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Current Trends in Surgical Procedures Performed in Rural General Surgery Practice.

Wade W Stinson1, Robert P Sticca2, Gary L Timmerman1

  • 143191 Department of Surgery, USD Sanford School of Medicine, Sanford Medical Center, Sioux Falls, SD, USA.

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Summary

Rural general surgeons primarily perform endoscopic procedures (61.6%), followed by common non-endoscopic surgeries like cholecystectomy and hernia repair. This trend highlights a shift away from subspecialty work in rural surgical practices.

Keywords:
general surgery residencyrural surgeryrural surgery trends

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Area of Science:

  • Surgical Practice Trends
  • Rural Health
  • General Surgery

Background:

  • General surgery procedures in rural areas may be evolving.
  • Understanding current rural general surgeon practices is crucial for training future rural surgeons.
  • This review analyzes operative case volumes in six rural Midwest locations.

Purpose of the Study:

  • To detail recent operative case volumes for general surgeons in rural settings.
  • To identify trends in surgical procedures performed by rural general surgeons.
  • To inform surgical residents interested in rural practice.

Main Methods:

  • Data compiled from Sanford Health System between January 2013 and August 2018.
  • Included procedures performed by 58 general surgeons in towns with populations under 50,000.
  • Analysis focused on operative case volumes in rural locations.

Main Results:

  • A total of 38,958 surgical procedures were analyzed.
  • Endoscopic procedures constituted 61.6% of the rural general surgeon's caseload.
  • Key non-endoscopic procedures included cholecystectomy (6.3%), hernia repair (6.3%), and appendectomy (3.7%).

Conclusions:

  • Rural general surgeons are essential to the US surgical workforce.
  • A trend towards more endoscopic and fewer subspecialty procedures is observed.
  • Findings provide direction for surgeons considering rural practice.