The Acute Care Surgery Initiative
Main Article Content
Abstract
Acute Care Surgery describes a new surgical practice paradigm and a surgical training curriculum. This article will highlight the history and driving forces behind this initiative, describe the training curriculum and its requirements, and discuss the practice and setting of a surgeon trained in this area of expertise. While there are no new technical surgeries represented in the model, it is a unique way to utilize surgical expertise that is focused on emergent and acute problems. The purpose of this article is to make the reader aware of this model of surgical care, and to consider the advantages to incorporating this into their own environment. It is unclear if this practice paradigm, which is remarkably attractive to graduates of US general surgery training programs, will become more international in scope.
Keywords:
Surgery, Surgery Initiative, Acute Care, Acute Care Surgery Initiative
Article Details
How to Cite
JURKOVIH, Gregory Jerome.
The Acute Care Surgery Initiative.
Medical Research Archives, [S.l.], v. 11, n. 7.1, july 2023.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/4069>. Date accessed: 21 dec. 2024.
doi: https://doi.org/10.18103/mra.v11i7.1.4069.
Section
Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
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19. Davis KA, Dente CJ, Burlew CC, et al. Refining the operative curriculum of the acute care surgery fellowship. J Trauma Acute Care Surg. 2015;78(1):192-196.
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22. Gayed BN, Zarzaur BL, Livingston DH, et al. Mapping the increasing interest in acute care surgery-Who, why and which fellowship? J Trauma Acute Care Surg. 2020;88(5):629-635.
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24. Ali Y, Davis K, Chiu W, et al. Contributions of Surgical Critical Care Program Directors Society to the training of surgeons. J Trauma Acute Care Surg. 2023;94(4):e29-e32.
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26. Acute Care Surgery Sites. American Association for the Surgery of Trauma https://www.nrmp.org/wp-content/uploads/2023/04/2023-SMS-Results-and-Data-Book.pdf. Published 2023. Accessed May 10, 20232.
27. Cherr GS. Acute care surgery: enhancing outcomes or fragmenting care? Bull Am Coll Surg. 2006;91(7):40-43.
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29. Bosse MJ, Tornetta P, Sanders R, Swiontkowski MF, Russell TA. Letter to the editor re: Acute care surgery. J Trauma. 2005; 59(4):1035-1036.
30. Valadka AB, Ellenbogen RG, Wirth FP, Jr., Laws ER, Jr. Acute care surgery: challenges and opportunities from the neurosurgical perspective. Surgery. 2007;141(3):321-323.
31. DuBose JJ, Morrison JJ, Scalea TM, Rasmussen TE, Feliciano DV, Moore EE. Beyond the Crossroads: Who Will be the Caretakers of Vascular Injury Management? Ann Surg. 2020;272(2):236-237.
32. Harfouche MN, Kauvar DS, Feliciano DV, Dubose JJ. Managing Vascular Trauma: Trauma Surgeons versus Vascular Surgeons. Am Surg. 2022;88(7):1420-1426.
33. Larkin GL, McKay MP, Angelos P. Six core competencies and seven deadly sins: a virtues-based approach to the new guidelines for graduate medical education. Surgery. 2005;138(3):490-497.
34. Austin MT, Diaz JJ, Jr., Feurer ID, et al. Creating an emergency general surgery service enhances the productivity of trauma surgeons, general surgeons and the hospital. J Trauma. 2005;58(5):906-910.
35. Ciesla DJ, Moore EE, Moore JB, Johnson JL, Cothren CC, Burch JM. The academic trauma center is a model for the future trauma and acute care surgeon. J Trauma. 2005;58(4):657-661; discussion 661-652.
36. Schwab CW, Pryor JP, Earley AS, et al. An acute care surgery model improves outcomes in patients with appendicitis. Ann Surg. 2006; in press.
37. McGill M, Dhanasekara CS, Caballero B, et al. Improved Outcomes in Treating Acute Biliary Disorders With a Shift-Based Acute Care Surgery Model. Am Surg. 2022:31348221074229.
2. Schell CO, Gerdin Warnberg M, Hvarfner A, et al. The global need for essential emergency and critical care. Crit Care. 2018;22(1):284.
3. Soni KD, Bansal V, Arora H, Verma S, Warnberg MG, Roy N. The State of Global Trauma and Acute Care Surgery/Surgical Critical Care. Crit Care Clin. 2022;38(4):695-706.
4. Esposito T, Leon L, Jurkovich G. The shape of things to come: results from a national survey of trauma surgeons on issues concerning their future. J Trauma. 2006;60(1):8-16.
5. Committee to Develop the Reorganized Specialty of Trauma Surgical Critical Care and Emergency Surgery. Acute care surgery: trauma, critical care, and emergency surgery. J Trauma. 2005;58(3):614-616.
6. Institute of Medicine NAoS. The Future of Emergency Care in the United States Health System: Hospital Care at a Breaking Point. 2006.
7. American College of Emergency Physicians. ED Directors Report Problems with On-Call Coverage. Emergency Medicine News. 2004; 26(12):64.
8. Committee on Trauma ACoS. Resources for Optimal Care of the Injured Patient (2022 Standards). Chicago: American College of Surgeons; 2002.
