Emergency surgery/trauma physicians: Evolution or revolution?

In summary, the ES/T service appears to meet the perceived need of surgeons for more time in the operating room, which could result in more residents selecting trauma surgery for their professional career.It also provides for emergency surgery patients the same immediately available resources that are currently available for acutely injured patients. The potential drawback of the new service is the overwhelming volume, which requires the addition of new resources and the redistributionof resident allocation to the service. The reality is that more emergency surgery patients are being transferred to tertiary centers which often are also designated trauma centers. The ES/T service accommodates this new reality with an assurance of quality care delivery.