Rural General Surgery Experience as a Valuable Adjunct to an Academic Based General Surgery Residency

Hao, Scarlett; Johnson, Helen M.; Celio, Adam C.; Frye, Lauren; Bayouth, Lilly; Joseph, Jeremy; Walsh, Danielle S.

doi:10.1016/j.jsurg.2019.11.007

Cited by 6 publications

(6 citation statements)

References 16 publications

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“… 5 Another study from North Carolina reported about 10 cases per block for these cases when residents were at academic centres; however, they cited about 12 routine cases in rural sites, which differs from our results. 8 The reason for this difference is not clear, but may reflect new training sites or local patient volumes.…”

Section: Discussionmentioning

confidence: 99%

“… 9 Hao and colleagues logged 68% of their cases during rural rotations as endoscopy. 8 In the UBC program, the curriculum has a dedicated scoping rotation, usually at a community site, while nonacademic general surgery rotations are focused on operative exposure. Some endoscopy is still performed, but volume varies substantially between sites.…”

Section: Discussionmentioning

confidence: 99%

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Comparing resident operative volumes for routine general surgery cases at academic, urban community, and rural training sites

Punnen,

Taheri,

Chen

et al. 2024

cjs

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Comparing resident operative volumes for routine general surgery cases at academic, urban community, and rural training sites

Punnen,

Taheri,

Chen

et al. 2024

cjs

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“…The development of efficient programs for rural surgical rotation is an issue that must be discussed. In general, rural surgical rotations are considered to be of substantial value, providing residents the benefit of experiencing a wide range of cases 55 ) . Cesarean section, management of gynecological conditions and hand injuries, urologic emergencies, tonsillectomy, and fracture management are usually proposed as skills in which proficiency is necessary for rural surgical rotations 36 , 56 ) .…”

Section: Discussionmentioning

confidence: 99%

Possible relationship between rural surgical rotations during a residency period and an increased number of general surgeons in rural areas: a systematic review

Watanabe

Kotani

2023

J Rural Med

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Objective: Rural surgical training for residents is expected to increase the number of general surgeons working in rural areas; however, the impact of rural training programs to ensure such surgeons remains to be determined. Therefore, we reviewed the relevance of rural surgical rotation to the increase of general surgeons in rural areas. Materials and Methods: Studies on the outcomes of rural surgical rotations during the residency period in comparison to nonrural surgical rotations were retrieved using electronic databases through April 2022.Results: Among the 514 articles, five were eligible for review. All studies were published in the United States. Four studies reported an increased number of general surgeons in rural areas owing to rural surgical rotations. A meta-analysis of all studies showed a positive impact on the number of general surgeons in rural areas (odds ratio=2.19, 95% confidence interval=1.23-3.91). The programs generally ranged from 2 to 12 months with extensive experience with minor surgery and subspecialties necessary for surgery. Conclusions: Rural surgical rotations during the residency period can increase the number of general surgeons working in rural areas. Further studies are needed to evaluate the placement of general surgeons in rural areas.

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“…This further informs existing literature about the value of rural residency experiences. 30,31 The importance of continuing to focus on rural surgery exposure during residency is further exemplified by the previously mentioned cycle of surgeon shortage, leading to instability and closures of rural hospitals. This then leads to decreased access to care for patients, which has been shown to result in increased patient mortality.…”

Section: Discussionmentioning

confidence: 99%

“…Participants in our rural rotation noted that the experience advanced their skills, for some confirmed their rural practice location decision, helped some understand the dynamics of rural lifestyle and the social fabric, and for others illustrated what makes up “true general surgery.” This further informs existing literature about the value of rural residency experiences. 30,31…”

Section: Discussionmentioning

confidence: 99%

Resident Perspectives on the Value of Rural General Surgery Rotations: It’s Not Just About the Cases

Hughes

Wood

Woods

et al. 2022

The American Surgeon™

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Purpose Understand the scope of cases that residents participate in during rural general surgery rotations and the value residents and program directors find in such rotations. In turn, our goal is to add to the ongoing conversation the value exposure to rural surgery brings to surgery training. Methods Qualitative study analyzed reviews of residents’ self-reported case lists and field notes from exit interviews with the site director. Results Trainees participated in an average of 105 cases during the rotation, including basic and advanced endoscopy along with exposure to a wide array of surgical cases. Residents had exposure to the rural facility and its staff and participated in a busy outpatient surgical clinic, the hospital, and community activities. We received overwhelmingly positive qualitative feedback from residents regarding how this rural rotation advanced their skills, helped prepare them for life after residency, and for some confirmed their plans to practice in a rural location. Conclusion With the decline in the number of rural general surgeons and projected continuance of this trend, it is important to understand how trainees view their residency experiences and how those experiences may be shaping their outlook on career choices. Our single-site, qualitative study showed that a rural general surgery rotation during residency has broad importance and value in general surgery resident training. Having a rural rotation also allowed residents to gain understanding of a rural lifestyle, workflow, and the social fabric including the rural surgeons’ connections with their communities.

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Rural General Surgery Experience as a Valuable Adjunct to an Academic Based General Surgery Residency

Cited by 6 publications

References 16 publications

Comparing resident operative volumes for routine general surgery cases at academic, urban community, and rural training sites

Comparing resident operative volumes for routine general surgery cases at academic, urban community, and rural training sites

Possible relationship between rural surgical rotations during a residency period and an increased number of general surgeons in rural areas: a systematic review

Resident Perspectives on the Value of Rural General Surgery Rotations: It’s Not Just About the Cases

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