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In July 2007, we introduced an acute care surgery service to an academic department of surgery staffed in a prearranged, dedicated rotation by critical care-trained surgeons to address all emergency department, inpatient, and transfer consultations.
At that time, we found a relative shortage of certified emergency physicians and that a preponderance of emergency medicine specialists were scheduled during weekday day shifts, leaving the emergency department (ED) staffed in a large part by residents in training for various specialties [1].
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