Operative experience of general surgeons in a rural hospital

Campbell, Nicole; Kitchen, Graham; Campbell, I. A.

doi:10.1111/j.1445-2197.2010.05593.x

Cited by 20 publications

(35 citation statements)

References 10 publications

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“…The surgeons in this study had significantly higher caseloads than reported by rural surgeons in Horsham, Hamilton, Echuca and Sale . This is in part due to greater opportunity to develop a private practice, with Wangaratta having its own private hospital, a facility not available in the smaller towns.…”

Section: Discussionmentioning

confidence: 70%

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Caseload of general surgeons working in a rural hospital with outreach practice

Campbell¹,

Franzi²,

Thomas³

2012

ANZ Journal of Surgery

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Background: There is little published data regarding the caseloads of general surgeons working in rural Australia conducting outreach services as part of their practice. It remains difficult to attract and retain surgeons in rural Australia. This study aims to describe the workload of surgeons working in a rural centre with outreach practices in order to determine the required skills mix for prospective surgeons. Methods: A retrospective review of surgical procedures carried out by two surgeons over 5 years working from a base in Wangaratta, Victoria, with outreach services to Benalla, Bright and Mansfield was undertaken. Data were extracted from surgeon records using Medicare Benefits Schedule item numbers. Results: A total of 18 029 procedures were performed over 5 years, with 15% of these performed in peripheral hospitals as part of an outreach service. A full range of general surgical procedures were undertaken, with endoscopies accounting for 32% of procedures. In addition, vascular procedures and emergency craniotomies were also performed. The majority of procedures undertaken at peripheral centres were minor procedures, with only two laparotomies performed at these centres over 5 years. Conclusion: General surgeons working in rural centres are required to have broad skills and be able to undertake a large number of procedures. Trainees should be encouraged to consider rural practice, and those who are interested should consider the needs of the community in which they intend to practice. Outreach work to surrounding communities can be rewarding for both the surgeon and the community.

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Section: Discussionmentioning

confidence: 70%

“…There is little published data regarding the caseloads of general surgeons working in rural centres . It remains difficult to attract and retain surgeons in rural areas of Australia, with similar difficulties in the USA and Canada .…”

Section: Introductionmentioning

confidence: 99%

Caseload of general surgeons working in a rural hospital with outreach practice

Campbell¹,

Franzi²,

Thomas³

2012

ANZ Journal of Surgery

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“…A significant proportion of Australians reside in non‐metropolitan locations throughout the country. In 2009, 31% of the Australian population was living outside of major metropolitan cities . According to the Australian Bureau of Statistics, 15.1 million people were noted to be living in major cities throughout Australia in 2009, compared with 4.3 million in inner regional areas, 2.1 million in outer regional areas, 324 000 in remote areas and 174 000 in very remote areas .…”

Section: Introductionmentioning

confidence: 99%

Preparing surgeons for rural Australia: the RACS Rural Surgical Training Program

Chong

Kiroff

2014

ANZ Journal of Surgery

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Background: The Royal Australasian College of Surgeons' Rural Surgical Training Program (RSTP) ran from 1996 to 2007. As a formal review of the RSTP had never occurred, it remained unknown whether the RSTP had achieved its objectives of training surgeons for and retaining them in practice in rural Australia. Methods: Sixty-six RSTP fellows and 67 general surgery fellows were asked to complete a survey evaluating factors influencing the decision to pursue a rural surgical career, the influence of the RSTP on subsequent career pathways and the adequacy of the RSTP in preparing its trainees for rural work. Results: Fifty-one out of 66 RSTP fellows were noted to be in practice in metropolitan Australia, with only 15 in rural Australia. Responses obtained revealed rural surgical rotations during training as a major influence in the decision to perform rural work. Thirty out of 35 RSTP participants stated that the RSTP did not influence their subsequent careers. Six out of 15 RSTP respondents responded positively when asked about the adequacy of the RSTP in preparing its trainees for rural work. Conclusion:The RSTP largely succeeded in preparing its trainees for rural work, but did not succeed in retaining the majority of its trainees in practice in rural Australia. It appears that targeting doctors at the point of admission to surgical training, in the hope that this would translate into more rural surgeons, did not result in improved retention in rural areas.

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“…The data for abdominal hysterectomy are even more troubling with a simple abdominal hysterectomy (item 35653–2694 procedures) allowing only 1.6 procedures/consultant/year or with the 20/year sensitivity 134 consultants (8%) to remain credentialed. The impact that these data have on how we continue to train the entire specialty including for peripartum hysterectomy and who performs these procedures in both rural and tertiary obstetric centres is problematic.…”

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confidence: 99%

Surgical simulation stimulation

Abbott

2015

Aust NZ J Obst Gynaeco

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Operative experience of general surgeons in a rural hospital

Cited by 20 publications

References 10 publications

Caseload of general surgeons working in a rural hospital with outreach practice

Caseload of general surgeons working in a rural hospital with outreach practice

Preparing surgeons for rural Australia: the RACS Rural Surgical Training Program

Surgical simulation stimulation

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