Introduction Medical schools today are being challenged to educate doctors who are willing and able to practice in areas of poverty and workforce need. In many countries, there is a shortage of doctors practicing in rural and remote communities. There is evidence that locating undergraduate medical education in rural areas increases the likelihood that graduates will choose to practice in under...

STUDY OBJECTIVE To compare spinal anesthesia with epidural anesthesia in patients undergoing surgery for vesicovaginal fistula (VVF) repair. DESIGN Nonrandomized, prospective, clinical, pilot study. SETTING Rural African hospital with 165 beds. PATIENTS 60 ASA physical status I and II patients undergoing VVF repair surgery. INTERVENTIONS 30 patients were included in each study group. Sp...

In recent years, Nigeria witnessed significant labour migration coupled with reduction in rural agricultural productivity. Youths abandoned farms for ventures with high returns and less drudgery in cities thus labour availability in peak agricultural seasons became scarce. The declining farm population constituting mostly women and old men are not capable of producing sufficient food for the no...

BACKGROUND Australia's vast size and small population preclude a neurosurgical service in most rural areas. Thus, general surgeons often initially manage rural neurotrauma. This study aimed to define the neurotrauma surgical caseload in rural Australia and to examine the level of training and confidence of rural surgeons for neurotrauma management. METHODS A questionnaire was sent to all Aust...

INTRODUCTION Many Canadian children are affected by early childhood caries (ECC) and require treatment under general anesthesia. The purpose of this study was to determine the burden of day surgery for children with ECC in Canada. METHODS Day surgery abstracts for children 6 years of age with ECC were extracted from the Canadian Institute for Health Information Discharge Abstract Database and...