title: Surgical Residency Training at a University-Based Academic Medical Center.
abstract: The past two decades have been witness to some of the most dynamic changes that have occurred in surgical education in all of its history. Political policies, social revolution, and the competing priorities of a new generation of surgical trainees are defining the needs of modern training paradigms. Although the university-based academic program's tripartite mission of clinical service, research, and education has remained steadfast, the mechanisms for achieving success in this mission necessitate adaptation and innovation. The resource-rich learning environment and the unique challenges that face university-based programs contribute to its ability to generate the future leaders of the surgical workforce.
authors.affiliation: Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, 4 Maloney Building, 3400 Spruce Street, Philadelphia, PA 19104, USA. Electronic address: Rebecca.hoffman@uphs.upenn.edu.
authors.forename: Rebecca L
authors.initials: RL
authors.lastname: Hoffman
authors.affiliation: General Surgery Residency Program, Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, 4 Maloney Building, 3400 Spruce Street, Philadelphia, PA 19104, USA.
authors.forename: Jon B
authors.initials: JB
authors.lastname: Morris
authors.affiliation: General Surgery Residency Program, Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, 4 Silverstein Building 3400 Spruce Street, Philadelphia, PA 19104, USA.
authors.forename: Rachel R
authors.initials: RR
authors.lastname: Kelz
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration*; D035843:Biomedical Research / Q000193:education / Q000458:organization & administration; D004503:Education, Medical, Graduate / Q000379:methods / Q000458:organization & administration*; D013502:General Surgery / Q000193:education* / Q000458:organization & administration; D006801:Humans; D007396:Internship and Residency / Q000379:methods / Q000458:organization & administration*; D017145:Models, Educational; D011785:Quality Assurance, Health Care; D014146:Training Support; D014481:United States
keywords: Graduate medical education; Surgical education; Surgical workforce; University-based