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I am in Antalya, Turkey at the 10th Annual Conference of the European  
Society for Trauma and Emergency Surgery.     It is great  conference and more 
on that in a later post.    I just attended a  leadership conference of the 
movements toward a European Coalition in what used  to be General Surgery and 
now is going by several names:  Emergency  Surgery, Trauma and Critical 
Care Surgery, Acute Care Surgery, and  others.   There is significant focused 
leadership and I have some  reflections on what I heard in this two hour 
meeting.   There are  lessons that those in the United States, South America, 
Japan, and the Middle  East could learn from the discussions of today.    
Fortunately  many of the labels and specialty definitions "owned" by some 
special interest  physician groups are going away very quickly, and this needed 
movement will be  economic, political,  market, and consumer driven.    The  
question is, what does the hospital in the community hospital need through 
out  the United States and Europe and what will the market define.     It is 
happening NOW.      I am going to dinner, but  will expand on my observations 
and reflections later.    
 
k
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