Training for a Career in Rural and Nonmetropolitan Surgery—A Practical Needs Assessment

The current shortage of surgeons in rural and smaller communities is predicted to get worse. In this study, we solicited practicing rural surgeons' opinions about the skill set needed in a rural practice in order to inform curriculum development for general surgery residents who intend to embar...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of surgical education 2018-11, Vol.75 (6), p.e229-e233
Hauptverfasser: Deal, Shanley B., Cook, Mackenzie R., Hughes, Dorothy, Sarap, Michael, Hughes, Tyler G., Brasel, Karen, Alseidi, Adnan A.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page e233
container_issue 6
container_start_page e229
container_title Journal of surgical education
container_volume 75
creator Deal, Shanley B.
Cook, Mackenzie R.
Hughes, Dorothy
Sarap, Michael
Hughes, Tyler G.
Brasel, Karen
Alseidi, Adnan A.
description The current shortage of surgeons in rural and smaller communities is predicted to get worse. In this study, we solicited practicing rural surgeons' opinions about the skill set needed in a rural practice in order to inform curriculum development for general surgery residents who intend to embark on rural careers. We developed an online survey consisting of demographic questions and closed- and open-ended questions regarding current practice environment and scope of practice. Priorities for training were identified using descriptive analyses of both the quantitative and qualitative data, including frequency of responses regarding specific skills training. We surveyed currently practicing surgeons who subscribe to the American College of Surgeons Rural Surgery listserv. 237 surgeons from 49 states and 1 Canadian territory responded; 60% of participants had been in practice for 20 or more years, and 70% did not pursue subspecialty training. Valuable skills identified for rural surgeons were: endoscopy, advanced laparoscopy, and basic non-general surgery subspecialty procedures. Regardless of years of practice or setting, respondents felt that rural experience during residency was highly valuable (82%) and overwhelmingly supported training future rural surgeons at residency programs with broad general surgery experiences and high case volumes with no or few fellows. Practicing rural surgeons identify endoscopy, basic non-general surgery subspecialty procedures, and advanced laparoscopy as key components of their current practice. These skills may not be strongly emphasized in traditional general surgery training programs. Surgical educators should focus on developing curricula that emphasize these areas in order to prepare residents for careers in rural surgery.
doi_str_mv 10.1016/j.jsurg.2018.07.013
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2087995737</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1931720418302095</els_id><sourcerecordid>2087995737</sourcerecordid><originalsourceid>FETCH-LOGICAL-c274t-76f4c7c5f6f864963902929b622a13bd880c644b63f68ab3443a4c79f76a31593</originalsourceid><addsrcrecordid>eNp9kMtO3DAUhi1ExWXaJ0BCXrJJ8C12vOhiNKIFCdEK6KIry3FORh4lztROKs2Oh-gT8iQ1DGXZ1fHi-_2f8yF0RklJCZWXm3KT5rguGaF1SVRJKD9AJ7RWdaFExQ7zW3NaKEbEMTpNaUNIJTTTR-iYE0oIZ-IE_XyM1gcf1rgbI7Z4ZSNAxD7g-znaHtvQ4rsxDDDFcTv2frIBP-RWiLvnpz9L_D1aN3mXyTuANuFlSpDSAGH6iD50tk_w6W0u0I8vV4-r6-L229eb1fK2cEyJqVCyE065qpNdLYWWXBOWl2wkY5bypq1r4qQQjeSdrG3DheA2B3SnpOW00nyBLvb_buP4a4Y0mcEnB31vA4xzMozUSutKcZVRvkddHFOK0Jlt9IONO0OJeXFqNubVqXlxaogy2WlOnb8VzM0A7Xvmn8QMfN4DkM_87SGa5DwEB62P4CbTjv6_BX8BusWI_g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2087995737</pqid></control><display><type>article</type><title>Training for a Career in Rural and Nonmetropolitan Surgery—A Practical Needs Assessment</title><source>Elsevier ScienceDirect Journals Complete</source><creator>Deal, Shanley B. ; Cook, Mackenzie R. ; Hughes, Dorothy ; Sarap, Michael ; Hughes, Tyler G. ; Brasel, Karen ; Alseidi, Adnan A.</creator><creatorcontrib>Deal, Shanley B. ; Cook, Mackenzie R. ; Hughes, Dorothy ; Sarap, Michael ; Hughes, Tyler G. ; Brasel, Karen ; Alseidi, Adnan A.</creatorcontrib><description>The current shortage of surgeons in rural and smaller communities is predicted to get worse. In this study, we solicited practicing rural surgeons' opinions about the skill set needed in a rural practice in order to inform curriculum development for general surgery residents who intend to embark on rural careers. We developed an online survey consisting of demographic questions and closed- and open-ended questions regarding current practice environment and scope of practice. Priorities for training were identified using descriptive analyses of both the quantitative and qualitative data, including frequency of responses regarding specific skills training. We surveyed currently practicing surgeons who subscribe to the American College of Surgeons Rural Surgery listserv. 