Meanwhile, proposed changes in the organisation of another subspecialty, gynaecological oncology, cast further doubt on the appropriateness of the existing surgical bias in gynaecology.The Calman proposals for cancer centres in Britain highlight the need for highly trained surgeons with access to a large enough throughput of cases to maintain their surgical skills.8If the most difficult surgery is to be undertaken by a smaller number of expert surgeons, training the rest to such a high level will not be neces- sary.
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A 1996 study studied this question.
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