Home | About Us | Current Issue | Ahead of print | Archives | Search | Instructions | Subscription | Feedback | Editorial Board | e-Alerts | Login 
Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
 Users Online:244 
  Print this page Email this page   Small font sizeDefault font sizeIncrease font size

Table of Contents   
Year : 2019  |  Volume : 24  |  Issue : 2  |  Page : 87-88

Pediatric surgery: Is it growing?

Department of Pediatric Surgery, Park Medical Research and Welfare Society, Kolkata, West Bengal, India

Date of Web Publication1-Mar-2019

Correspondence Address:
Prof. Dhananjay Basak
Department of Pediatric Surgery, Park Medical Research and Welfare Society, Kolkata, West Bengal
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jiaps.JIAPS_23_19

Rights and Permissions


How to cite this article:
Basak D. Pediatric surgery: Is it growing?. J Indian Assoc Pediatr Surg 2019;24:87-8

How to cite this URL:
Basak D. Pediatric surgery: Is it growing?. J Indian Assoc Pediatr Surg [serial online] 2019 [cited 2021 Sep 18];24:87-8. Available from: https://www.jiaps.com/text.asp?2019/24/2/87/253338

Dhananjay Basak

A symposium entitled “Pediatric Surgery – A Growing or A Sinking Specialty” was held at the 27th Annual Conference of Indian Association of Pediatric Surgeons at Thiruvananthapuram in 2001. Different speakers spoke about the development of Pediatric Surgery during the last 40 years and discussed the infrastructural facility available for training, teaching, and research. The important short comings were as follows:

  1. Poor Pediatric Surgical facility in rural areas
  2. Poor job opportunities for newly trained pediatric surgeons
  3. Lack of development of organ and tissue specialists in our specialty
  4. Limited development of neonatal surgery and intensive care service.

The Indian Association of Pediatric Surgeons approached the Central Government to expand the Pediatric Surgical facilities to all the Central Government Hospitals and rural areas, to create job opportunities for new pediatric surgeons. There is little initiative by the Central Government to develop the Pediatric Surgical services due to fund restrictions. However, the Pediatric Surgical services have been developed in rural areas in Kerala and Chennai by the State Government. IAPS also approached the Medical Council of India (MCI) to develop Pediatric Surgical units in all Medical Colleges to teach Pediatric Surgery in undergraduate curriculum by Pediatric Surgeons. However, MCI has not made any such recommendation till date. Moreover, Pediatric Surgery is taught by General Surgeons in most of the undergraduate curriculum. Even we have failed to ensure that Pediatric Surgery is practiced and taught by Pediatric Surgeons in all institutions teaching for MBBS, DCH, MD (Ped.), and MS (Gen Sur.).

There are 80 MCh Pediatric Surgery seats in different post graduate institutes, but 40% seats remain vacant. DNB (Pediatric Surgery) are trained in 10 private institutions. It is surprising that so many seats are unutilized in spite of demand for more Pediatric Surgeons for the management of Pediatric Surgical cases in our country. Insufficient remunerative work in private and public sector undertakings and in private practice results in less initiative from students. Probably, this can be the cause of less students taking Pediatric Surgery as a specialty.

Neonatal surgical services and neonatal intensive care services have been developed in both Government and private Specialty Hospitals in Metropolitan cities. Neonatal surgical emergency services have improved the mortality and morbidity of surgical diseases. However, referral service has to be developed so that neonatal surgical patients can be transferred from rural to neonatal intensive care unit.

Surgical specialties such as transplantation surgery, microvascular surgery, minimal invasive surgery, and urosurgery are growing very fast. Pediatric Surgeons have acquired art and expertise in urology, minimal invasive surgery, and oncosurgery. Such specialties have been developed in all major centres. Pediatric Surgeons should explore to develop expertise in transplantation surgery, microvascular surgery, and plastic surgery. Otherwise, organ specialists will invade the Pediatric Surgical specialty eating some of the pie.

Our Association should set up a teaching center accreditation and improvement committee to raise the standard of the Pediatric Surgical training and infrastructure and should work in association with the Universities so that more postgraduate students are available for the Pediatric Surgery specialty. MCI should modify its regulation to develop Pediatric Surgical unit in all Medical Colleges. Government should also take initiative to develop Pediatric Surgery unit in different Government hospitals so that all Pediatric Surgical diseases can be managed by Pediatric Surgeons, as per recommendations from the World Federation of Pediatric Surgeons.[1]

   References Top

Basak D. Editorial. J Indian Assoc Pediatr Surg 2001;7:101-2.  Back to cited text no. 1


Print this article  Email this article


    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Article in PDF (393 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  


 Article Access Statistics
    PDF Downloaded108    
    Comments [Add]    

Recommend this journal

Contact us | Sitemap | Advertise | What's New | Copyright and Disclaimer 

  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

Online since 1st May '05