237 surgeons from 49 states and 1 Canadian territory responded; 60% of participants had been in practice for 20 or more years, and 70% did not pursue subspecialty training. Valuable skills identified for rural surgeons were: endoscopy, advanced laparoscopy, and basic non-general surgery subspecialty procedures. Regardless of years of practice or setting, respondents felt that rural experience during residency was highly valuable (82%) and overwhelmingly supported training future rural surgeons at residency programs with broad general surgery experiences and high case volumes with no or few fellows. Practicing rural surgeons identify endoscopy, basic non-general surgery subspecialty procedures, and advanced laparoscopy as key components of their current practice. These skills may not be strongly emphasized in traditional general surgery training programs. Surgical educators should focus on developing curricula that emphasize these areas in order to prepare residents for careers in rural surgery.</description><identifier>ISSN: 1931-7204</identifier><identifier>EISSN: 1878-7452</identifier><identifier>DOI: 10.1016/j.jsurg.2018.07.013</identifier><identifier>PMID: 30100324</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Curriculum development ; General Surgery ; Medical Knowledge ; Needs assessment ; Patient Care ; Rural surgery ; Surgical Education ; Systems-Based Practice</subject><ispartof>Journal of surgical education, 2018-11, Vol.75 (6), p.e229-e233</ispartof><rights>2018 Association of Program Directors in Surgery</rights><rights>Copyright © 2018 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c274t-76f4c7c5f6f864963902929b622a13bd880c644b63f68ab3443a4c79f76a31593</citedby><cites>FETCH-LOGICAL-c274t-76f4c7c5f6f864963902929b622a13bd880c644b63f68ab3443a4c79f76a31593</cites><orcidid>0000-0002-8952-450X ; 0000-0002-0365-1955</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jsurg.2018.07.013$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30100324$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Deal, Shanley B.</creatorcontrib><creatorcontrib>Cook, Mackenzie R.</creatorcontrib><creatorcontrib>Hughes, Dorothy</creatorcontrib><creatorcontrib>Sarap, Michael</creatorcontrib><creatorcontrib>Hughes, Tyler G.</creatorcontrib><creatorcontrib>Brasel, Karen</creatorcontrib><creatorcontrib>Alseidi, Adnan A.</creatorcontrib><title>Training for a Career in Rural and Nonmetropolitan Surgery—A Practical Needs Assessment</title><title>Journal of surgical education</title><addtitle>J Surg Educ</addtitle><description>The current shortage of surgeons in rural and smaller communities is predicted to get worse. In this study, we solicited practicing rural surgeons' opinions about the skill set needed in a rural practice in order to inform curriculum development for general surgery residents who intend to embark on rural careers. We developed an online survey consisting of demographic questions and closed- and open-ended questions regarding current practice environment and scope of practice. Priorities for training were identified using descriptive analyses of both the quantitative and qualitative data, including frequency of responses regarding specific skills training. We surveyed currently practicing surgeons who subscribe to the American College of Surgeons Rural Surgery listserv. 237 surgeons from 49 states and 1 Canadian territory responded; 60% of participants had been in practice for 20 or more years, and 70% did not pursue subspecialty training. Valuable skills identified for rural surgeons were: endoscopy, advanced laparoscopy, and basic non-general surgery subspecialty procedures. Regardless of years of practice or setting, respondents felt that rural experience during residency was highly valuable (82%) and overwhelmingly supported training future rural surgeons at residency programs with broad general surgery experiences and high case volumes with no or few fellows. Practicing rural surgeons identify endoscopy, basic non-general surgery subspecialty procedures, and advanced laparoscopy as key components of their current practice. These skills may not be strongly emphasized in traditional general surgery training programs. Surgical educators should focus on developing curricula that emphasize these areas in order to prepare residents for careers in rural surgery.</description><subject>Curriculum development</subject><subject>General Surgery</subject><subject>Medical Knowledge</subject><subject>Needs assessment</subject><subject>Patient Care</subject><subject>Rural surgery</subject><subject>Surgical Education</subject><subject>Systems-Based Practice</subject><issn>1931-7204</issn><issn>1878-7452</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kMtO3DAUhi1ExWXaJ0BCXrJJ8C12vOhiNKIFCdEK6KIry3FORh4lztROKs2Oh-gT8iQ1DGXZ1fHi-_2f8yF0RklJCZWXm3KT5rguGaF1SVRJKD9AJ7RWdaFExQ7zW3NaKEbEMTpNaUNIJTTTR-iYE0oIZ-IE_XyM1gcf1rgbI7Z4ZSNAxD7g-znaHtvQ4rsxDDDFcTv2frIBP-RWiLvnpz9L_D1aN3mXyTuANuFlSpDSAGH6iD50tk_w6W0u0I8vV4-r6-L229eb1fK2cEyJqVCyE065qpNdLYWWXBOWl2wkY5bypq1r4qQQjeSdrG3DheA2B3SnpOW00nyBLvb_buP4a4Y0mcEnB31vA4xzMozUSutKcZVRvkddHFOK0Jlt9IONO0OJeXFqNubVqXlxaogy2WlOnb8VzM0A7Xvmn8QMfN4DkM_87SGa5DwEB62P4CbTjv6_BX8BusWI_g</recordid><startdate>201811</startdate><enddate>201811</enddate><creator>Deal, Shanley B.</creator><creator>Cook, Mackenzie R.</creator><creator>Hughes, Dorothy</creator><creator>Sarap, Michael</creator><creator>Hughes, Tyler G.