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Updated: Jul 5, 2026

Emergency Undocking in Robotic Surgery: A Simulation Curriculum
06:48

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Published on: May 20, 2018

The developing crisis in the national general surgery workforce.

Joseph B Cofer1, R Phillip Burns

  • 1Department of Surgery, The University of Tennessee College of Medicine-Chattanooga, Chattanooga, TN 37403, USA.

Journal of the American College of Surgeons
|May 13, 2008
PubMed
Summary

The demand for general surgeons (GS) exceeds supply, with an estimated annual economic value of $1.05M-$2.4M per surgeon. Addressing this shortage is crucial for hospital viability and patient care.

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Area of Science:

  • Healthcare Workforce Analysis
  • Surgical Practice Economics

Background:

  • Declining number of surgeons practicing general surgery.
  • Residency program directors face numerous requests for new general surgeons, highlighting a workforce shortage.

Purpose of the Study:

  • To quantify the demand for general surgeons.
  • To assess the economic impact of a general surgeon on a hospital.

Main Methods:

  • Collected solicitations and advertised openings for general surgeons over two distinct periods in 2007.
  • Gathered economic data from industry surveys, a hospital CFO, and a rural surgeon.

Main Results:

  • 140 general surgery openings were identified nationally during the initial study period.
  • 149 general surgery positions were advertised across 40 states during the second study period.
  • The estimated annual economic value of a general surgeon ranges from $1.05 million to $2.4 million.

Conclusions:

  • A significant supply-demand imbalance exists in general surgery.
  • Hospital closures are a risk if general surgeons cannot be replaced, increasing strain on safety-net hospitals.
  • Recommended solutions include a national workforce survey, income supplementation, a 20% increase in categorical residency spots, and international recruitment.