Rural Surgery Training Programs in the United States: A Review of the Literature

Avery, Daniel; Wallace, Joseph C.

doi:10.4148/1936-0487.1078

Cited by 10 publications

(9 citation statements)

References 22 publications

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“…| | doi: 10.2185/jrm.2022-031 2023; 18(1): 1-7 lectomy, and fracture management are usually proposed as skills in which proficiency is necessary for rural surgical rotations 36,56) . In fact, extensive experience with minor surgeries and subspecialties for rural surgery was emphasized in the programs in most studies in the present systematic review, as listed in Table 2 [44][45][46][47][48] .…”

Section: Discussionmentioning

confidence: 99%

“…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 ) . In fact, extensive experience with minor surgeries and subspecialties for rural surgery was emphasized in the programs in most studies in the present systematic review, as listed in Table 2 44 , 45 , 46 , 47 , 48 ) .…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

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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“…Even in residency, only 27 of 268 general surgery residency programs in the United States require rural rotations, and an additional 10 offer elective rural rotations. 29 , 30 The few medical schools that have implemented longitudinal rural health education programs for medical students have witnessed a multifold increase in the rural physician supply. 31 Replication of these rural health programs can encourage further medical student engagement in rural settings and ultimately improve rural healthcare capacity.…”

Section: Discussionmentioning

confidence: 99%

Uncovering the Overlap of Global and Domestic Rural Surgery for Medical Trainees

Bhatia¹,

Darkwa²,

Simon³

et al. 2022

Journal of Surgical Research

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“…The 5 common program structures consist of either a rural rotation or rotations, a dedicated track with both specialty and rural rotations, a dedicated year of rural surgery in a medium-sized rural hospital, a fellowship after residency, or a Mastery in General Surgery Program (formerly transition to practice program). 12…”

Section: Discussionmentioning

confidence: 99%

Rural Surgical Training in the United States: Delineating Essential Components Within Existing Programs

Rossi

Rossi²,

McLaughlin

et al. 2020

The American Surgeon™

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Background Rural access to surgical care has reached crisis level. Practicing in rural America offers unique challenges with limited resources and specialists. Most training programs do not provide enough exposure to the endoscopic or the surgical subspecialty skills to prepare a resident for an isolated rural environment. As awareness has increased, many programs have modified curriculum to address this need. The Advisory Council on Rural Surgery (ACRS) of the American College of Surgeons set out to delineate important components of rural training programs and measure to what degree the existing heterogeneous programs contain these components. Study Design The ACRS identified 4 essential components of rural surgical training based on literature and expert opinion. These components included rotations in a rural setting, broad exposure to surgical specialties, endoscopy experience, and lack of competing specialty learners. A list of Accreditation Council for Graduate Medical Education programs from a prior publication was updated with the 2019 Fellowship and Residency Electronic Interactive Database self-identified “rural track” programs, reviewed, and categorized. Results We identified 39 programs that self-identified as having a rural emphasis. Depending on the extent of which 4 essential components were included, programs were categorized as either “Broad” (12 programs), “Basic” (20 programs), or “Indeterminate” (7 programs). Conclusion The ACRS described the optimal components of a rural surgical training program and identified which components are present in those surgical residencies which self-identified as having a rural focus. This information is valuable to students planning a future in rural surgery and benefits programs hoping to enhance their curriculum to meet this critical need.

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Rural Surgery Training Programs in the United States: A Review of the Literature

Cited by 10 publications

References 22 publications

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

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

Uncovering the Overlap of Global and Domestic Rural Surgery for Medical Trainees

Rural Surgical Training in the United States: Delineating Essential Components Within Existing Programs

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