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Are We Exposing Urology Residents to Rural or Non-metropolitan Practice? A Program Director Survey of Urology
Christopher M Deibert1, Paul H Chung2, Kathleen Kieran3
1Division of Urologic Surgery, University of Nebraska, Omaha, NE.
Nearly 1 in 6 urology residency programs offer rural rotations. Barriers like call schedules and salary support hinder expansion, but these experiences are valued and may improve workforce distribution.
Area of Science:
- Medical Education
- Urology Workforce Studies
Background:
- 60% of US counties lack a urologist.
- Projected urology workforce shortages exist.
Purpose of the Study:
- Determine the prevalence of rural rotations in urology residency.
- Identify barriers and interest in developing these rotations.
Main Methods:
- Survey of urology residency program directors.
- Collaboration with American Urological Association Leadership program and Society of Academic Urology.
Main Results:
- 64 of 151 programs responded (42.3% response rate).
- 18.75% of programs offer non-metropolitan resident experiences.
- Common barriers include call schedule management (25%) and resident salary support (21%).
Conclusions:
- Approximately 18.75% of responding programs offer rural urology rotations.
- Program directors value these rotations for trainees.
- Addressing barriers could enhance rural training and improve urology workforce distribution.
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