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Scope of PracticeThe American College of Surgeons maintains that high quality surgical care for the sick and injured patient can only be carried out by qualified surgeons. Qualified surgeons are those physicians who have completed a surgical residency/fellowship approved by the Accreditation Council for Graduate Medical Education (ACGME) or the Royal College of Physicians and Surgeons of Canada (RCPSC); are certified, recertified or qualified for examination by a surgical Board recognized by the American Board of Medical Specialties (ABMS) and the Royal College of Physicians of Surgeons of Canada (RCPSC); and who maintain continuing education and proficiency in their specialty. These qualifications are required for Fellowship in the American College of Surgeons. A surgeon's scope of practice is determined by the appropriate surgery Board recognized by the ABMS and the RCPSC. Procedures performed are dictated by the guidelines set by a specialty Board. Performing procedures outside of the field defined by a specialty Board mandates additional education and experience, as well as certification where appropriate. Surgeons are expected to study and evaluate new procedures and to become knowledgeable and proficient with advances that are appropriate. Technical skill alone is not sufficient to qualify a surgeon to perform new procedures. Procedural skills must be acquired within the context of in-depth knowledge about the natural course of a disease. It is mandatory when acquiring new skills that additional training by an accredited educational organization be obtained. The College maintains that public education is vital. Specifically, patients must be informed about the qualifications of their surgeons. Any claims regarding expertise or any advertising done by a surgeon must be factual, documented with adequate data, and be within the limits of his or her training and experience. The College may take disciplinary action against those Fellows who engage in surgical procedures outside their scope of practice as described above or who advertise their training, certification or experience falsely.
by the American College of Surgeons, Chicago, IL 60611-3211 |