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Rural Health
Resources by Topic: Surgery

Hospitals Face Financial Challenges Due to COVID-19
Describes the financial impact of COVID-19 on Kittitas Valley Healthcare in Ellensburg, Washington. Discusses the decline in emergency department and non-emergency surgery volume and changes to labor costs as a percentage of net revenue.
Date: 07/2020
Type: Document
Sponsoring organization: American Hospital Association
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COVID-19 and Surgery
Resources for the surgical community related to the response to COVID-19. Covers clinical issues and guidance, personal protective equipment, regulatory updates, and more.
Date: 07/2020
Type: Website
Sponsoring organization: American College of Surgeons
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Texas Surgical Assistants, 2019: Trends, Distribution, and Demographics
Fact sheet describing growth trends and population-to-provider data by county and geographic designation of surgical assistants in Texas. Features statistics with breakdowns by metropolitan and nonmetropolitan areas.
Date: 01/2020
Type: Document
Sponsoring organization: Texas Department of State Health Services
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Hospitalizations for Inflammatory Bowel Disease Among Medicare Fee-for-Service Beneficiaries — United States, 1999–2017
Reports on hospitalization for Crohn's disease and ulcerative colitis among Medicare fee-for-service beneficiaries, with data by location of patient residence for urban and rural areas. Includes information on hospitalization rates, surgery rates, readmission rates, mortality, and length of stay.
Author(s): Fang Xu, Anne G. Wheaton, Yong Liu, Hua Lu, Kurt J. Greenlund
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(49), 1134-1138
Date: 12/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Mayo Clinic Joins the National Effort to Train Tomorrow's Rural Surgeons
Describes challenges facing rural surgery, including workforce shortages, outlines the Mayo Clinic's development of a rural general surgery track, and identifies lessons learned in the first three years of the Mayo Clinic's program. Compares competencies required for rural surgeons and those in urban areas.
Author(s): Randy C. Lehman, Brandon G. Douglass, Stephanie F. Heller, Michael C. Roskos
Citation: Bulletin of the American College of Surgeons, 104(10)
Date: 10/2019
Type: Document
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Rural Surgery: The Road Less Traveled
Profile of a surgeon with an urban background who now practices in rural Oregon. Explores the challenges and the rewards of rural surgical practice.
Author(s): Keith J. Thomas
Citation: Bulletin of the American College of Surgeons, 104(7)
Date: 07/2019
Type: Document
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Rural Surgery Call Coverage: Innovative Locoregional Solutions Can Fill the Gap
Features rural locum tenens systems as possible templates to help provide call coverage for rural surgeons. Highlights a successful pilot Canadian Rural Locum Tenens Project and a collaboration with a surgical group in Ohio that helped provide surgical coverage for area rural hospitals.
Author(s): Stephen Hiscock, Michael Sarap
Citation: Bulletin of the American College of Surgeons, 104(4), 52-54
Date: 04/2019
Type: Document
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Operative Time and Cost Variability for Functional Endoscopic Sinus Surgery
Examines the sources of variation in costs of endoscopic sinus surgery (ESS) to determine the value of the procedure by analyzing cost and operative time data from 13 different facilities (four community rural hospitals, seven community urban centers, and two tertiary care centers) within Intermountain Healthcare (IHC).
Author(s): Andrew J. Thomas, Kristine A. Smith, Christopher I. Newberry, et al.
Citation: International Forum of Allergy & Rhinology, 9(1), 23-29
Date: 01/2019
Type: Document
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What Medical Students Need to Know About Training for a Career in Rural Surgery
Addresses the need for rural general surgery residencies and describes what medical students should look for when choosing one. Provides a list of 12 verified rural surgical residencies.
Author(s): Matthew B. Rossi
Citation: Bulletin of the American College of Surgeons, 104(1), 72-74
Date: 01/2019
Type: Document
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Safety In Numbers: The Leapfrog Group's Report on High-Risk Surgeries Performed at American Hospitals
Compares hospital and surgeon volume for 8 high-risk procedures to Leapfrog's minimum volume standards. Identifies the percent of rural and urban hospitals that meet Leapfrog's volume standard for each procedure.
Date: 2019
Type: Document
Sponsoring organization: Leapfrog Group
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