Acute Care Surgery (ACS) is an evolving specialty with three essential components- trauma, critical care and emergency surgery. Following a survey of the surgical critical care program directors and of the major trauma organizations it was clear that trauma and critical care surgeons were increasingly responsible for emergency surgical care. This increasing responsibility was a result of increasing need for trauma and emergency surgical coverage in both academic and community hospitals. There was an educational gap identified and Acute Care Surgery as a specialty emerged. Leaders in Trauma and Acute Care Surgery have developed educational goals and encouraged a more formalized curriculum for training programs to meet this educational gap. The AAST has taken the lead in reviewing programs who have decided to pursue this more formalized curriculum. These approved programs undergo a rigorous review to ensure that each trainee meets the goals of the Acute Care Surgery program.
||Joint meeting of ACS, AAST, WEST and EAST addressing problems of access to emergency surgical care and the future of trauma surgery. AAST forms Ad hoc committee to develop the reorganized specialty of Trauma, Surgical Critical Care and Emergency Surgery.
||ACEP survey nearly 75% emergency departments identify inadequate on-call specialty coverage
||AAST renames previous ad hoc committee - Acute Care Surgery Committee
||IOM report- Future of Emergency Care, confirms shortage of on call specialists
||AAST retreat ; Development of curriculum, competency tools, case registry, certification criteria, site visits
||First formal AAST Acute Care Surgery Fellowship program begins
||Refinement of operative case requirements
||Shift from a rotation based curriculum to a longitudinal/experiential model with case minimum requirements
Currently there are 28 fully accredited ACS programs to date with several other programs in various stages of the accreditation process.
Legend: ACS- American College of Surgeons, AAST- American Association for the Surgery of Trauma, WEST- Western Trauma Association, EAST- Eastern Association for the Surgery of Trauma
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