Department of Surgery, University of North Dakota, School of Medicine & Health Sciences, Room 5108, 501 N. Columbia Road STOP 9037, Grand Forks, ND 58202-9037, USA.
Surg Clin North Am. 2009 Dec;89(6):1367-72, x. doi: 10.1016/j.suc.2009.07.010.
Surgeon availability is a problem for small and isolated rural areas. Unless the supply of surgeons trained for rural areas increases, patient care will be jeopardized. Nationally, a diminishing number of graduating residents opt for careers in general surgery. This crisis is unrecognized or ignored by major teaching programs. This article describes a program at the University of North Dakota that allows exposure to surgical specialties by incorporating them into the general surgical services. It concludes that distinct training for urban and rural general surgeons must be recognized; and general surgery programs should be allowed to be innovative and not penalized for adjusting their programs to allow residents to train for rural and community sites.
外科医生的供应是小而偏远的农村地区面临的一个问题。除非增加受过农村地区培训的外科医生的供应，否则患者的护理将受到威胁。在全国范围内，越来越少的毕业住院医师选择普通外科的职业。这一危机没有被主要的教学项目所认识或忽视。本文描述了北达科他大学的一个项目，该项目通过将外科专业纳入普通外科服务，使住院医师有机会接触到这些专业。该文的结论是，必须认识到城市和农村普通外科医生的不同培训；应该允许普通外科项目进行创新，而不应因其调整项目以允许住院医师在农村和社区站点接受培训而受到惩罚。
