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by Craig A. Miller, 239 pp, $26.95, ISBN 1-57733-115-X, Grass Valley, Calif, Blue Dolphin Publishing, 2004.

JAMA. 2005;293:370.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The number of general surgeons in the United States, which had steadily increased in the 1970s and 1980s, began a gradual but unmistakable decline during the 1990s, from 38 376 in 1990 to 36 650 in 2000. General surgical residency positions had been highly competitive for 30 years. In 2001, however, 68 general surgical residency slots were unmatched. The reasons for this decline are complex and multifactorial, but clearly the onerous lifestyle of a surgical trainee plays a significant role.

In The Making of a Surgeon in the 21st Century, Dr Craig A. Miller chronicles his surgical residency, beginning in 1994, at Ohio State University Medical Center—a familiar story to those of us who survived surgical training within the past several decades—with a unique blend of gruesome reality and refreshing humor.

The Ohio State University training program, like so many others, required arduous 100-hour work weeks and gave little . . . [Full Text of this Article]

Richard M. Stillman, MD, Reviewer
Margate, Fla
rstillman@pol.net

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