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This article presents a team-based integration model that embraces intra-disciplinary collaboration in shared clinical care, professional development, and administrative processes to address this surge in demand for surgical care. Implementing this model will require communicating the rationale for and benefits of shared care, while shifting patient trust to a team of providers. For the individual surgeon, advantages of clinical integration through shared care include decreased burnout and professional isolation, and more efficient transitions into and out of practice. Advantages to the system include greater surgeon availability, streamlined disease site wait lists, and promotion of system efficiency through a centralized distribution of clinical resources. We present a framework to stimulate national dialogue around shared care that will ultimately help overcome system bottlenecks for surgical patients and provide support for health professionals.<\/jats:p>","DOI":"10.1177\/0840470420952485","type":"journal-article","created":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T05:23:06Z","timestamp":1598937786000},"page":"77-80","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Shared care in surgery: Practical considerations for surgical leaders"],"prefix":"10.1177","volume":"34","author":[{"given":"Morgann","family":"Reid","sequence":"first","affiliation":[{"name":"Telfer School of Management, University of Ottawa, Ottawa, Ontario, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3842-1225","authenticated-orcid":false,"given":"Alex","family":"Lee","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6476-7337","authenticated-orcid":false,"given":"David R.","family":"Urbach","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"Kuziemsky","sequence":"additional","affiliation":[{"name":"Office of Research Services and School of Business, MacEwan University, Edmonton, Alberta, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morad","family":"Hameed","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Husein","family":"Moloo","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, University of Ottawa, Ottawa, Ontario, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fady","family":"Balaa","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, University of Ottawa, Ottawa, Ontario, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,9,1]]},"reference":[{"key":"bibr1-0840470420952485","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11746"},{"key":"bibr2-0840470420952485","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.200791"},{"key":"bibr3-0840470420952485","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2017.08.001"},{"key":"bibr4-0840470420952485","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.163.16.1958"},{"key":"bibr5-0840470420952485","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2018.05.001"},{"issue":"3536","key":"bibr6-0840470420952485","first-page":"w13062","volume":"140","author":"Martin JS","year":"2010","journal-title":"Swiss Med Wkly"},{"key":"bibr7-0840470420952485","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2016.05.017"},{"key":"bibr8-0840470420952485","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2014.2235"},{"key":"bibr9-0840470420952485","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2020.02.005"},{"key":"bibr10-0840470420952485","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-022164"},{"key":"bibr11-0840470420952485","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.170172"},{"key":"bibr12-0840470420952485","doi-asserted-by":"publisher","DOI":"10.1177\/1049732311405685"},{"key":"bibr13-0840470420952485","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-142-9-200505030-00012"},{"issue":"2","key":"bibr14-0840470420952485","first-page":"84","volume":"53","author":"Ball CG","year":"2010","journal-title":"Can J Surg"},{"key":"bibr15-0840470420952485","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2011.09.013"},{"key":"bibr16-0840470420952485","volume-title":"Insurance Reciprocal of Canada, Canadian Medical Protective Association, Salus Global Corporation","author":"Accreditation Canada Healthcare","year":"2016"},{"key":"bibr17-0840470420952485","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-018-2994-0"},{"key":"bibr18-0840470420952485","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2016.10.004"},{"key":"bibr19-0840470420952485","volume-title":"Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being","author":"National Academies of Sciences, Engineering, and Medicine","year":"2019"},{"key":"bibr20-0840470420952485","unstructured":"Canadian Medical Protective Association. 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