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首页> 外文期刊>Journal of surgical education >Factors correlated with surgery resident choice to practice general surgery in a rural area.
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Factors correlated with surgery resident choice to practice general surgery in a rural area.

机译：与外科手术患者选择在农村地区进行普通外科手术有关的因素。

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OBJECTIVE: General surgery workforce shortages in the rural United States are likely to worsen over the next decade. We sought to identify reasons that general surgery residency graduates choose rural versus urban practice. DESIGN: Questionnaires were sent to 1994 through 2008 graduates of all 4 Wisconsin surgery residency programs (2 university and 2 community). The 51-item questionnaire was designed to evaluate residency graduates' background, interests, and factors influencing their choice of practice type and location. Graduates were divided into 2 groups based upon the size of the communities in which they currently practice: rural (<50,000) or urban (>or=50,000). Data were analyzed using chi(2) tests; level of confidence was defined as p < 0.05. RESULTS: Forty-five percent (98/216) of surveys were completed. Factors associated with rural practice included attending a nonurban high school (p = 0.001) or college (p = 0.001), having a spouse/partner who grew up in a nonurban area (p = 0.022), and interest in hunting birds (p = 0.010) or large game (p = 0.001). Those choosing rural practice were more likely than their urban counterparts to have completed a rural clerkship during medical school (79% vs. 37%, p = 0.001). They were also more likely to have chosen a surgical residency program committed to rural training (p = 0.046). Graduates in rural practice more often cited "broad scope of practice" as an important reason for their decision. Both rural and urban surgeons reported similar rates of medical student teaching but urban surgeons were more likely to teach surgical residents (p = 0.001) and to have completed fellowship training (p = 0.001). CONCLUSIONS: General surgery residency graduates and their spouses who choose rural practices are more likely than those selecting urban practices to have rural backgrounds and interests. Completing a rural clerkship during medical school and choosing a residency program committed to rural general surgery preparation are strongly correlated with rural practice. These findings may help formulate strategies to increase recruitment and retention of rural general surgeons.
机译：目的：在未来十年中，美国农村地区的普通外科手术人员短缺状况可能会恶化。我们试图确定普通外科住院医师毕业生选择农村还是城市实践的原因。设计：将问卷调查表发送给1994年至2008年所有4个威斯康星州外科住院医师项目（2所大学和2个社区）的毕业生。 51项问卷旨在评估居住地毕业生的背景，兴趣以及影响他们选择实践类型和地点的因素。根据他们目前所从事社区的规模，将他们分为两组：农村（<50,000）或城市（> = 50,000）。使用chi（2）测试分析数据;置信水平定义为p <0.05。结果：45％（98/216）的调查已完成。与农村实践相关的因素包括在非城市高中（p = 0.001）或大学（p = 0.001），有在非城市地区长大的配偶/伴侣（p = 0.022）和对猎鸟的兴趣（p = 0.010）或大型游戏（p = 0.001）。那些选择农村实践的人比城市同行更可能在医学院接受过农村书记员工作（79％vs. 37％，p = 0.001）。他们也更有可能选择了致力于农村培训的外科住院医师计划（p = 0.046）。农村实践的毕业生更经常将“广泛的实践范围”作为他们做出决定的重要原因。乡村和城市外科医生报告的医学生教学率相似，但城市外科医生更可能教外科住院医师（p = 0.001）并完成研究金培训（p = 0.001）。结论：选择农村实践的普通外科住院医师毕业生及其配偶比选择城市实践的毕业生更有农村背景和兴趣。在医学院学习期间完成农村文职工作并选择致力于农村普外科准备的住院医师程序与农村实践密切相关。这些发现可能有助于制定策略以增加农村普通医生的招募和保留率。

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