused operationBanff, Alberta, Canada: Presentation 35th Annual Meeting Western Thoracic Surgical Association; June 24–27, 2009.

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Paul H. Schipper and Brian S. Diggs
Ann. Thorac. Surg. 2010 90: 1063. [Extract] [Full Text] [PDF]



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Ann. Thorac. Surg., September 1, 2010; 90(3): 1063 - 1063.
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