Factors Correlated With Surgery Resident Choice to Practice General Surgery in a Rural Area

Benjamin T. Jarman, Thomas H. Cogbill, Michelle A. Mathiason, Colette T. O'Heron, Eugene F. Foley, Ronald F. Martin, John A. Weigelt, Karen Brasel, Travis P. Webb

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Objective: General surgery workforce shortages in the rural United States are likely to worsen over the next decade. We sought to identify reasons that general surgery residency graduates choose rural versus urban practice. Design: Questionnaires were sent to 1994 through 2008 graduates of all 4 Wisconsin surgery residency programs (2 university and 2 community). The 51-item questionnaire was designed to evaluate residency graduates' background, interests, and factors influencing their choice of practice type and location. Graduates were divided into 2 groups based upon the size of the communities in which they currently practice: rural (2 tests; level of confidence was defined as p <0.05. Results: Forty-five percent (98/216) of surveys were completed. Factors associated with rural practice included attending a nonurban high school (p = 0.001) or college (p = 0.001), having a spouse/partner who grew up in a nonurban area (p = 0.022), and interest in hunting birds (p = 0.010) or large game (p = 0.001). Those choosing rural practice were more likely than their urban counterparts to have completed a rural clerkship during medical school (79% vs. 37%, p = 0.001). They were also more likely to have chosen a surgical residency program committed to rural training (p = 0.046). Graduates in rural practice more often cited "broad scope of practice" as an important reason for their decision. Both rural and urban surgeons reported similar rates of medical student teaching but urban surgeons were more likely to teach surgical residents (p = 0.001) and to have completed fellowship training (p = 0.001). Conclusions: General surgery residency graduates and their spouses who choose rural practices are more likely than those selecting urban practices to have rural backgrounds and interests. Completing a rural clerkship during medical school and choosing a residency program committed to rural general surgery preparation are strongly correlated with rural practice. These findings may help formulate strategies to increase recruitment and retention of rural general surgeons.

Original languageEnglish (US)
Pages (from-to)319-324
Number of pages6
JournalJournal of Surgical Education
Volume66
Issue number6
DOIs
StatePublished - Nov 2009
Externally publishedYes

Fingerprint

Internship and Residency
surgery
rural area
resident
graduate
Medical Schools
Spouses
spouse
Medical Students
Birds
school
Teaching
questionnaire
community
shortage
medical student
confidence
Surveys and Questionnaires
Surgeons
university

Keywords

  • general surgery residency
  • Professionalism
  • rural clerkship
  • rural surgery
  • Systems-Based Practice

ASJC Scopus subject areas

  • Surgery
  • Education

Cite this

Jarman, B. T., Cogbill, T. H., Mathiason, M. A., O'Heron, C. T., Foley, E. F., Martin, R. F., ... Webb, T. P. (2009). Factors Correlated With Surgery Resident Choice to Practice General Surgery in a Rural Area. Journal of Surgical Education, 66(6), 319-324. https://doi.org/10.1016/j.jsurg.2009.06.003

Factors Correlated With Surgery Resident Choice to Practice General Surgery in a Rural Area. / Jarman, Benjamin T.; Cogbill, Thomas H.; Mathiason, Michelle A.; O'Heron, Colette T.; Foley, Eugene F.; Martin, Ronald F.; Weigelt, John A.; Brasel, Karen; Webb, Travis P.

In: Journal of Surgical Education, Vol. 66, No. 6, 11.2009, p. 319-324.

Research output: Contribution to journalArticle

Jarman, BT, Cogbill, TH, Mathiason, MA, O'Heron, CT, Foley, EF, Martin, RF, Weigelt, JA, Brasel, K & Webb, TP 2009, 'Factors Correlated With Surgery Resident Choice to Practice General Surgery in a Rural Area', Journal of Surgical Education, vol. 66, no. 6, pp. 319-324. https://doi.org/10.1016/j.jsurg.2009.06.003
Jarman, Benjamin T. ; Cogbill, Thomas H. ; Mathiason, Michelle A. ; O'Heron, Colette T. ; Foley, Eugene F. ; Martin, Ronald F. ; Weigelt, John A. ; Brasel, Karen ; Webb, Travis P. / Factors Correlated With Surgery Resident Choice to Practice General Surgery in a Rural Area. In: Journal of Surgical Education. 2009 ; Vol. 66, No. 6. pp. 319-324.
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abstract = "Objective: General surgery workforce shortages in the rural United States are likely to worsen over the next decade. We sought to identify reasons that general surgery residency graduates choose rural versus urban practice. Design: Questionnaires were sent to 1994 through 2008 graduates of all 4 Wisconsin surgery residency programs (2 university and 2 community). The 51-item questionnaire was designed to evaluate residency graduates' background, interests, and factors influencing their choice of practice type and location. Graduates were divided into 2 groups based upon the size of the communities in which they currently practice: rural (2 tests; level of confidence was defined as p <0.05. Results: Forty-five percent (98/216) of surveys were completed. Factors associated with rural practice included attending a nonurban high school (p = 0.001) or college (p = 0.001), having a spouse/partner who grew up in a nonurban area (p = 0.022), and interest in hunting birds (p = 0.010) or large game (p = 0.001). Those choosing rural practice were more likely than their urban counterparts to have completed a rural clerkship during medical school (79{\%} vs. 37{\%}, p = 0.001). They were also more likely to have chosen a surgical residency program committed to rural training (p = 0.046). Graduates in rural practice more often cited {"}broad scope of practice{"} as an important reason for their decision. Both rural and urban surgeons reported similar rates of medical student teaching but urban surgeons were more likely to teach surgical residents (p = 0.001) and to have completed fellowship training (p = 0.001). Conclusions: General surgery residency graduates and their spouses who choose rural practices are more likely than those selecting urban practices to have rural backgrounds and interests. Completing a rural clerkship during medical school and choosing a residency program committed to rural general surgery preparation are strongly correlated with rural practice. These findings may help formulate strategies to increase recruitment and retention of rural general surgeons.",
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