General Surgery is a discipline that requires knowledge of and familiarity with a broad spectrum of diseases that may require surgical treatment.
General Surgery comprises, but is not limited to, the performance of operations and procedures (including endoscopies) relevant to the content areas listed below:
Alimentary Tract: Esophagus, Stomach, Small Intestine, Colon, Gallbladder, and Appendix
Abdomen and its Contents: Liver, Spleen, Pancreas, Diaphragm, Hernias, etc
Breast, Skin and Soft Tissue
Endocrine System: Thyroid Gland, Adrenal Gland, Salivary Glands, and Pancreas
Pediatric and Critical Care Surgery
Surgical Oncology: Cancer Care including Breast, Colon, Lung, Stomach, Pancreas, Melanoma and other skin, Thyroid, etc)
Trauma & Emergency Surgery
Thoracic/Vascular Surgery: Aorta, Carotid, Peripheral Arteries, Veins, Vascular Access, Dialysis Vascular Access, Amputations, Thoracoscopy, Pacemaker Placement, Vena Cava Filter Placement, Noninvasive Vascular Testing and Interpretation, Angioplasty and Stenting
Endoscopy: UGI Endoscopy, Colonoscopy, Sigmoidoscopy, ERCP, Pillcam Small Bowel Studies, Ph Studies, etc. Therapeutic Endoscopy including stents, dilation, control of GI bleeding, removal foreign bodies GI tract, etc.
Wound Care: Acute and Chronic
Office Surgery: Skin and Soft Tissue Lesions, Varicose Vein Treatment, Abscess Drainage, Wound Care, etc.
Additional knowledge and experience of General Surgeons in the above areas includes:
- Technical proficiency in the performance of essential operations and procedures, plus knowledge, familiarity and technical proficiency with more uncommon and complex operations in each of the above areas. Clinical knowledge, including epidemiology, anatomy, physiology, genetics, clinical presentation and pathology.
- Knowledge of wound healing; infection; fluid management; shock and resuscitation; immunology; antibiotic usage; metabolism; management of postoperative pain; and use of enteral and parenteral nutrition.
- Clinical evaluation and management, or stabilization and referral, of patients with surgical diseases; management of preoperative and postoperative care; management of comorbidities and complications; and knowledge of appropriate use and interpretation of radiologic and other diagnostic imaging.
The General Surgeon also has knowledge and skills in the management and team-based interdisciplinary care of the following specific patient groups:
- Terminally ill patients, including palliative care and the management of pain, weight loss and cachexia in patients with malignant and chronic conditions.
- Morbidly obese patients, including metabolic derangements, surgery for weight loss and the counseling of patients and families.
- Geriatric surgical patients, including operative and nonoperative care, management of comorbid chronic diseases, counseling of patients and families, and culturally diverse groups of patients.
In addition, the General Surgeon, is able to recognize and provide early management and appropriate referral for urgent and emergent problems in the surgical fields of:
- Orthopedic Injuries
- Hand Surgery
For additional information about general surgery, visit the Amerian College of Surgeons.