What is going on in surgery? Why are young surgeons are coming out of residency programs unprepared for clinical practice? A 2013 Annals of Surgery report revealed that 40 percent of surgical residents lacked confidence to practice independently after five years of training, the typical length of a full general-surgery residency.
The young surgeons themselves seem to realize their inadequate preparation, as nearly 80 percent of post-general-training surgeons pursue a one or two-year fellowship in a subspecialty, which for some may be a way to get more surgical experience and put off entering general practice.
One possible explanation for young surgeons' lack of preparation stems from the American Council on Graduate Medical Education's 2003 decision to limit residents in training to 80-hour work weeks and no more than 24 consecutive work hours.
Another reason for young surgeons' unreadiness is that attending surgeons, aware of young surgeons' deficiencies, are often unwilling to hand over surgeries to residents, relegating them to assisting or even just observing the surgery.
While the ACS's mission is "To Serve All With Skill and Fidelity," the organization's leadership is busy pushing the radical and unsubstantiated notion that the College is structurally racist, that its surgeons are racists, and that surgery as a discipline discriminates against minorities.
ACS leadership has embraced anti-racism and diversity, equity, and inclusion, even publishing an expansive DEI toolkit for surgeons to implement in both residency programs and their own practices.
The ACS's relentless focus on antiracism and DEI further detracts from the time that surgeons in training get to learn the art and science of surgery and that practicing surgeons get to hone their skills treating patients.
https://www.city-journal.org/article/bad-policies-leaving-next-generation-of-surgeons-unprepared
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