title: Who should be a stapes surgeon? An otologist or a generalist?
abstract: OBJECTIVE
  The overall experience with stapes surgery has declined, both within residency training programs, as well as in clinical practice. Does this change in the environment suggest that subspecialists rather than generalists manage patients with otosclerosis?
  
  
  RESULTS
  A decreasing availability of patients with clinical otosclerosis has encouraged trainees and practitioners to adopt strategies that will enable the maintenance of quality care to these patients.
  
  
  CONCLUSIONS
  Well trained generalists should be prepared to perform stapes surgery. Lack of experience or infrequent exposure to disease suggests that optimal care can be achieved by referring the patient to an experienced otologic surgeon.
authors.affiliation: University of Cincinnati, Department of Otolaryngology, Head and Neck Surgery, Cincinnati, Ohio 45267-0528, USA.
authors.forename: Melissa McCarty
authors.initials: MM
authors.lastname: Statham
authors.forename: Myles L
authors.initials: ML
authors.lastname: Pensak
mesh_terms: D002983:Clinical Competence; D006801:Humans; D010036:Otolaryngology; D010040:Otosclerosis / Q000601:surgery*; D010821:Physicians, Family; D013201:Stapes Surgery / Q000193:education / Q000592:standards*