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Eur J Pediatr Surg 2017; 27(03): 223-227
DOI: 10.1055/s-0037-1603083
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Pediatric Surgery: Job or Vocation?

Kristiina Kyrklund
1   Department of Pediatric Surgery, University of Helsinki, Hospital for Children and Adolescents, Helsinki, Finland
› Author Affiliations
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Publication History

28 March 2017

29 March 2017

Publication Date:
15 May 2017 (online)

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Abstract

Pediatric surgery is a diverse specialty with unique challenges and high social importance. There is a wealth of opportunities for professional development and academic achievements in caring for children with complex and variable surgical conditions. Throughout time, surgical career pathways have exacted considerable demands for a multitude of skills and significant personal commitment, in which pediatric surgery is no exception. However, the rigors of the working environment are balanced by real opportunities for meaningful professional contributions and high levels of career satisfaction. This manuscript attempts to uncover the meaning of a career in pediatric surgery from several perspectives, with consideration of the roles of history, philosophy, research, and education in shaping the profession into the context of modern practice.

Keywords

philosophy of pediatric surgery - history of pediatric surgery - careers in pediatric surgery - vocation of pediatric surgery - research in pediatric surgery
 

  • References

  • 1 Xydas S, Widmann WD, Hardy MA, William E. William E. Ladd: Father of Pediatric Surgery. Curr Surg 2003; 60 (01) 47-50
    CrossrefPubMedGoogle Scholar
  • 2 Hendren III WHH. Pioneers and modern ideas. Pediatric surgery. Pediatrics 1998; 102 (1 Pt 3): 275-277 , discussion 288–289
    PubMedGoogle Scholar
  • 3 Haller Jr JA. Why pediatric surgery? A personal journey through the first 50 years. Ann Surg 2003; 237 (05) 597-606
    PubMedGoogle Scholar
  • 4 Randolph J. . In: Stringer MD, Oldham KT, Mourriquand PDE, Howard ER. , eds. Pediatric Surgery and Urology: Long-Term Outcomes. London, UK: WB Saunders; 1998: 4-8
    Google Scholar
  • 5 Raffensperger JG. Children's Surgery: A Worldwide History. Jefferson, NC: McFarland & Company; 2012
    Google Scholar
  • 6 Berger M, Muensterer O, Harmon CM. Tales from previous times: important eponyms in pediatric surgery. Pediatr Surg Int 2014; 30 (01) 1-10
    CrossrefPubMedGoogle Scholar
  • 7 Suruga K, Tsuchida Y, Miyano T, Suita S. From the far east. Pediatric surgery. J Pediatr Surg 2003; 38 (7, Suppl): 38-43
    CrossrefPubMedGoogle Scholar
  • 8 Grosfeld J. . In: Coran AG, Adzick NS, Laberge J-M, Shamberger RC, Caldamone AA. , eds. Pediatric Surgery. 7th ed. Philadelphia, PA: Elsevier Saunders; 2012: 3-18
    CrossrefGoogle Scholar
  • 9 O'Donnell B. . In: Stringer MD, Oldham KT, Mourriquand PDE, Howard ER. , eds. Pediatric Surgery and Urology: Long-Term Outcomes. London, UK: WB Saunders; 1998: 9-11
    Google Scholar
  • 10 Sook A. How childhood came to fascinate artists. BBC Culture. Available at: http://www.bbc.com/culture/story/20160315-how-childhood-came-to-fascinate-artists . published online: April 1, 2016. Accessed March 15, 2017
    PubMedGoogle Scholar
  • 11 Gibbons R. Dr Willis Potts famed as ‘Blue Baby’ Surgeon. Chicago Tribune 1961 ;October 27(1): 1. Available at: http://archives.chicagotribune.com/1961/10/27/page/5/article/dr-willis-j-potts-famed-as-blue-baby-surgeon . Accessed March 15, 2017
