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This summary is machine-generated.

Rural surgical training exposure during residency increases the likelihood of practicing in rural communities. Programs with rural missions, locations, or rotations are key to developing a rural surgery workforce.

Keywords:
general surgery graduate medical educationrural surgeryrural training

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Area of Science:

  • Surgical Education
  • Rural Health Workforce Development

Background:

  • Addressing the deficit in rural surgeons is critical.
  • Limited data exists on the link between rural surgical residency training and rural practice.

Purpose of the Study:

  • To assess if rural surgical residency training exposure influences practice location.
  • To identify specific training exposures that promote rural practice.

Main Methods:

  • Retrospective cohort study of US general surgery residents (2011-2020).
  • Data collected from residency websites, ACS, AMA, program surveys.
  • Characterized rural training exposure types and evaluated association with rural practice.

Main Results:

  • 6.2% of graduates practiced rurally.
  • Rural training exposure (residency websites, ACS) correlated with rural practice (OR 1.81-2.09).
  • Rural programs, rotations, and missions increased odds of rural practice; rural tracks did not.

Conclusions:

  • Rural surgical training exposures are associated with rural practice.
  • Programs with rural missions, locations, or rotations effectively produce rural surgeons.
  • Targeted policies and rural exposure are needed to address rural surgeon workforce shortages.