ISSN: 0885-8195 (Print) 1543-0154 (Online) Journal homepage: http://www.tandfonline.com/loi/hjce20
Special communication — The surgical oncologist as a resource Bernard Gardner MD To cite this article: Bernard Gardner MD (1990) Special communication — The surgical oncologist as a resource, , 5:3, 167-168 To link to this article: https://doi.org/10.1080/08858199009528059
Published online: 01 Oct 2009.
Submit your article to this journal
View related articles
Full Terms & Conditions of access and use can be found at http://www.tandfonline.com/action/journalInformation?journalCode=hjce20
J. Cancer Education. Vol. 5, No. 3, pp. 167-168, 1990 Printed in the U.S.A. Pergamon Press pic
0885-8195/90 $3.00 + .00 © 1990 American Association for Cancer Education
SPECIAL COMMUNICATION THE SURGICAL ONCOLOGIST AS A RESOURCE BERNARD GARDNER, MD*
Private conversations, editorials, and presi- In academic departments the value of these dential addresses have recently bemoaned the surgical oncology-trained individuals is greatly fragmentation of general surgery. Mostly di- appreciated — more than 90% of the current rected at vascular surgery, the criticism has, graduates are being placed in academic apresulted in a moratorium on new programs pointments. It, therefore, appears that the value involving certificates of special qualifications. of this additional training is appreciated in the The Training Committee of the Society of same academic departments decrying the segSurgical Oncology has recently reopened its mentation of surgery. recruitment of new surgical oncology programs Who best to represent surgery at a tumor for approval as a result of the board's action. board? Regardless of whether tumor boards are We do not view this as competition with gen- held in university hospitals or community hoseral surgery but rather as a strengthening of the pitals, the oncologic surgeon represents a strong discipline. resource for the general surgeon. This is espeOther fields, such as radiology, have set cially true if the general surgeon presents the examples for coexistence of specialty groups case before surgery if he has attended the tumor such as invasive radiology, neuroradiology, sessions regularly and has familiarized himself and nuclear medicine within general radiology. with the proper approach, or if he has spoken In many teaching hospitals, the generalist (ra- about the case to the surgical oncologist. There diologist) does the primary procedure and may is no need for the surgical oncologist to do seek the assistance of the specialist when con- routine cancer cases, although he is available to fronted with a problem such as a difficult scrub in or advise. If unusual tumors or probangiography, or invasive procedure under lems appear, the presence of the surgical oncologist will be a source of support to the referring sonography. The surgical oncologist should represent the doctor. same quality resource in surgery. The addiWho best to guarantee the correct treatment tional two-year minimal program supported by for the patient? Perhaps most neglected in the the Society provides training in different oper- turf wars is consideration of what is best for ative and reoperative procedures as well as the patient. Availability of immediate surgical clinical experience in medical oncology, radio- consultation or second opinions when necestherapy, pathology with stress on carcinogene- sary provides a high level of patient protection. sis, epidemiology, statistics of clinical trials, The timely use of neoadjuvant therapy, correct pharmacokinetics, and other basic disciplines biopsy techniques for evaluating margins, availrelating to cancer. ability of national protocols, use of multidisciWho best to teach the resident and student? plinary consultation, and use of intraoperative radiotherapy or brachytherapy are only a few areas where surgical oncologists could give advice. * Professor of Surgery, Univ. of Medicine and Dentistry of New Jersey, Chairman, Training Committee, Society of Far from fragmentation of general surgery, Surgical Oncology. surgical oncology adds a dimension to the field Reprint requests to: Bernard Gardner, MD, Dept. of which serves to strengthen the discipline and Surgery, Hackensack Medical Center, 30 Prospect Ave, Hackensack, N.J. 07601. make it whole.
167
168
B . GARDNER
APPENDIX TRAINING PROGRAMS APPROVED BY THE SOCIETY OF SURGICAL ONCOLOGY
City of Hope National Medical Center 1500 East Duarte Road Duarte, CA 91010-0269
Roswell Park Memorial Institute 666 Elm Street Buffalo, NY 14263
M.D. Anderson Hospital and Tumor Institute 6723 Bertner Avenue Houston, TX 77030
Tulane University Medical Center 1430 Tulane Avenue New Orleans, LA 70112
Medical College of Virginia 1200 East Broad Street Richmond, VA 23298
University of Illinois 840 S. Wood Street Chicago, IL 60612
Memorial Sloan-Kettering Cancer Center 1275 York Avenue New York, NY 10021
University of Medicine and Dentistry New Jersey Medical School Division of Surgical Oncology 100 Bergen Street Newark, NJ 07103
Ohio State University College of Medicine 410 West 10th Avenue Columbus, OH 43214
University of Miami School of Medicine P.O. Box 016310 Miami, FL 33101
Special communication — The surgical oncologist as a resource Bernard Gardner MD To cite this article: Bernard Gardner MD (1990) Special communication — The surgical oncologist as a resource, , 5:3, 167-168 To link to this article: https://doi.org/10.1080/08858199009528059
Published online: 01 Oct 2009.
