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Developing future rural surgeon leaders

Published:October 25, 2022DOI:https://doi.org/10.1016/j.amjsurg.2022.10.052
      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.
      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.
      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.
      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.
      • 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.
      • 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.
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