Unsupported Browser
The American College of Surgeons website is not compatible with Internet Explorer 11, IE 11. For the best experience please update your browser.
Become a member and receive career-enhancing benefits

Our top priority is providing value to members. Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. It's all here.

Become a Member
Become a member and receive career-enhancing benefits

Our top priority is providing value to members. Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. It's all here.

Membership Benefits
ACS
Education

About

Preston R. Miller III, MD, FACS

Medical Director for the Mastery in General Surgery Program

Preston R. Miller III MD, FACS is a professor in the Department of Surgery of Wake Forest University School of Medicine. He currently serves as the director of emergency general surgery and the program chief for the Mastery in General Surgery program at Atrium Health Wake Forest Baptist in Winston-Salem NC. He joined the department of surgery in 2001 after completing a trauma/critical care fellowship with the University of Tennessee at Memphis at the Elvis Presley Memorial Trauma Center. Dr Miller attended the University of North Carolina at Chapel Hill for his undergraduate degree and attended The Bowman Gray School of Medicine in Winston-Salem, NC for medical school. This was followed by a residency in general surgery at North Carolina Baptist Hospital, also in Winston-Salem, NC. His clinical practice centers on emergency general surgery, care of complex general surgical patients, trauma care, and surgical intensive care medicine. He serves on the Board of Governors of the American College of Surgeons as the representative of the American Association for the Surgery of Trauma and serves on the Acute Care Surgery Committee and the Palliative Care Committee of the American Association for the Surgery of Trauma. He has served on the editorial board of The Journal of Trauma and Acute Care Surgery since 2017. His research interests include multiple emergency general surgery and trauma topics as well as surgical quality, surgical education, substance use disorder in surgical populations and surgical care models in underserved populations.

About the Program

In 2013, the ACS Division of Education established the Transition to Practice (TTP) Program in General Surgery primarily in response to concerns about the readiness of graduating surgery residents for independent general surgery practice. In the five years of the TTP Program, it became evident to the Steering Committee that the additional months of autonomous practice accomplished the goal of increasing the confidence and competence of new surgeons. TTP Associates overwhelmingly described their experience as having a positive impact on their careers.

TTP Associates experienced increasing autonomy throughout the year in a broad-based clinical setting, built their competence and confidence in general surgery, developed practice management skills, and gained practical experience for the next phase of their careers. Working closely with experienced surgeons, TTP Associates had the ability to concentrate on specific areas within general surgery to refine operative skills based on their career goals.

In the spirit of continuous improvement, the Steering Committee, led by J. David Richardson, MD, FACS, MAMSE, solicited, reviewed and evaluated the feedback. This resulted in a strategic decision to enhance the program and rename it the “Mastery in General Surgery Program” to better reflect its mission and goals. The basic tenets of the program remain unchanged, and additional educational and networking opportunities will be introduced. In addition, we have shifted the timeframe for Associate recruitment to better align with timing for residents’ career decisions. The program maintains the hallmarks of individualized assessment and tailored experiences which made the TTP Program so impactful. The new ACS Mastery in General Surgery Program launched in spring 2018. 

Learn more about the origins of the Mastery in General Surgery Program through the following resources:

  • From Transition to Practice to Mastery in General Surgery co-authored by J. David Richardson, MD, FACS, Brooke M. Buckley, MD, FACS, Mohsen M. Shabahang, MD, PHD, FACS, W. Heath Giles, MD, FACS, Ajit K. Sachdeva, MD, FACS, FRCSC, and R. Phillip Burns, MD, FACS in the July 2018 issue of the Bulletin 
  • Review of Transition to Practice programs co-authored by TTP program participants, Thomas H. Cogbill, MD, FACS, and Stephen B. Shapiro, MD, FACS, in the February 2016 issue of Surgical Clinics of North America
  • Update on the progress of the TTP Program discussed by ACS Executive Director David B. Hoyt, MD, FACS in the April 2014 issue of the Bulletin of the American College of Surgeons
  • Description of the needs assessment, design, and future direction of the TTP Program by Steering Committee Chair J. David Richardson, MD, FACS, in the September 2013 issue of the Bulletin
  • Overview of the ACS TTP Program detailed by Dr. Hoyt in the February 2013 issue of the Bulletin

See the full video playlist on YouTube.