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Invited Commentary

Ward O. Griffen Jr, MD
Arch Surg. 1997;132(9):990. doi:10.1001/archsurg.1997.01430330056008.
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This article is an interesting analysis of some growth rates in the field of surgery. The admittedly soft data for both 1983 and 1994 demonstrate a phenomenal increase in some operations and a general increase in all operations of 29%. At the same time, the number of surgeons increased 17.9%. Concentrating on Table 10, I would choose to emphasize some points not made by the author. The annual workload for the 2 surveyed years has been similar for 3 specialties: 71 (1983) and 78 (1994) for general surgeons, 119 (1983) and 99 (1994) for neurosurgeons, and 108 (1983) and 119 (1994) for urologists. Gynecologic surgeons, as indicated in the article, have experienced a decrease in the number of operations performed, perhaps not surprising as birth rates decline.

This leaves 4 specialties for analysis. As pointed out in the article, the sizable increase in the number of operations performed by otorhinolaryngologists


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