It is crucial to keep in mind that relatively few surgeons will be able to build an HPB business that fully fills their clinic or operating room calendar. The majority of HPB surgeons also have a secondary area of expertise. Most hospitals simply do not have enough patients to support a full-time position in this specialty. Hence, training in a more general specialty like transplantation or surgical oncology will be beneficial for the majority of HPB surgeons. This makes it simpler for the surgeon to start a practise that doesn't just deal with HPB cases. As a specialty, HPB bears the risk of emphasising an organ and procedures over underlying diseases. It is after all a specialty that primarily focuses on organs.
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