Subspecialization of Surgical Specialties in the US
This cohort study found that subspecialization has considerably reshaped the surgical workforce, concentrating care among subspecialists while narrowing the procedural scope of generalist surgeons. These shifts raise concerns about access to generalist care, particularly in regions with declining generalist supply, and suggest the need for policies that consider both specialization and geographic equity in surgical workforce planning.
Authors
- Michael L. Barnett (ORCID: https://orcid.org/0000-0002-4884-6609)
- David C. Chan (ORCID: https://orcid.org/0000-0003-3022-5588)
- Jukka‐Pekka Onnela (ORCID: https://orcid.org/0000-0001-6613-8668)
- Christopher R. Manz (ORCID: https://orcid.org/0000-0003-0928-3492)
- Thomas C. Tsai (ORCID: https://orcid.org/0000-0002-9183-016X)
- Nancy L. Keating (ORCID: https://orcid.org/0000-0002-8274-4681)
- Bruce E. Landon (ORCID: https://orcid.org/0000-0003-4912-0647)
- René Karadakic (ORCID: https://orcid.org/0000-0002-3219-014X)
- Yuhua Zhang (ORCID: https://orcid.org/0000-0002-9870-2865)
Institutions
- Brigham and Women's Hospital (US)
- Beth Israel Deaconess Medical Center (US)
- Harvard University (US)
- Hagley Museum and Library (US)
- Palo Alto Veterans Institute for Research (US)
- Dana-Farber Cancer Institute (US)
Publication Details
- Journal
- JAMA Health Forum
- Published
- 2025-09-19
- DOI
- https://doi.org/10.1001/jamahealthforum.2025.3192
- Citations
- 1
- Primary Topic
- Diversity and Career in Medicine
- Type
- article
- Field-Weighted Citation Impact
- 3.87