Submit your article to this journal
View related articles
Full Terms & Conditions of access and use can be found at http://www.tandfonline.com/action/journalInformation?journalCode=hjce20
J. Cancer Education. Vol. 5, No. 3, pp. 167-168, 1990 Printed in the U.S.A. Pergamon Press pic
0885-8195/90 $3.00 + .00 © 1990 American Association for Cancer Education
SPECIAL COMMUNICATION THE SURGICAL ONCOLOGIST AS A RESOURCE BERNARD GARDNER, MD*
Private conversations, editorials, and presi- In academic departments the value of these dential addresses have recently bemoaned the surgical oncology-trained individuals is greatly fragmentation of general surgery. Mostly di- appreciated — more than 90% of the current rected at vascular surgery, the criticism has, graduates are being placed in academic apresulted in a moratorium on new programs pointments. It, therefore, appears that the value involving certificates of special qualifications. of this additional training is appreciated in the The Training Committee of the Society of same academic departments decrying the segSurgical Oncology has recently reopened its mentation of surgery. recruitment of new surgical oncology programs Who best to represent surgery at a tumor for approval as a result of the board's action. board? Regardless of whether tumor boards are We do not view this as competition with gen- held in university hospitals or community hoseral surgery but rather as a strengthening of the pitals, the oncologic surgeon represents a strong discipline. resource for the general surgeon. This is espeOther fields, such as radiology, have set cially true if the general surgeon presents the examples for coexistence of specialty groups case before surgery if he has attended the tumor such as invasive radiology, neuroradiology, sessions regularly and has familiarized himself and nuclear medicine within general radiology. with the proper approach, or if he has spoken In many teaching hospitals, the generalist (ra- about the case to the surgical oncologist. There diologist) does the primary procedure and may is no need for the surgical oncologist to do seek the assistance of the specialist when con- routine cancer cases, although he is available to fronted with a problem such as a difficult scrub in or advise. If unusual tumors or probangiography, or invasive procedure under lems appear, the presence of the surgical oncologist will be a source of support to the referring sonography. The surgical oncologist should represent the doctor. same quality resource in surgery. The addiWho best to guarantee the correct treatment tional two-year minimal program supported by for the patient? Perhaps most neglected in the the Society provides training in different oper- turf wars is consideration of what is best for ative and reoperative procedures as well as the patient. Availability of immediate surgical clinical experience in medical oncology, radio- consultation or second opinions when necestherapy, pathology with stress on carcinogene- sary provides a high level of patient protection. sis, epidemiology, statistics of clinical trials, The timely use of neoadjuvant therapy, correct pharmacokinetics, and other basic disciplines biopsy techniques for evaluating margins, availrelating to cancer. ability of national protocols, use of multidisciWho best to teach the resident and student? plinary consultation, and use of intraoperative radiotherapy or brachytherapy are only a few areas where surgical oncologists could give advice. * Professor of Surgery, Univ. of Medicine and Dentistry of New Jersey, Chairman, Training Committee, Society of Far from fragmentation of general surgery, Surgical Oncology. surgical oncology adds a dimension to the field Reprint requests to: Bernard Gardner, MD, Dept. of which serves to strengthen the discipline and Surgery, Hackensack Medical Center, 30 Prospect Ave, Hackensack, N.J. 07601. make it whole.
167
168
B . GARDNER
APPENDIX TRAINING PROGRAMS APPROVED BY THE SOCIETY OF SURGICAL ONCOLOGY
City of Hope National Medical Center 1500 East Duarte Road Duarte, CA 91010-0269
Roswell Park Memorial Institute 666 Elm Street Buffalo, NY 14263
M.D. Anderson Hospital and Tumor Institute 6723 Bertner Avenue Houston, TX 77030
Tulane University Medical Center 1430 Tulane Avenue New Orleans, LA 70112
Medical College of Virginia 1200 East Broad Street Richmond, VA 23298
University of Illinois 840 S. Wood Street Chicago, IL 60612
Memorial Sloan-Kettering Cancer Center 1275 York Avenue New York, NY 10021
University of Medicine and Dentistry New Jersey Medical School Division of Surgical Oncology 100 Bergen Street Newark, NJ 07103
Ohio State University College of Medicine 410 West 10th Avenue Columbus, OH 43214
University of Miami School of Medicine P.O. Box 016310 Miami, FL 33101
