1. What Will a General Surgeon Be in 2010? Frank R. Lewis MD Executive Director, American Board of Surgery Association of Program Directors in Surgery San Francisco October 18, 2005

9. Myth and Reality in General Surgery H. Brownell Wheeler, MD ACS Bulletin 78:21-27; 1993 2 3.0 81 Carotid CR - 1989 GS-Avg/yr Total (000) Operation 44 20.2 536 Cholecystectomy 42 14.7 391 Groin hernia 27 11.4 303 Appendectomy 11 3.0 79 Incisional hernia 10 3.2 86 CD Explor 5 3.4 91 Hemorrhoidectomy 24 3.9 103 Laparotomy 15 4.6 122 Mod rad mastect 35 7.6 203 Colon resection

10. Myth and Reality in General Surgery (2) H. Brownell Wheeler, MD ACS Bulletin 78:21-27; 1993 7 1.3 35 Blood vessel rep CR - 1989 GS-avg/yr Total (000) Operation 11 2.8 75 Fem Pop Bypass 6 2.6 68 Colostomy 11 2.5 65 Thyroid 3 1.3 34 Abd aneurysm 3 1.3 35 Splenectomy 4 1.3 35 Partial gastrectomy 4 1.9 50 Intestinal anast -- 2.0 52 Umbilical hernia 8 2.3 62 SB Resection

11. Myth and Reality in General Surgery (3) H. Brownell Wheeler, MD ACS Bulletin 78:21-27; 1993 0 0.2 4 Cancer of tongue CR - 1989 GS-Avg/yr Total (000) Operation 2 0.6 15 Abd-perineal res 0 0.5 14 Radical neck dis 0 0.5 13 Rectal prolapse 0 0.2 4 Pancreat cyst drng 0 0.2 5 Adrenalectomy 0 0.2 6 Cancer of lip 2 0.3 8 Total gastrectomy 2 0.3 9 Parathyroidectomy -- 0.4 10 Anterior resection

12. Myth and Reality in General Surgery (4) H. Brownell Wheeler, MD ACS Bulletin 78:21-27; 1993 0 <0.08 <2 Pelvic exenteration CR - 1989 GS-Avg/yr Total (000) Operation 0 0.1 3 Partial hepatect 0 0.1 3 Portal syst shunt 0 0.1 3 Ilioanal anast 0 <0.08 <2 Liver abscess drn 0 <0.08 <2 Panc-jejun-ostomy 0 <0.08 <2 Panc-duod-ostomy 0 0.08 2 Pancreatectomy 0 0.08 2 Esophagectomy