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http://dx.doi.org/10.1016/j.amjsurg.2024.115990DOI Listing

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The American Board of Surgery was established in 1937 to certify surgeons who through training, experience, and examination meet the highest standards of surgical care. This lecture was given as the Edgar Poth lecture at the April 2015 meeting of the Southwestern Surgical Congress. Dr Poth was a surgical educator from the University of Texas Medical Branch, Galveston who was President of the Southwestern in 1963.

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Surgeons, perhaps more than any other specialists, recognize the concept of furthering the current state of the art by making conscious changes, whether by tweaking how a surgical procedure is done to push the envelope of minimally invasive techniques, finding novel means of advancing surgical education in the face of work-hour restrictions, or advancing quality initiatives in an era of health care reform. Indeed, innovation seems to be the imperative to moving the field forward, for surgeons recognize that without continual process improvement, we stagnate in the status quo. This article pays tribute to Dr Edgar J.

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Our health care system continues to undergo transformation in a context of extreme financial pressures. New models of care delivery and financing challenge us to rethink our practices as individual surgeons and as system participants. Understanding the fiscal realities of health care and how we are perceived by health care policy makers can help us to be meaningful participants in channeling reform to create better delivery systems for our patients.

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