    PubMedGoogle Scholar
  • 12 Chang JHT. Timelines in the history of pediatric surgery. J Pediatr Surg 1986; 21 (12) 1068-1072
    CrossrefPubMedGoogle Scholar
  • 13 Spitz L. Peter Paul Rickham. BMJ 2003; 327: 1408
    CrossrefPubMedGoogle Scholar
  • 14 Rangel SJ. Moving the needle toward high-quality pediatric surgical care: how can we achieve this goal through prioritization, measurement and more effective collaboration?. J Pediatr Surg 2017; 3468 (17) 30045
    PubMedGoogle Scholar
  • 15 Katz A, Mallory B, Gilbert JC. , et al. State of the practice for pediatric surgery—career satisfaction and concerns. A report from the American Pediatric Surgical Association Task Force on Family Issues. J Pediatr Surg 2010; 45 (10) 1975-1982
    CrossrefPubMedGoogle Scholar
  • 16 Cameron DB, Rangel SJ. Quality improvement in pediatric surgery. Curr Opin Pediatr 2016; 28 (03) 348-355
    CrossrefPubMedGoogle Scholar
  • 17 Bill H, William E. William E. Ladd, M.D.: great pioneer of North American pediatric surgery. Prog Pediatr Surg 1986; 20: 52-59
    PubMedGoogle Scholar
  • 18 Loeb RF. . James Lawder Gamble 1883–1959. Washington, DC: National Academy of Sciences; 1962 . Available at: http://www.nasonline.org/publications/biographical-memoirs/memoir-pdfs/gamble-james.pdf . Accessed March 15, 2017
    PubMed
  • 19 Brown TM, Fee E. Walter Bradford Cannon: pioneer physiologist of human emotions. Am J Public Health 2002; 92: 1594-1595
    CrossrefPubMedGoogle Scholar
  • 20 Harvard Medical School. Who Was Walter Bradford Cannon?. Available at: https://hms.harvard.edu/departments/medical-education/student-services/academic-societies-hms/walter-bradford-cannon-society/walter-bradford-cannon . Accessed March 15, 2017
    PubMedGoogle Scholar
  • 21 Jackson M. The pursuit of happiness: the social and scientific origins of Hans Selye's natural philosophy of life. Hist Human Sci 2012; 25 (05) 13-29
    CrossrefPubMedGoogle Scholar
  • 22 Hartman EE, Oort FJ, Aronson DC, Sprangers MA. Quality of life and disease-specific functioning of patients with anorectal malformations or Hirschsprung's disease: a review. Arch Dis Child 2011; 96 (04) 398-406
    CrossrefPubMedGoogle Scholar
  • 23 Kyrklund K. Anorectal malformations: outcomes up to adulthood. Academic Thesis; University of Helsinki, Faculty of Medicine: Unigrafia; 2016 . Available at: https://helda.helsinki.fi/handle/10138/160390 . Accessed March 15, 2017
    PubMedGoogle Scholar
  • 24 Neuvonen MI, Kyrklund K, Rintala RJ, Pakarinen MP. Bowel function and quality of life after transanal endorectal pull-through for Hirschsprung's disease: controlled outcomes up to adulthood. Ann Surg 2017; 265 (03) 622-629
    CrossrefPubMedGoogle Scholar
  • 25 Pakarinen MP. Autologous intestinal reconstruction surgery as part of comprehensive management of intestinal failure. Pediatr Surg Int 2015; 31 (05) 453-464
    CrossrefPubMedGoogle Scholar
  • 26 Mutanen A, Lohi J, Heikkilä P, Koivusalo AI, Rintala RJ, Pakarinen MP. Persistent abnormal liver fibrosis after weaning off parenteral nutrition in pediatric intestinal failure. Hepatology 2013; 58 (02) 729-738
    CrossrefPubMedGoogle Scholar
  • 27 Merras-Salmio L, Pakarinen MP. Refined multidisciplinary protocol-based approach to short bowel syndrome improves outcomes. J Pediatr Gastroenterol Nutr 2015; 61 (01) 24-29
    PubMedGoogle Scholar
  • 28 Pakarinen MP, Rintala RJ. Surgery of biliary atresia. Scand J Surg 2011; 100 (01) 49-53
