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Panel Discussion—Pacific Coast Surgical Association |

Panel on Surgical Practice

Haile T. Debas, MD; Julie Ann Freischlag, MD; William P. Schecter, MD; Andrew L. Warshaw, MD
Arch Surg. 2003;138(9):977-986. doi:10.1001/archsurg.138.9.977.
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San Diego County Medical Society, Is There a Doctor in the House? San Diego's Looming Physician Shortage.  San Diego, Calif San Diego County Medical Society2002;
Stewart  JB Blind Eye: How the Medical Establishment Let a Doctor Get Away With Murder.  New York, NY Simon & Schuster1999;
Steinman  MAShlipak  MGMcPhee  SJ Of principles and pens: attitudes and practices of medicine housestaff toward pharmaceutical industry promotions. Am J Med. 2001;110551- 557
PubMed Link to Article[[XSLOpenURL/10.1016/S0002-9343(01)00660-X]]
Schaller  JG The advancement of women in academic medicine. JAMA. 1990;2641854- 1855
PubMed Link to Article[[XSLOpenURL/10.1001/jama.1990.03450140076037]]
Valente  JRappaport  WNeumayer  LWitzke  DPutnam  CW Influence of spousal opinions on residency selection. Am J Surg. 1992;163596- 598
PubMed Link to Article[[XSLOpenURL/10.1016/0002-9610(92)90565-9]]
Baxter  NCohen  RMcLeod  R The impact of gender on the choice of surgery as a career. Am J Surg. 1996;172373- 376
PubMed Link to Article[[XSLOpenURL/10.1016/S0002-9610(96)00185-7]]
Schwartz  RSimpson  WJarecky  RStrodel  WEGriffen  WYoung  AB Career change: in quest of a controllable lifestyle. J Surg Res. 1989;47189- 192
PubMed Link to Article[[XSLOpenURL/10.1016/0022-4804(89)90105-4]]
Shapiro  HBWarshaw  AL Charitable immunity statutes shield surgeon volunteers. Bull Am Coll Surg. 2002;878- 1035
Kushner  HS Living a Life That Matters: Resolving the Conflict Between Conscience and Success.  New York, NY Alfred A Knopf2001;3
The Objectivist Center Web site, FAQ: What is objectivism? Available at: http://www.objectivistcenter.org/objectivism/faqs/wthomas_faq-what-objectivism.asp
Bernstein  P What young people really need: not volunteerism but happiness and heroes. Available at: http://www.aynrand.org/medialink/young.html
Research Centre for Humanities Computing Web site, Latin = English dictionary. Available at: http://www.arts.cuhk.edu.hk/Lexis/Latin/
University of Washington School of Medicine Web site, Ethics in medicine. Available at: http://eduserv.hscer.washington.edu/bioethics/topics/profes.html
The University of Kansas School of Medicine Web site, Professionalism initiative. Available at: http://www.kumc.edu/som/professionalism.html
Cohen  JJ Leadership for medicine's promising future. Available at: http://www.aamc.org/newsroom/speeches/jjcam97.htm
Brunel  WSchecter  WPSchecter  G Hand deformity and sensory loss due to Hansen's disease in American Samoa. J Hand Surg Am. 1988;13279- 283
PubMed Link to Article[[XSLOpenURL/10.1016/S0363-5023(88)80064-9]]
Harrington  M The Other America.  New York, NY Macmillan Publishing Co1962;
Kaiser Commission in Medicaid and the Uninsured Web site, The uninsured and their access to health care. May 2000. Available at: http://www.kff.org/content/2000/1420/pub%201420.pdf
Schecter  WPGrey  DBurik  J  et al.  Volunteer low-risk outpatient surgery for uninsured patients in San Francisco: the Ambulatory Surgery Access Coalition. Arch Surg. 1995;130778- 781
PubMed Link to Article[[XSLOpenURL/10.1001/archsurg.1995.01430070100020]]
Scott  HDBell  JGeller  SThomas  M Physicians helping the underserved: the Reach Out Program. JAMA. 2000;28399- 104
PubMed Link to Article[[XSLOpenURL/10.1001/jama.283.1.99]]
Energize Inc Web site, Quotes. Available at: http://www.energizeinc.com/reflect/quote1v.html
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Figure 1.

A, Fungating inflammatory carcinoma of the breast invading the pectoralis major and minor muscles. B, Chest wall following preoperative chemotherapy, Halsted mastectomy, and split-thickness skin graft coverage.

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Figure 2.

A, Patient with Hansen disease with thenar atrophy and intrinsic minus deformities. B, Patient with Hansen disease following reconstructive surgery.

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Figure 3.

A, Myelomeningocele. B, Status following repair of the myelomeningocele.

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Figure 4.

A, Cleft lip and palate. B, Status after reconstruction of the cleft lip and palate.

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Figure 5.

Mechanism of referral to Operation Access.

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