What Is the Best Method of Surgical Training?

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Abstract
STRENGTHENING pressures from societal, economic, and personal influences are bringing about increasing discussion concerning ways in which surgical training should evolve.1-5 As the number of fellowships or specialty training programs increases, these same influences have led to the consideration of shortened surgical training by instituting a system of "short tracking" into specific fields.1,6-15 The reason for a short tracking system is that overall training time is decreased. Several proposed systems tend to include 1 to 3 years of a clinical and basic research commitment followed by a final 2 to 3 years of subspecialty residency. This study characterizes the career choices and developments made by leading senior surgeons in this country and explores whether a short tracking system would have hindered their career decisions.

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