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Demand for critical care services is increasing. The role of surgeons in intensive care units (ICUs) provides specific insights and perspectives concerning the care of surgical patients, sometimes not fully appreciated by the non-surgical practitioners caring for these patients. The training and education of surgeons is becoming more complex, fragmented, and lengthy. The knowledge-based skills required to manage critically ill patients are also becoming more extensive. However, surgeons need to spend focused attention on how best to train and educate upcoming surgical trainees in regard to the principles of critical care medicine; educational programmes could be developed for better surgical education within the basic residency and surgical critical care programmes. The critically ill patient needs this focused attention as does the specialty of surgical critical care medicine.

A surgeon in the ICU: An equal “team-mate” or an “intruder”?