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Rural Health
Resources by Topic: Surgery

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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Motivators, Barriers, and Facilitators to Traveling to the Safest Hospitals in the United States for Complex Cancer Surgery
Results of a nationally representative survey conducted in January 2018, in which 1016 adults were asked what factors they would consider when deciding whether to seek cancer treatment at their local hospital or at a specialized facility an hour or more away from their home. Table 1 features demographic information including breakdowns by metropolitan or nonmetropolitan residence.
Author(s): Benjamin J. Resio, Alexander S. Chiu, Jessica R. Hoag, et al.
Citation: JAMA Network Open 1(7)
Date: 11/2018
Type: Document
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Rural Surgery - A View from the Front Lines: "I Need to Transfer This Patient"
Describes the process of a patient transfer from a rural hospital to a larger hospital from the perspective of Mark Puls, a rural general surgeon and the vice chair of the American College of Surgeons (ACS) Advisory Council for Rural Surgery.
Author(s): Mark Puls
Date: 09/2018
Type: Document
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Where Are They? Examining General Surgery Workforce Issues
Describes challenges related to getting adequate data on the rural surgical workforce and what is needed to understand rural shortages.
Author(s): Kay Miller Temple
Date: 06/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Rural General Surgeon's Partner: Rural Certified Registered Nurse Anesthetists
Describes the role that certified registered nurse anesthetists (CRNAs) play in rural surgery.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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