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Developing future rural surgeon leaders

Published:October 25, 2022DOI:https://doi.org/10.1016/j.amjsurg.2022.10.052
Developing future rural surgeon leaders
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      The field of surgery faces a significant challenge in the United States as the need for rural surgeons continues to grow. It is estimated that almost 20% of the population lives in rural areas,
      • Lee L.M.
      Equitable health care and low-density living in the United States.
      Narrat Inq Bioeth. 2019; 9: 121-125https://doi.org/10.1353/nib.2019.0037
      but less than 13% of the nation's surgeons practice in these areas, and a higher percentage of rural surgeons are nearing the age of retirement.
      • Larson E.H.
      • Andrilla C.H.A.
      • Kearny J.
      • Garberson L.A.
      • Patterson D.G.
      The Distribution of the General Surgery Workforce in Rural and Urban America in 2019. Policy Brief. WWAMI Rural Health Research Center.
      University of Washington, 2021
      In addition, in the past 20 years the number of surgeons per capita in the United States has decreased at a much higher rate in rural compared to urban areas (29% versus 18%).
      • Nuako A.
      • Liu J.
      • Pham G.
      • et al.
      Quantifying rural disparity in healthcare utilization in the United States: analysis of a large Midwestern Healthcare System.
      PLoS One. 2022; 17https://doi.org/10.1371/journal.pone.0263718
      Perhaps in part due to the lack of rural physicians, rural populations have poorer health outcomes than their urban counterparts.
      • Nuako A.
      • Liu J.
      • Pham G.
      • et al.
      Quantifying rural disparity in healthcare utilization in the United States: analysis of a large Midwestern Healthcare System.
      PLoS One. 2022; 17https://doi.org/10.1371/journal.pone.0263718
      , 
      • Chu Q.D.
      • Hsieh M.-C.
      • Gibbs J.F.
      • Wu X.-C.
      Social determinants of health associated with poor outcome for rural patients following resected pancreatic cancer.
      J Gastrointest Oncol. 2021; 12: 2567-2578https://doi.org/10.21037/jgo-20-583
      , 
      • Henley S.J.
      • Anderson R.N.
      • Thomas C.C.
      • Massetti G.M.
      • Peaker B.
      • Richardson L.C.
      Invasive cancer incidence, 2004–2013, and deaths, 2006–2015, in Nonmetropolitan and Metropolitan counties — United States. MMWR.
      Surveillance Summaries. 2017; 66: 1-13https://doi.org/10.15585/mmwr.ss6614a1
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      References

        • Lee L.M.
        Equitable health care and low-density living in the United States.
        Narrat Inq Bioeth. 2019; 9: 121-125https://doi.org/10.1353/nib.2019.0037
        View in Article
        • Larson E.H.
        • Andrilla C.H.A.
        • Kearny J.
        • Garberson L.A.
        • Patterson D.G.
        The Distribution of the General Surgery Workforce in Rural and Urban America in 2019. Policy Brief. WWAMI Rural Health Research Center.
        University of Washington, 2021 (March 2021)
        View in Article
        • Nuako A.
        • Liu J.
        • Pham G.
        • et al.
        Quantifying rural disparity in healthcare utilization in the United States: analysis of a large Midwestern Healthcare System.
        PLoS One. 2022; 17https://doi.org/10.1371/journal.pone.0263718
        View in Article
        • Chu Q.D.
        • Hsieh M.-C.
        • Gibbs J.F.
        • Wu X.-C.
        Social determinants of health associated with poor outcome for rural patients following resected pancreatic cancer.
        J Gastrointest Oncol. 2021; 12: 2567-2578https://doi.org/10.21037/jgo-20-583
        View in Article
        • Henley S.J.
        • Anderson R.N.
        • Thomas C.C.
        • Massetti G.M.
        • Peaker B.
        • Richardson L.C.
        Invasive cancer incidence, 2004–2013, and deaths, 2006–2015, in Nonmetropolitan and Metropolitan counties — United States. MMWR.
        Surveillance Summaries. 2017; 66: 1-13https://doi.org/10.15585/mmwr.ss6614a1
        View in Article
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        Cultivating country doctors: preparing learners for rural life and community leadership.
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        View in Article
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        View in Article

      Article Info

      Publication History

      Published online: October 25, 2022
      Accepted: October 21, 2022
      Received in revised form: September 25, 2022
      Received: September 1, 2022

      Publication stage

      In Press Journal Pre-Proof

      Identification

      DOI: https://doi.org/10.1016/j.amjsurg.2022.10.052

      Copyright

      © 2022 Elsevier Inc. All rights reserved.

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