What surgical skills rural surgeons need to master

Amy L Halverson*, Tyler G. Hughes, David C. Borgstrom, Ajit K. Sachdeva, Debra DaRosa, David B. Hoyt

*Corresponding author for this work

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background As new technology is developed and scientific evidence demonstrates strategies to improve the quality of care, it is essential that surgeons keep current with their skills. Rural surgeons need efficient and targeted continuing medical education that matches their broader scope of practice. Developing such a program begins with an assessment of the learning needs of the rural surgeon. The aim of this study was to assess the learning needs considered most important to surgeons practicing in rural areas. Study Design A needs assessment questionnaire was administered to surgeons practicing in rural areas. An additional gap analysis questionnaire was administered to registrants of a skills course for rural surgeons. Results Seventy-one needs assessment questionnaires were completed. The self-reported procedures most commonly performed included laparoscopic cholecystectomy (n = 44), hernia repair (n = 42), endoscopy (n = 43), breast surgery (n = 23), appendectomy (n = 20), and colon resection (n = 18). Respondents indicated that they would most like to learn more skills related to laparoscopic colon resection (n = 16), laparoscopic antireflux procedures (n = 6), laparoscopic common bile duct exploration/ERCP (n = 5), colonoscopy/advanced techniques and esophagogastroscopy (n = 4), and breast surgery (n = 4). Ultrasound, hand surgery, and leadership and communication were additional topics rated as useful by the respondents. Skills course participants indicated varying levels of experience and confidence with breast ultrasound, ultrasound for central line insertion, hand injury, and facial soft tissue injury. Conclusions Our results demonstrated that surgeons practicing in rural areas have a strong interest in acquiring additional skills in a variety of general and subspecialty surgical procedures. The information obtained in this study may be used to guide curriculum development of further postgraduate skills courses targeted to rural surgeons.

Original languageEnglish (US)
Pages (from-to)919-923
Number of pages5
JournalJournal of the American College of Surgeons
Volume217
Issue number5
DOIs
StatePublished - Nov 1 2013

Fingerprint

Needs Assessment
Breast
Colon
Learning
Facial Injuries
Hand Injuries
Soft Tissue Injuries
Continuing Medical Education
Appendectomy
Surgeons
Quality of Health Care
Endoscopic Retrograde Cholangiopancreatography
Herniorrhaphy
Laparoscopic Cholecystectomy
Common Bile Duct
Colonoscopy
Curriculum
Endoscopy
Hand
Communication

ASJC Scopus subject areas

  • Surgery

Cite this

Halverson, Amy L ; Hughes, Tyler G. ; Borgstrom, David C. ; Sachdeva, Ajit K. ; DaRosa, Debra ; Hoyt, David B. / What surgical skills rural surgeons need to master. In: Journal of the American College of Surgeons. 2013 ; Vol. 217, No. 5. pp. 919-923.
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What surgical skills rural surgeons need to master. / Halverson, Amy L; Hughes, Tyler G.; Borgstrom, David C.; Sachdeva, Ajit K.; DaRosa, Debra; Hoyt, David B.

In: Journal of the American College of Surgeons, Vol. 217, No. 5, 01.11.2013, p. 919-923.

Research output: Contribution to journalArticle

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