Whither the Trauma Surgeon?

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We haven't discussed this before and I'm interested to hear the list's views on the future for the trauma surgeon.  The 'Trauma
Surgeon' as a single specialty is almost certainly unsustainable and has never really existed in all but a very few centres in the
US. Despite the longevity of organised trauma systems in the US there has never been a separate Board exam in Trauma Surgery.
Clearly changes are afoot and on both sides of the Atlantic there is a move to fold Trauma Surgery into a new 'Trauma & Emergency
Surgery' specialty.  Yet the European models of Trauma & Emergency Surgery really haven't gained popularity either.  

What exactly will 'Emergency Surgery' consist of?  Is this really the right direction to take - to make the specialty popular,
improve training, increase operative load etc.?  Or are other models better?  Trauma surgery & critical care?  Trauma surgery and a
base elective practice (which should obviously be vascular ;-)  )?

The world view on this should make for an interesting read...

Karim

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