But surgeons with pediatric training
Section of the AAP that formed in 1966
the work of established pediatric
were coming into positions of respon-
and was headed by William Clatworthy,
surgeons and a second generation of
sibility throughout the United States.
MD, of Columbus Children’s Hospital.
surgeons developing new techniques.
Through the 1950s and ’60s, Dr. Gross
Under Dr. Clatworthy’s leadership, the
One of these was Dr. Dudrick, a
trained 69 pediatric surgeons, many of
directors of approximately 20 unregu-
University of Pennsylvania School of
whom founded training programs in
lated training programs for pediatric
Medicine graduate and general surgeon
medical centers around the country,
surgery in the U.S. and Canada estab-
who, in 1964, pioneered research into
joining others from the broader Boston
lished criteria for training that included
a specialized central venous feeding
School. Dr. Gross defined the format
board certification in general surgery
technique known as intravenous hyper-
of training to be a three-year pyramid
and two additional years of specialized
alimentation (IVH), or total parenteral
for residents with previous training. To
training in children’s surgery.
nutrition (TPN). The development and
assure continuity, Dr. Gross staggered
Meanwhile, the first issue of the
subsequent clinical application of TPN
the start of the residents’ training,
only publication dedicated to pedi-
in pediatric surgery were confirmed
which included a first-year junior resi-
atric surgery—the Journal of Pediatric
when an infant with malrotation and
dency, a second-year senior residency,
Surgery—appeared in February 1966.
midgut volvulus (rotation of the gut and
and a following year as chief resident.
Before its publication, pediatric
its constituents—small bowel, cecum,
As a result, an increasing number
surgeons had to review either non-
ligament of Treitz—and twisting of
of pediatric surgery training programs
surgical pediatric literature or general
abdominal blood vessels) survived
“self-declared” in hospitals across the
surgical literature for relevant infor-
corrective surgery despite severe short
country. Oversight was provided by a
mation. The Journal’s editor-in-chief
bowel syndrome with the use of TPN at
voluntary committee of the Surgical
was Dr. Koop and it brought together
the Children’s Hospital of Philadelphia.
Children’s Hospital of Wisconsin congratulates the American College of Surgeons for providing a century of support in advancing and improving children’s surgical care and standards. The Pediatric Surgical Program at Children’s Hospital of Wisconsin in Milwaukee is one of the largest in the nation and includes all pediatric surgical specialties. We have expertise in traditional and minimally invasive general and thoracic procedures. Our program has achieved national recognition in surgical outcomes and
Visit chw.org/surgery.
120681
training pediatric surgeons.