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Mesenteric Ischemia: Predicting Problems.

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Educational Benefits of Rural Rotations: Insights From General Surgery Residency Program Leaders.

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Correlation Between Medical School Performance and Receiving Awards in General Surgery Residency.

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Influence of Applicant Interview Format Choice on Demographics and Outcomes from the Residency Match.

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Updated: Sep 10, 2025

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Exposure to U.S. Rural Practice During General Surgery Residency: How do Programs Select Sites and Sustain Rural

James E Coverdill1, Jeff S Shelton2, Benjamin T Jarman3

  • 1Department of Sociology, 355 S Jackson St, Baldwin Hall, University of Georgia, Athens GA.

Journal of Surgical Education
|August 25, 2025
PubMed
Summary
This summary is machine-generated.

Surgical residency programs increasingly use program graduates and healthcare system connections to establish and maintain rural rotations. These strategies help ensure the educational value and sustainability of rural training experiences.

Keywords:
general surgery residencieshealthcare systemsprofessional networksrural practicerural rotationssurgical education

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Area of Science:

  • Medical Education
  • Surgical Training
  • Rural Health

Background:

  • Growing demand for rural surgeons necessitates effective training models.
  • Limited systematic data exists on establishing and sustaining rural surgical rotations for residents.

Purpose of the Study:

  • To investigate strategies employed by general surgery residency programs to establish and sustain rural rotations.
  • To identify key factors influencing the success of rural surgical training experiences.

Main Methods:

  • Website review of 342 ACGME-listed civilian surgery programs to identify those with rural rotations.
  • Email confirmation with all programs to verify rotation offerings.
  • Qualitative interviews with 58 general surgery program leaders regarding their strategies for rural rotations.

Main Results:

  • 81 programs (24%) offer rural rotations.
  • Programs frequently utilize external rural sites (59%) over internal ones (41%), though internal sites are preferred.
  • Professional ties, especially to program alumni (64%), are crucial for establishing and sustaining rotations, bolstering educational confidence and acting as a recruitment tool.

Conclusions:

  • Professional connections with program graduates and integration with healthcare systems are vital for successful rural surgical rotations.
  • Diverse program strategies exist for selecting and sustaining rural training sites, indicating multiple feasible approaches.