Surgical rotations in provincial South Australia: The traineess’ perspective

Bruening, Martin; Anthony, Adrian; Maddern, Guy J.

doi:10.1046/j.1445-2197.2003.02620.x

Cited by 6 publications

(7 citation statements)

References 18 publications

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“…These findings underscore the need for general surgeons or obstetricians/gynecologists to be able to train across the 2 specialties to optimally address the disparities that exist in surgical care. Many articles in this review discussed strategies to provide this type of training, including rotations for medical students in rural or low-income areas [ [77] , [78] , [79] ], residency tracts for rural or global surgery [ 23 , 28 , [80] , [81] , [82] , [83] , [84] , [85] , [86] , [87] , [88] , [89] , [90] , [91] , [92] , [93] , [94] , [95] , [96] , [97] , [98] , [99] , [100] , [101] , [102] , [103] ], and training courses for general surgeons to enhance their obstetrical skills if they desire to practice in an underserved location locally or abroad [ 13 , 60 , 115 , [121] , [122] , [123] , [124] , [125] , [126] , [127] , [128] , [129] , [130] , [131] , [132] , [133] , [134] , [135] ]. Although it is challenging to provide this broad-based surgical training, sustainable models have been created when continued support is provided to those recruited locally to the area in need [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

A systematic review and meta-analysis of valued obstetric and gynecologic (OB/GYN) procedures in resource-poor areas

Blears

Pham

Bauer³

2020

Surgery Open Science

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Background Obstetric and gynecologic procedures are valuable in rural settings. Data identifying common procedures may better prepare surgeons to meet patient needs in remote settings. Materials and methods A literature review using key MeSH terms was performed according to methods described by the Cochrane Collaboration and PRISMA on studies that described obstetric and gynecologic surgery in rural high-income countries or any setting in middle- to low-income countries. Meta-analysis was performed using random effects modeling for odds ratios of cesarean delivery and hysterectomy as proportions of total surgical volume. Results A total of 195 studies were included for qualitative synthesis and 22 for quantitative analysis. Obstetric and gynecologic procedures made up a 19% of all surgical cases. As compared to other obstetric and gynecologic surgical procedures, cesarean delivery was the most common procedure with odds ratio of 2.39 (95% confidence interval 1.48–3.86), and hysterectomy was the second most common procedure with odds ratio of 1.60 (1.57–1.64). However, heterogeneity between the studies was extremely high and risk of bias was high, limiting quality of findings. Conclusion Greater provision of surgical care can be enhanced by defining which procedures are most needed, which include many obstetric and gynecologic procedures, most commonly cesarean delivery and hysterectomy.

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Section: Discussionmentioning

confidence: 99%

A systematic review and meta-analysis of valued obstetric and gynecologic (OB/GYN) procedures in resource-poor areas

Blears

Pham

Bauer³

2020

Surgery Open Science

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“…A study performed by Bruening et al . in 2003 took a further step by suggesting that even high‐quality rotations for surgical trainees might not be very successful in attracting them to rural areas, if these trainees had not had sufficient rural exposure as undergraduates …”

Section: Discussionmentioning

confidence: 99%

Preparing surgeons for rural Australia: the RACS Rural Surgical Training Program

Chong

Kiroff

2014

ANZ Journal of Surgery

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Background: The Royal Australasian College of Surgeons' Rural Surgical Training Program (RSTP) ran from 1996 to 2007. As a formal review of the RSTP had never occurred, it remained unknown whether the RSTP had achieved its objectives of training surgeons for and retaining them in practice in rural Australia. Methods: Sixty-six RSTP fellows and 67 general surgery fellows were asked to complete a survey evaluating factors influencing the decision to pursue a rural surgical career, the influence of the RSTP on subsequent career pathways and the adequacy of the RSTP in preparing its trainees for rural work. Results: Fifty-one out of 66 RSTP fellows were noted to be in practice in metropolitan Australia, with only 15 in rural Australia. Responses obtained revealed rural surgical rotations during training as a major influence in the decision to perform rural work. Thirty out of 35 RSTP participants stated that the RSTP did not influence their subsequent careers. Six out of 15 RSTP respondents responded positively when asked about the adequacy of the RSTP in preparing its trainees for rural work. Conclusion:The RSTP largely succeeded in preparing its trainees for rural work, but did not succeed in retaining the majority of its trainees in practice in rural Australia. It appears that targeting doctors at the point of admission to surgical training, in the hope that this would translate into more rural surgeons, did not result in improved retention in rural areas.

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“…Providing dedicated rural training to late-stage trainees has little effect on rural practice intentions, unless trainees had earlier rural exposure. 34 Nevertheless, skilled advanced trainees might reduce the on-call burden for rural general surgeons. 34 In response to rural general surgery deficits, the Rural Surgical Training Program was conceived in 1996 with the aim of improving rural general surgery retention by offering increased rural training options and mentoring to a subset of general surgery trainees interested in rural practice.…”

Section: Training Rural General Surgeonsmentioning

confidence: 99%

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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Surgical rotations in provincial South Australia: The traineess’ perspective

Cited by 6 publications

References 18 publications

A systematic review and meta-analysis of valued obstetric and gynecologic (OB/GYN) procedures in resource-poor areas

A systematic review and meta-analysis of valued obstetric and gynecologic (OB/GYN) procedures in resource-poor areas

Preparing surgeons for rural Australia: the RACS Rural Surgical Training Program

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

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