https://www.phoenixmag.com/wp-content/uploads/2026/02/manch-1-1280x720.jpg

I have had the privilege of caring for many hundreds of patients who have had their lives changed with a liver transplant, and the people I have met and cared for over the years who reside in some of the medically underserved rural communities in our very large state create lasting memories for me. I do keep in touch with many and still see patients whom I have known for decades.

https://www.phoenixmag.com/wp-content/uploads/2026/02/mangram-1-1280x720.jpg

I think there’s a growing desire among surgeons to be “complete clinicians.” By being double-boarded in general surgery and surgical critical care, we don’t have to hand our patients off when they leave the OR. We have the expertise to manage their physiology in the ICU, which leads to better outcomes and deeper professional fulfillment. The other driver is technology. We’ve integrated robotic surgery into the emergency setting. This has made the field incredibly attractive to a new generation of surgeons who want to combine the intensity of trauma and emergency work with the precision of minimally invasive, robotic platforms.