Characterizing the female general surgery workforce in rural and regional Australia

Paynter, Jessica A; O’Sullivan, Belinda; Qin, Kirby R; Cuthbertson, Christine; Brennan, John P.

doi:10.1111/ans.18574

ANZ Journal of Surgery

2023

DOI: 10.1111/ans.18574

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Characterizing the female general surgery workforce in rural and regional Australia

Jessica A Paynter

Belinda O’Sullivan

Kirby R Qin

et al.

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Re: Characterizing the female general surgery workforce in rural and regional Australia Dear Editor, In the June issue, Paynter et al reported characteristics of rural and regionally-based female general surgeons. 1 Factors that influence interest, and therefore recruitment, need careful consideration by RACS to achieve its gender equity goals by 2027. 2 As the needs of the emerging workforce may differ, initiatives designed to support female junior doctors in a surgical career should be informed by contemporary views.A Likert-scale survey was disseminated to all Victorian public hospital junior doctors between March and June 2020, via the Postgraduate Medical Council of Victoria email database, to ascertain factors that influence their career intentions.

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confidence: 99%

Re: Characterizing the female general surgery workforce in rural and regional Australia

Ip,

Loh,

Chung

et al. 2023

ANZ Journal of Surgery

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confidence: 99%

Re: Characterizing the female general surgery workforce in rural and regional Australia

Ip,

Loh,

Chung

et al. 2023

ANZ Journal of Surgery

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Rural general surgical provision from the perspective of twenty‐two rural general surgeons: a thematic analysis

Paynter,

Qin,

Hunter‐Smith

et al. 2024

ANZ Journal of Surgery

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BackgroundAustralia continues to suffer from a geographical maldistribution of general surgical services with only 20% of general surgeons working rurally despite 29% of Australia's population residing outside major metropolitan centres. This qualitative study explored the impact of human capacity and infrastructure upon rural general surgery provision.MethodsThis qualitative study employed semi‐structured interviews of rural general surgeons. Participants were recruited via the Royal Australasian College of Surgeons (RACS) Rural newsletter and purposive sampling. All interviews were conducted between January 2023 and April 2023. Transcripts were transcribed, de‐identified, and thematically analysed.ResultsTwo female and 20 male rural general surgeons were interviewed from seven of the eight Australian State or Territories. Four main themes were identified which reflected the impact of human capacity and infrastructure upon Australian rural general surgery provision: (1) small hospital syndrome – and the impact, (2) the rural general surgeon identity, (3) infrastructure and disempowerment and (4) over‐reliance on visiting surgeons.ConclusionImproving access to equitable general surgical care for rural Australians requires appropriate infrastructure and a well‐trained, sustainable multidisciplinary surgical team (human capacity). A greater understanding of the issues may help drive rational, long‐term supportive solutions.

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The provision of general surgery in rural Australia: a narrative review

Paynter,

Qin,

Brennan

et al. 2024

Medical Journal of Australia

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Summary Rural surgery is most commonly provided by general surgeons to the 29% of people (7 million) living in rural Australia. The provision of rural general surgery to enable equitable and safe surgical care for rural Australians is a multifaceted issue concerning recruitment, training, retention, surgical procedures and surgical outcomes. Sustaining the rural general surgical workforce will be dependent upon growing an increased number of resident rural general surgeons, as well as changed models of care, with a need for ongoing review to track the outcomes of these changes. To increase recruitment, rural general surgical training must improve to be less stressful for trainees and to be incorporated alongside a rural‐facing generalist curriculum. Rural general surgical outcomes (excluding some oncology conditions) achieve comparable results to metropolitan centres. Access to, and outcomes of, surgical oncology services continues to be inequitable for rural Australians and should be a major focus for improved service delivery.

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Characterizing the female general surgery workforce in rural and regional Australia

Cited by 3 publications

References 3 publications

Re: Characterizing the female general surgery workforce in rural and regional Australia

Re: Characterizing the female general surgery workforce in rural and regional Australia

Rural general surgical provision from the perspective of twenty‐two rural general surgeons: a thematic analysis

The provision of general surgery in rural Australia: a narrative review

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