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

Shanley B. Deal, Mackenzie R. Cook, Dorothy Hughes, Michael Sarap, Tyler G. Hughes, Karen Brasel, Adnan A. Alseidi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: 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. Design: 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. Participants: We surveyed currently practicing surgeons who subscribe to the American College of Surgeons Rural Surgery listserv. Results: 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. Conclusions: 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.

Original languageEnglish (US)
JournalJournal of Surgical Education
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Needs Assessment
surgery
career
Internship and Residency
Curriculum
Laparoscopy
Endoscopy
resident
curriculum development
Rural Population
Surgeons
online survey
shortage
training program
experience
Demography
educator
Education
curriculum
community

Keywords

  • Curriculum development
  • General Surgery
  • Medical Knowledge
  • Needs assessment
  • Patient Care and Procedural Skills
  • Rural surgery
  • Surgical Education
  • Systems Based Practice

ASJC Scopus subject areas

  • Surgery
  • Education

Cite this

Training for a Career in Rural and Nonmetropolitan Surgery—A Practical Needs Assessment. / Deal, Shanley B.; Cook, Mackenzie R.; Hughes, Dorothy; Sarap, Michael; Hughes, Tyler G.; Brasel, Karen; Alseidi, Adnan A.

In: Journal of Surgical Education, 01.01.2018.

Research output: Contribution to journalArticle

Deal, Shanley B. ; Cook, Mackenzie R. ; Hughes, Dorothy ; Sarap, Michael ; Hughes, Tyler G. ; Brasel, Karen ; Alseidi, Adnan A. / Training for a Career in Rural and Nonmetropolitan Surgery—A Practical Needs Assessment. In: Journal of Surgical Education. 2018.
@article{75e5ca9abdc14107b5d2695cf08f6a28,
title = "Training for a Career in Rural and Nonmetropolitan Surgery—A Practical Needs Assessment",
abstract = "Objective: 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. Design: 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. Participants: We surveyed currently practicing surgeons who subscribe to the American College of Surgeons Rural Surgery listserv. Results: 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. Conclusions: 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.",
keywords = "Curriculum development, General Surgery, Medical Knowledge, Needs assessment, Patient Care and Procedural Skills, Rural surgery, Surgical Education, Systems Based Practice",
author = "Deal, {Shanley B.} and Cook, {Mackenzie R.} and Dorothy Hughes and Michael Sarap and Hughes, {Tyler G.} and Karen Brasel and Alseidi, {Adnan A.}",
year = "2018",
month = "1",
day = "1",
doi = "10.1016/j.jsurg.2018.07.013",
language = "English (US)",
journal = "Journal of Surgical Education",
issn = "1931-7204",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Training for a Career in Rural and Nonmetropolitan Surgery—A Practical Needs Assessment

AU - Deal, Shanley B.

AU - Cook, Mackenzie R.

AU - Hughes, Dorothy

AU - Sarap, Michael

AU - Hughes, Tyler G.

AU - Brasel, Karen

AU - Alseidi, Adnan A.

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Objective: 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. Design: 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. Participants: We surveyed currently practicing surgeons who subscribe to the American College of Surgeons Rural Surgery listserv. Results: 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. Conclusions: 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.

AB - Objective: 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. Design: 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. Participants: We surveyed currently practicing surgeons who subscribe to the American College of Surgeons Rural Surgery listserv. Results: 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. Conclusions: 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.

KW - Curriculum development

KW - General Surgery

KW - Medical Knowledge

KW - Needs assessment

KW - Patient Care and Procedural Skills

KW - Rural surgery

KW - Surgical Education

KW - Systems Based Practice

UR - http://www.scopus.com/inward/record.url?scp=85051137534&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85051137534&partnerID=8YFLogxK

U2 - 10.1016/j.jsurg.2018.07.013

DO - 10.1016/j.jsurg.2018.07.013

M3 - Article

AN - SCOPUS:85051137534

JO - Journal of Surgical Education

JF - Journal of Surgical Education

SN - 1931-7204

ER -