I think everyone is taking my comments a little out of the context that I meant them. I was also likely less clear than I needed. Several people seem to think I want to do this. I do not. I have no desire whatsoever to go into the OR, and if I did I would do surgery. I'm also not saying this just applies to EM physicians. The OP was, but I am not.
The point I'm making is this:
Given the right training any MD or DO can perform any area of medicine. Everyone agrees with that since any MD or DO can go into any specialty. You all seem to be forgetting that I repeatedly said anyone would have to receive training to perform any procedure in medicine, whether it's a central line, a chest tube, an appy, or a CABG. I don't know what the adequate training would be in terms of length or content, but there is some level of training that would qualify anyone to peform said procedure.
There's an underlying theme I'm seeing among many of the posters that I do disagree with. That's the idea that just because something has always been done means it's the right thing to do always. I stand by my statement that someone wouldn't have to complete a full residency to perform a piece of that specialty's procedures or management of patients. For example, completing an emergency medicine residency is probably overkill if your ultimate goal is to work in an urgent care center. Will the residency-trained physician be able to handle more of the patients in an appropriate way? Yes, I think they would. But is that a reason to mandate 100% of urgent care physicians be EM trained? I hope not because we'd have urgent care centers around the country close overnight. Heck, we've got urgent care centers that are de facto run by PAs.
The same thing goes for surgery in my opinion. Reading through the posts it appears many are saying that to perform any surgery at all a complete 5 or 6 year residency in Gen Surg is needed. True, that's the traditional way of approaching surgical training. However, I contend that this isn't the most efficient system, and isn't without fault. And others agree as well seeing as we now have categorical vascular surgery and plastics programs. Many people now reject the idea that you have to be a residency-trained general surgeon before you can train to perform a AAA repair or breast reconstruction. Do they receive appropriate training? Yes, they do. Do they do it in the traditional 5+2 format? No. Are there circumstances where a 5+2 trained vascular surgeon might be better equipped to deal with a situation? Possibly, but I don't believe it warrants a mandate that 5+2 is the only way to be a vascular surgeon. You can make very similar arguments for urologists in regards to open operations or renal transplant. The same can be said for gynecologists performing surgery.
Many people here mentioned that surgical qualifications are more than the technicalities of the operation. I couldn't agree more, and I think this actually stregthens my stance. There are SICUs around the country that are staffed by anesthesiology-trained or EM-trained intensivists (moreso anesthesia, but EM is a burgeoning field for this) with absolutely no techinical surgical training. However, they still manage the post-op patient, and they do a superb job. So is it really that much of a stretch to say that some of the people could go back and receive abbreviated training to do operations? Are you all saying that someone who completed an anesthesia residency and then went on to do a surgical critical care fellowship (managing the sickest of sick post-op patients) couldn't complete an additional "1/2/3/whatever" year period of training to perform an operation? In most traditional, "old-school" surgical training programs the first couple years there is very little time spent on learning the technical aspects of surgery. That's typically reserved for years 3-5.
I realize this is somewhat out-of-the-box, but there's nothing wrong with that I my opinion. Afterall, Emergency Medicine was way, way outside the box at one time too.
And what's with all the animosity on here about this? Everyone needs to chill out a little. We are just discussing this. It's not like any of us have the power to change anything or grant hospital privileges or determine malpractice rates.