General surgeons vs. colorectal surgeons: Who should be doing what to whom?

The evolving trend toward subspecialization has dramatically changed the face of general surgefy. With an increasing number of general surgery graduates pursuing fellowship training, the question of "Who should be doing what to whom?" has become increasingly relevant. The existing literature on this topic suggests a relationship between specialty training and improved outcomes. Numerous studies have demonstrated the merits of specialization as it relates to all aspects of colorectal care, from the management of benign anorectal disease to complex neoplastic processes. The implications of these findings on the establishment of a surgical workforce that is best equipped to manage the colorectal patient are the focus of this article. (C) 2013 Elsevier Inc. All rights reserved.