{
  "abstract": "For trauma surgeons and educators, the worldwide decline in operative trauma exposure is a major concern.1 A variety of explanations exist from traffic safety laws, non-operative/endovascular management, work hour restrictions, and the aging population. Kubota keenly recognizes that the training gap must be addressed in a manner unique to the country’s infrastructure—time/distance to transport, types of trauma, prehospital infrastructure, and surgical training.2 Japan’s hub-and-spoke model relies on paramedic triage to primary, secondary, or tertiary hospitals where emergency medicine and general surgery physicians provide initial evaluation and resuscitation.3",
  "authors": [
    {
      "affiliations": [
        "Department of Surgery, University of Colorado School of Medicine, Aurora, Colorado, USA"
      ],
      "name": "Madhuri Nagaraj"
    },
    {
      "affiliations": [
        "Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA"
      ],
      "name": "Joanna W Etra"
    },
    {
      "affiliations": [
        "Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA"
      ],
      "name": "Clay Cothren Burlew"
    }
  ],
  "title": "Using elective surgical experience to supplement the waning trauma operative experience: is it truly enough?",
  "uid": "b3a71cb3-9475-527d-9c9e-5e6f030b1b50"
}