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Acute Care Surgery: A Fifteen-Year Update

 L.D. Britt

After the initial proposal of the Acute Care Surgery model, the specialty has continued to evolve. Not surprisingly, emergency general surgery has become the most expansive component of the specialty of Acute Care Surgery (ACS). Trauma has been, as predicted, supplanted as this ACS specialty continues to evolve. Despite this, trauma remains a pivotal and cornerstone component of Acute Care Surgery. There has been increased documentation that the ACS specialty has increasing appeal, with more surgical residents choosing to pursue a career in ACS. This emerging specialty is not monolithic. Based on the needs, workforce and resources of an institution, the “Acute Care Surgery” model encompasses several versions, including emergency general surgery being designated as the “ACS” model.