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Related Concept Videos

Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...

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Effectiveness of a Dedicated Rural General Surgery Residency Track: A 13-Year Analysis of the First ACGME Designated

Jude C Barber1, David R Velez2, Stefan W Johnson1

  • 1Department of Surgery, University of North Dakota, Grand Forks, ND, USA.

The American Surgeon
|January 8, 2025
PubMed
Summary

Rural surgery training programs prepare residents for practice, with graduates satisfied and performing broad-spectrum procedures. Most graduates enter rural practice, highlighting the program

Keywords:
North Dakota rural surgery residencygeneral surgery rural residencyrural general surgery residencyrural surgeryrural surgery training

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Area of Science:

  • Medical Education
  • Rural Surgery
  • Surgical Training

Background:

  • Addressing the shortage of general surgeons in rural America.
  • Implementing a unique rural track within a community-based general surgery residency program.
  • Incorporating 9 months of specialty rotations focused on rural practice needs.

Purpose of the Study:

  • To analyze the practice patterns of general surgery residents completing a dedicated rural track.
  • To assess the satisfaction levels of these graduates with their rural training.
  • To identify beneficial specialty rotations for future rural track trainees.

Main Methods:

  • An anonymous, voluntary survey was distributed to rural track graduates from 2010-2022.
  • The survey was administered via the Qualtrics Web platform.
  • Data collected included completed rotations, current procedures performed, and training satisfaction.

Main Results:

  • 80% of graduates responded to the survey.
  • 83% chose the rural track for rural practice or broad-spectrum surgical goals.
  • 100% were satisfied with their training; 75% practice in rural areas.
  • Graduates performed procedures like endoscopy (67%), C-sections (47%), and hand surgery (42%).
  • Desired additional experience in urology, ENT, OBGYN, and advanced endoscopy.

Conclusions:

  • Rural track training provides significant value for general surgery residents pursuing rural practice.
  • The program successfully prepared graduates to perform a broad spectrum of surgical procedures.
  • Three-quarters of graduates entered rural surgery practice, indicating program effectiveness.