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Surgery as an Industry: Evolution or Revolution

David A. Axelrod, MD, Reviewer
JAMA. 2008;300(10):1214-1216. doi:10.1001/jama.300.10.1214.
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The August 2007 issue of the Surgical Clinics of North America, entitled Surgery as an Industry: Evolution or Revolution, departed from that journal's traditional examination of clinical topics to examine the environment and practice of surgical care in the United States. The editors, Ronald Martin and Vijay Khatri, have compiled a diverse group of monographs designed to “unravel some of the mysteries of the seemingly random business of surgery and . . . inspire the reader to learn more and engage in being a surgeon and a leader at any level.” In essence, the volume seeks to provide a primer for surgeons and others interested in 3 broad areas: surgical education and assessment of competency in light of increasing demands for surgical services and a decreasing supply of skilled surgeons; the need for quality assessment and improvement programs to enhance the safety and efficacy of surgical care; and the role of the surgeon as a professional who interacts with patients, the legal system, and the world at large.


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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