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Reimagining the Training Paradigm in Complex General Surgical Oncology: Aligning Selection, Training, and Workforce
Adam C Yopp1, Herbert JZeh2, Maria C Russell3
1Department of Surgery, Division of Surgical Oncology, University of Texas Southwestern Medical Center, Dallas, TX, USA. adam.yopp@utsouthwestern.edu.
Annals of Surgical Oncology
|July 27, 2026
Summary
The Complex General Surgical Oncology (CGSO) fellowship model needs reform. A proposed differentiated training approach better aligns surgeon goals with workforce demands, improving efficiency and equity in cancer care.
Area of Science:
- Surgical Oncology
- Medical Education
- Workforce Development
Background:
- Current Complex General Surgical Oncology (CGSO) fellowship training paradigms were established for academic careers but show misalignment with current workforce realities.
- Fellowship selection heavily favors research productivity, leading to costly dedicated research time for many applicants, despite most graduates focusing on clinical practice.