</creator><creator>Brasel, Karen</creator><creator>Alseidi, Adnan A.</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8952-450X</orcidid><orcidid>https://orcid.org/0000-0002-0365-1955</orcidid></search><sort><creationdate>201811</creationdate><title>Training for a Career in Rural and Nonmetropolitan Surgery—A Practical Needs Assessment</title><author>Deal, Shanley B. ; Cook, Mackenzie R. ; Hughes, Dorothy ; Sarap, Michael ; Hughes, Tyler G. ; Brasel, Karen ; Alseidi, Adnan A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c274t-76f4c7c5f6f864963902929b622a13bd880c644b63f68ab3443a4c79f76a31593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Curriculum development</topic><topic>General Surgery</topic><topic>Medical Knowledge</topic><topic>Needs assessment</topic><topic>Patient Care</topic><topic>Rural surgery</topic><topic>Surgical Education</topic><topic>Systems-Based Practice</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Deal, Shanley B.</creatorcontrib><creatorcontrib>Cook, Mackenzie R.</creatorcontrib><creatorcontrib>Hughes, Dorothy</creatorcontrib><creatorcontrib>Sarap, Michael</creatorcontrib><creatorcontrib>Hughes, Tyler G.</creatorcontrib><creatorcontrib>Brasel, Karen</creatorcontrib><creatorcontrib>Alseidi, Adnan A.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of surgical education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Deal, Shanley B.</au><au>Cook, Mackenzie R.</au><au>Hughes, Dorothy</au><au>Sarap, Michael</au><au>Hughes, Tyler G.</au><au>Brasel, Karen</au><au>Alseidi, Adnan A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Training for a Career in Rural and Nonmetropolitan Surgery—A Practical Needs Assessment</atitle><jtitle>Journal of surgical education</jtitle><addtitle>J Surg Educ</addtitle><date>2018-11</date><risdate>2018</risdate><volume>75</volume><issue>6</issue><spage>e229</spage><epage>e233</epage><pages>e229-e233</pages><issn>1931-7204</issn><eissn>1878-7452</eissn><abstract>The current shortage of surgeons in rural and smaller communities is predicted to get worse. In this study, we solicited practicing rural surgeons' opinions about the skill set needed in a rural practice in order to inform curriculum development for general surgery residents who intend to embark on rural careers. We developed an online survey consisting of demographic questions and closed- and open-ended questions regarding current practice environment and scope of practice. Priorities for training were identified using descriptive analyses of both the quantitative and qualitative data, including frequency of responses regarding specific skills training. We surveyed currently practicing surgeons who subscribe to the American College of Surgeons Rural Surgery listserv. 237 surgeons from 49 states and 1 Canadian territory responded; 60% of participants had been in practice for 20 or more years, and 70% did not pursue subspecialty training. Valuable skills identified for rural surgeons were: endoscopy, advanced laparoscopy, and basic non-general surgery subspecialty procedures. Regardless of years of practice or setting, respondents felt that rural experience during residency was highly valuable (82%) and overwhelmingly supported training future rural surgeons at residency programs with broad general surgery experiences and high case volumes with no or few fellows. Practicing rural surgeons identify endoscopy, basic non-general surgery subspecialty procedures, and advanced laparoscopy as key components of their current practice. These skills may not be strongly emphasized in traditional general surgery training programs. Surgical educators should focus on developing curricula that emphasize these areas in order to prepare residents for careers in rural surgery.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>30100324</pmid><doi>10.1016/j.jsurg.2018.07.013</doi><orcidid>https://orcid.org/0000-0002-8952-450X</orcidid><orcidid>https://orcid.org/0000-0002-0365-1955</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 1931-7204
ispartof Journal of surgical education, 2018-11, Vol.75 (6), p.e229-e233
issn 1931-7204
1878-7452
language eng
recordid cdi_proquest_miscellaneous_2087995737
source Elsevier ScienceDirect Journals Complete
subjects Curriculum development
General Surgery
Medical Knowledge
Needs assessment
Patient Care
Rural surgery
Surgical Education
Systems-Based Practice
title Training for a Career in Rural and Nonmetropolitan Surgery—A Practical Needs Assessment
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T06%3A30%3A27IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Training%20for%20a%20Career%20in%20Rural%20and%20Nonmetropolitan%20Surgery%E2%80%94A%20Practical%20Needs%20Assessment&rft.jtitle=Journal%20of%20surgical%20education&rft.au=Deal,%20Shanley%20B.&rft.date=2018-11&rft.volume=75&rft.issue=6&rft.spage=e229&rft.epage=e233&rft.pages=e229-e233&rft.issn=1931-7204&rft.eissn=1878-7452&rft_id=info:doi/10.1016/j.jsurg.2018.07.013&rft_dat=%3Cproquest_cross%3E2087995737%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2087995737&rft_id=info:pmid/30100324&rft_els_id=S1931720418302095&rfr_iscdi=true