9. Cryer HM, III. The future of trauma care: At the crossroads. J Trauma. 2005;58:425-436.
10. Meredith J, Miller P, Chang M. Operative experience at ACS verified Level I trauma centers. Paper presented at: Halstead Society2002; Cashiers, North Carolina.
11. Fakhry S, Watts D, Michette C, Hunt J. The resident experience on trauma: declining surgical opportunities and career incentives? Analysis of data from a large multi-institutional study. J Trauma. 2003;54(1):1-8.
12. Blaisdell FW. Development of the city-county (public) hospital. Arch Surg. 1994;129(7):760-764.
13. Moore EE. Acute Care Surgery: The safety-net hospital model. Surgery. 2006.
14. Moore EE, Maier RV, Hoyt DB, Jurkovich GJ, Trunkey DD. Acute care surgery: Eraritjaritjaka. J Am Coll Surg. 2006;202(4):698-701.
15. Moore E. Trauma surgery: Is it time for a facelift? Ann Surg. 2004;240(3):563-564.
16. Kagan E, Frei R. She who wields the scalpel: Exploring gender dynamics inn a still male-dominated field. General Surgery News. 2006;33(7):1, 19-20.
17. Jurkovich GJ. Acure care surgery: trauma, crtical care and emergency surgery. A report for the Committee to Develop the Reorganzied Specialty of Truama, Surgical Critcial Care, and Emergnecy Surgery. J Trauma. 2005;58(3):614-606.
18. Jurkovich G. The acute care surgery curriculum. J Trauma. 2007;62(3):553-556.
19. Davis KA, Dente CJ, Burlew CC, et al. Refining the operative curriculum of the acute care surgery fellowship. J Trauma Acute Care Surg. 2015;78(1):192-196.
20. Duane TM, Dente CJ, Fildes JJ, et al. Defining the acute care surgery curriculum. J Trauma Acute Care Surg. 2015;78(2):259-263; discussion 263-254.
21. Davis KA, Jurkovich GJ. Fellowship training in Acute Care Surgery: from inception to current state. Trauma Surg Acute Care Open. 2016;1(1):e000004.
22. Gayed BN, Zarzaur BL, Livingston DH, et al. Mapping the increasing interest in acute care surgery-Who, why and which fellowship? J Trauma Acute Care Surg. 2020;88(5):629-635.
23. National Residency Match Program Results. https://www.nrmp.org/wp-content/uploads/2023/04/2023-SMS-Results-and-Data-Book.pdf. Published 2023. Accessed May 10, 2023, 2023.
24. Ali Y, Davis K, Chiu W, et al. Contributions of Surgical Critical Care Program Directors Society to the training of surgeons. J Trauma Acute Care Surg. 2023;94(4):e29-e32.
25. Pellegrini CA, Warshaw AL, Debas HT. Residency training in surgery in the 21st century: a new paradigm. Surgery. 2004; 136(5):953-965.
26. Acute Care Surgery Sites. American Association for the Surgery of Trauma https://www.nrmp.org/wp-content/uploads/2023/04/2023-SMS-Results-and-Data-Book.pdf. Published 2023. Accessed May 10, 20232.
27. Cherr GS. Acute care surgery: enhancing outcomes or fragmenting care? Bull Am Coll Surg. 2006;91(7):40-43.
28. Goslings JC, Ponsen KJ, Luitse JS, Jurkovich GJ. Trauma surgery in the era of nonoperative management: the Dutch model. J Trauma. 2006;61(1):111-114; discussion 115.
29. Bosse MJ, Tornetta P, Sanders R, Swiontkowski MF, Russell TA. Letter to the editor re: Acute care surgery. J Trauma. 2005; 59(4):1035-1036.
30. Valadka AB, Ellenbogen RG, Wirth FP, Jr., Laws ER, Jr. Acute care surgery: challenges and opportunities from the neurosurgical perspective. Surgery. 2007;141(3):321-323.
31. DuBose JJ, Morrison JJ, Scalea TM, Rasmussen TE, Feliciano DV, Moore EE. Beyond the Crossroads: Who Will be the Caretakers of Vascular Injury Management? Ann Surg. 2020;272(2):236-237.
32. Harfouche MN, Kauvar DS, Feliciano DV, Dubose JJ. Managing Vascular Trauma: Trauma Surgeons versus Vascular Surgeons. Am Surg. 2022;88(7):1420-1426.
33. Larkin GL, McKay MP, Angelos P. Six core competencies and seven deadly sins: a virtues-based approach to the new guidelines for graduate medical education. Surgery. 2005;138(3):490-497.
34. Austin MT, Diaz JJ, Jr., Feurer ID, et al. Creating an emergency general surgery service enhances the productivity of trauma surgeons, general surgeons and the hospital. J Trauma. 2005;58(5):906-910.
35. Ciesla DJ, Moore EE, Moore JB, Johnson JL, Cothren CC, Burch JM. The academic trauma center is a model for the future trauma and acute care surgeon. J Trauma. 2005;58(4):657-661; discussion 661-652.
36. Schwab CW, Pryor JP, Earley AS, et al. An acute care surgery model improves outcomes in patients with appendicitis. Ann Surg. 2006; in press.
37. McGill M, Dhanasekara CS, Caballero B, et al. Improved Outcomes in Treating Acute Biliary Disorders With a Shift-Based Acute Care Surgery Model. Am Surg. 2022:31348221074229.