Defining the optimal training paradigm for current and future general surgeons is of the utmost importance. Meaningful solutions are required for both the predicted national shortages in general surgeons and rural surgeons¹ and the perceived decrease in the operative readiness of graduating surgical residents.² In 2012, Polk et al³ reported on the recommendations of a diverse group of stakeholders who had convened to address the general surgery workforce issue. They recommended that training programs incorporate hospital experiences that entail a wider breadth of general surgery, such as those at community hospitals, which often do not have a university affiliation. However, there is a lack of data comparing surgical outcomes of graduates of nonuniversity-based residency (NUBR) with university-based residency programs. A matched analysis by Sellers et al⁴ addresses this knowledge gap.

定义当前和将来的普通外科医师的最佳培训范例至关重要。有意义的解决方案都需要在医生一般都预测本国短缺和农村医生¹和毕业外科居民的工作准备感知的下降。² 2012年，Polk等人³报告了召集解决一般外科手术劳动力问题的不同利益相关者小组的建议。他们建议培训计划应纳入需要广泛的普外科手术的医院经验，例如社区医院中通常没有大学隶属关系的医院。但是，缺乏将非大学为基础的居留权（NUBR）毕业生与大学为基础的居留计划的手术结果进行比较的数据。Sellers等[ ^4]进行的匹配分析解决了这一知识鸿沟。