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Related Experiment Video

Updated: Jun 12, 2026

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
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Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

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Commentary: the case for expanding general surgery residencies.

John C Russell1, M Timothy Nelson, Donald E Fry

  • 1Department of Surgery, University of New Mexico, Albuquerque, New Mexico 87131-0001, USA. jrussell@salud.unm.edu

Academic Medicine : Journal of the Association of American Medical Colleges
|June 4, 2010
PubMed
Summary

A growing US population and aging demographics have worsened the general surgeon shortage. Expanding residency positions is proposed, but funding and spot availability must be addressed first.

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Area of Science:

  • Medical Education
  • Surgical Workforce Analysis
  • Public Health Policy

Background:

  • The United States faces a worsening shortage of general surgeons, despite population growth and an aging demographic.
  • Factors contributing to this shortage include stricter duty hour regulations and an expanding scope of surgical practice.
  • Simultaneously, demand for general surgery positions is increasing due to medical school expansion.

Purpose of the Study:

  • To address the current and projected shortage of general surgeons.
  • To propose a necessary first step in mitigating the deficit of qualified surgical professionals.
  • To identify key impediments to expanding surgical residency training.

Main Methods:

  • This commentary analyzes trends in population growth, demographic shifts, and surgical residency training.

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Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
08:21

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Published on: August 15, 2025

  • It examines factors influencing the supply and demand of general surgeons.
  • The authors identify barriers to increasing Accreditation Council for Graduate Medical Education-approved residency positions.
  • Main Results:

    • There has been no increase in graduating general surgery residents since 1980, despite significant population growth.
    • Applicant demand for general surgery residency positions is strong and expected to rise.
    • Key impediments to expanding residency positions include availability of training spots, educational opportunities, and financial resources.

    Conclusions:

    • Expansion of Accreditation Council for Graduate Medical Education-approved general surgery categorical resident positions is essential to address the surgeon shortage.
    • Overcoming obstacles related to residency spot availability, educational resources, and funding is critical before expansion can occur.
    • Addressing these issues is vital for ensuring adequate surgical care for the growing and aging US population.