conclusions the results of the present study showed that, in a rural hospital setting in a developing country, laparoscopic cholecystectomy for symptomatic cholelithiasis was associated with shorter hospital stay, less infectious morbidity rates, and reduced costs, compared to open surgery. thus, laparoscopic cholecystectomy should be advised as a routine technique for management of cholelithia...

BACKGROUND Surgical clerkships facilitate development of knowledge and competency, but their structure and content vary. Establishment of new medical schools and raising student numbers are new challenges to the provision of standardized surgical teaching across Australasian medical schools. A survey was conducted to investigate how Australian and New Zealand medical schools structure their gen...

The purpose of this study was to compare practice patterns of all rural and non-rural surgeons in Iowa. Additionally, the investigators compared the procedures performed by 6 practicing general surgeons in rural Iowa to the case representation, by category, recommended by the ACGME for graduation from an accredited general surgery residency program. The authors recommend that changes in general...

IMPORTANCE Although projections of surgical workforce predict an increased need for general surgeons, especially in rural areas, graduates of residency programs increasingly enter urban or metropolitan specialty practice. OBJECTIVE To determine whether fourth-year residents at a hospital in a rural setting were more likely to enter general surgery practice than a specialty. DESIGN, SETTING,...

The study examines the management and outcomes of women with early invasive breast cancer treated in rural and metropolitan centres over a nine-year observation period. A prospective audit of the treatment and outcomes of 2081 women with early breast cancer who underwent potentially curative surgery between 1997 and 2006 in metropolitan Canberra or in the surrounding rural region was completed....

This article outlines the approach taken at Gundersen Lutheran Medical Foundation to prepare general surgery residents for rural general surgery practice. The methods focus on strong core training in general and minimally invasive surgery, additional technical skill sets, rural surgery electives, outcomes-based research experience, practice management education, and maintenance of relationships...

BACKGROUND Operations performed by surgeons working at Critical Access Hospitals (CAHs) and surgery residents have not been compared. METHODS Procedure codes logged by general surgery residents graduating from our institution in 2013 and 2014 were obtained. Procedure codes were obtained for all CAHs in our state for 2012 to 2013. Clinically relevant categories were compared among residents an...

OBJECTIVE To compare health status and healthcare services use of rural, northern and urban Manitobans. METHOD Using anonymized administrative claims data derived from the Population Health Research Data Repository housed at the Manitoba Centre for Health Policy, four Manitoba regions were compared--Winnipeg, Brandon, Rural South and North--for 1996/97-2000/01. Indicators include mortality an...