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Rural Surgical Training in the United States: Delineating Essential Components Within Existing Programs
Isolina Rossi1, Matthew Rossi2, Emily Mclaughlin3
122442Carolinas Medical Center, Charlotte, NC, USA.
The American Surgeon
|October 30, 2020
Summary
Rural surgical training programs vary significantly. The Advisory Council on Rural Surgery (ACRS) identified key components to improve curriculum for future rural surgeons.
Area of Science:
- Surgical Education
- Rural Health Disparities
Background:
- Rural surgical care faces significant challenges due to limited resources and specialists.
- Current surgical residency programs often lack adequate exposure to endoscopic and subspecialty skills needed for rural practice.
Purpose of the Study:
- To delineate essential components of rural surgical training programs.
- To assess the extent to which existing programs incorporate these components.
Main Methods:
- The Advisory Council on Rural Surgery (ACRS) defined 4 essential components for rural surgical training.
- Accreditation Council for Graduate Medical Education programs with a "rural track" were identified and categorized based on these components.
Main Results:
- 39 programs self-identified with a rural emphasis.
- Programs were categorized as "Broad" (12), "Basic" (20), or "Indeterminate" (7) based on the inclusion of the 4 essential components.
Conclusions:
- The ACRS defined optimal components for rural surgical training.
- This assessment provides valuable data for students pursuing rural surgery and for programs seeking to enhance their curriculum.