    CrossrefPubMedGoogle Scholar
  • 29 Rintala RJ, Sistonen S, Pakarinen MP. Outcome of esophageal atresia beyond childhood. Semin Pediatr Surg 2009; 18 (01) 50-56
    CrossrefPubMedGoogle Scholar
  • 30 Lampela H, Ritvanen A, Kosola S. , et al. National centralization of biliary atresia care to an assigned multidisciplinary team provides high-quality outcomes. Scand J Gastroenterol 2012; 47 (01) 99-107
    CrossrefPubMedGoogle Scholar
  • 31 Kosola S, Lauronen J, Sairanen H, Heikinheimo M, Jalanko H, Pakarinen M. High survival rates after liver transplantation for hepatoblastoma and hepatocellular carcinoma. Pediatr Transplant 2010; 14 (05) 646-650
    CrossrefPubMedGoogle Scholar
  • 32 Rickham PP. Denis Browne: surgeon. Prog Pediatr Surg 1986; 20: 69-75
    PubMedGoogle Scholar
  • 33 Lambrecht W, Kluth D, Gauderer MWL. Fritz Rehbein, MD 1911–1991. J Pediatr Surg 1992; 27: 545-547
    CrossrefPubMedGoogle Scholar
  • 34 Klein MD. Oral history project: Jay L. Grosfeld, Pediatric History Center, American Academy of Pediatrics; 2006 Available at: https://www.aap.org/en-us/about-the-aap/Pediatric-History-Center/Documents/Grosfeld.pdf . Accessed March 15, 2017
    PubMedGoogle Scholar
  • 35 Alizai NK, Dawrant MJ, Najmaldin AS. Robot-assisted resection of choledochal cysts and hepaticojejunostomy in children. Pediatr Surg Int 2014; 30 (03) 291-294
    CrossrefPubMedGoogle Scholar
  • 36 Ruano R, Ali RA, Patel P, Cass D, Olutoye O, Belfort MA. Fetal endoscopic tracheal occlusion for congenital diaphragmatic hernia: indications, outcomes, and future directions. Obstet Gynecol Surv 2014; 69 (03) 147-158
    CrossrefPubMedGoogle Scholar
  • 37 Belfort MA, Olutoye OO, Cass DL. , et al. Feasibility and outcomes of fetoscopic tracheal occlusion for severe left diaphragmatic hernia. Obstet Gynecol 2017; 129 (01) 20-29
    CrossrefPubMedGoogle Scholar
  • 38 Cruz-Martinez R, Moreno-Alvarez O, Garcia M. , et al. Fetal endoscopic tracheal intubation: a new fetoscopic procedure to ensure extrauterine tracheal permeability in congenital cervical teratoma. Fetal Diagn Ther 2015; 38 (02) 154-158
    CrossrefPubMedGoogle Scholar
  • 39 Loukogeorgakis SP, De Coppi P. Amniotic fluid stem cells: the known, the unknown and potential regenerative medicine applications. Stem Cells 2016
    PubMedGoogle Scholar
  • 40 Troppmann KM, Palis BE, Goodnight JE, Ho HS, Troppmann C. Career and lifestyle satisfaction among surgeons: what really matters? The National Lifestyles in Surgery Today Survey. J Am Coll Surg 2009; 209 (02) 160-169
    CrossrefPubMedGoogle Scholar
  • 41 Goldacre MJ, Laxton L, Harrison EM, Richards JMJ, Lambert TW, Parks RW. Early career choices and successful career progression in surgery in the UK: prospective cohort studies. BMC Surg 2010; 10: 32 Available at: http://www.biomedcentral.com/1471-2482/10/32 . Accessed March 15, 2017
    CrossrefPubMedGoogle Scholar
  • 42 Caniano DA, Sonnino RE, Paolo AM. Keys to career satisfaction: insights from a survey of women pediatric surgeons. J Pediatr Surg 2004; 39 (06) 984-990
    CrossrefPubMedGoogle Scholar
  • 43 Singh P, Aggarwal R, Darzi A. Review of selected national surgical curricula: quantity is not the sole marker of quality. J Surg Educ 2014; 71 (02) 229-240
    CrossrefPubMedGoogle Scholar
  • 44 Foster KN, Neidert GP, Brubaker-Rimmer R, Artalejo D, Caruso DM. A psychological profile of surgeons and surgical residents. J Surg Educ 2010; 67 (06) 359-370
    CrossrefPubMedGoogle Scholar