Journal of Surgical Education
Volume 66, Issue 6 , Pages 319-324 , November 2009

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

Presented at the Association of Program Directors in Surgery meeting, Salt Lake City, Utah, May 2, 2009.

  • Benjamin T. Jarman, MD

      Affiliations

    • Department of General Surgery, Gundersen Lutheran Health System, La Crosse, Wisconsin
    • Corresponding Author InformationCorrespondence: Inquiries to Benjamin T. Jarman, MD, Gundersen Lutheran Health System, Department of Surgery, 1836 South Avenue, La Crosse, WI 54601; fax: (608) 775-4460
    • ,
  • Thomas H. Cogbill, MD

      Affiliations

    • Department of General Surgery, Gundersen Lutheran Health System, La Crosse, Wisconsin
    • ,
  • Michelle A. Mathiason, MS

      Affiliations

    • Department of Research, Gundersen Lutheran Medical Foundation, La Crosse, Wisconsin
    • ,
  • Colette T. O'Heron

      Affiliations

    • Department of Medical Education, Gundersen Lutheran Medical Foundation, La Crosse, Wisconsin
    • ,
  • Eugene F. Foley, MD

      Affiliations

    • University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
    • ,
  • Ronald F. Martin, MD

      Affiliations

    • Marshfield Clinic, Marshfield, Wisconsin
    • ,
  • John A. Weigelt, MD

      Affiliations

    • Medical College of Wisconsin, Milwaukee, Wisconsin
    • ,
  • Karen J. Brasel, MD

      Affiliations

    • Medical College of Wisconsin, Milwaukee, Wisconsin
    • ,
  • Travis P. Webb, MD

      Affiliations

    • Medical College of Wisconsin, Milwaukee, Wisconsin

References 

  1. Rinker CF. Meeting the needs of rural general surgeons: the ACS Subcommittee on Rural Surgery. Bull Am Coll Surg. 2005;90:13–18
  2. Cogbill TH. Training surgeons for rural America. Am Surg. 2007;73:148–151
  3. Cofer JB, Burns RP. The developing crisis in the national general surgery workforce. J Am Coll Surg. 2008;206:790–795
  4. Powell AC, McAneny D, Hirsch EF. Trends in general surgery workforce data. Am J Surg. 2004;188:1–8
  5. Thompson MJ, Lynge DC, Larson EH, et al. Characterizing the general surgery workforce in rural America. Arch Surg. 2005;140:74–79
  6. Doty B, Zuckerman R, Finlayson S, et al. General surgery at rural hospitals: A national survey of rural hospital administrators. Surgery. 2008;143:599–606
  7. Pathman DE, Steiner BD, Jones BD, et al. Preparing and retaining rural physicians through medical education. Acad Med. 1999;74:810–820
  8. US Census Bureau. Metropolitan and Micropolitan Statistical Areas. http://www.census.gov/population/www/metroareas/metroarea.htmlAccessed March 4, 2009
  9. Doty B, Heneghan S, Gold M, et al. Is a broadly based surgical residency program more likely to place graduates in rural practice?. World J Surg. 2006;30:2089–2093
  10. Rabinowitz HK, Diamond JJ, Hojat M, et al. Demographic, educational and economic factors related to recruitment and retention of physicians in rural Pennsylvania. J Rural Health. 1999;15:212–218
  11. Brooks RG, Walsh M, Mardon RE, et al. The roles of nature and nurture in the recruitment and retention of primary care physicians in rural areas: A review of the literature. Acad Med. 2002;77:790–798
  12. Rosenblatt RA, Whitcomb ME, Cullen TJ, et al. Which medical schools produce rural physicians?. J Am Med Assoc. 1992;268:1559–1565
  13. Smoot RL, Farley DR. Minnesota general surgeons (Where do they come from?). Minn Med. 2006;89:46–48
  14. Burkholder HC, Cofer JB. Rural surgery training: A survey of program directors. J Am Coll Surg. 2007;204:416–421
  15. Asher EF, Martin LF, Richardson JD, et al. Rural rotations for senior surgical residents (Influence on future practice location). Arch Surg. 1984;119:1120–1124
  16. Hunter JG, Deveney KE. Training the rural surgeon: A proposal. Bull Am Coll Surg. 2003;88:13–20
  17. Landercasper J, Bintz M, Cogbill TH, et al. Spectrum of general surgery in rural America. Arch Surg. 1997;132:494–496
  18. Heneghan SJ, Bordley JIV, Dietz PA, et al. Comparison of urban and rural general surgeons: Motivations for practice location, practice patterns, and education requirements. J Am Coll Surg. 2005;201:732–736
  19. Stitzenberg KB, Sheldon GF. Progressive specialization within general surgery: Adding to the complexity of workforce planning. J Am Coll Surg. 2005;201:925–932

PII: S1931-7204(09)00099-3

doi: 10.1016/j.jsurg.2009.06.003

Journal of Surgical Education
Volume 66, Issue 6 , Pages 319-324 , November 2009

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