Watanabe Jun, Kotani Kazuhiko
Division of Community and Family Medicine, Jichi Medical University, Japan.
J Rural Med. 2023 Jan;18(1):1-7. doi: 10.2185/jrm.2022-031. Epub 2023 Jan 6.
Rural surgical training for residents is expected to increase the number of general surgeons working in rural areas; however, the impact of rural training programs to ensure such surgeons remains to be determined. Therefore, we reviewed the relevance of rural surgical rotation to the increase of general surgeons in rural areas. Studies on the outcomes of rural surgical rotations during the residency period in comparison to non-rural surgical rotations were retrieved using electronic databases through April 2022. Among the 514 articles, five were eligible for review. All studies were published in the United States. Four studies reported an increased number of general surgeons in rural areas owing to rural surgical rotations. A meta-analysis of all studies showed a positive impact on the number of general surgeons in rural areas (odds ratio=2.19, 95% confidence interval=1.23-3.91). The programs generally ranged from 2 to 12 months with extensive experience with minor surgery and subspecialties necessary for surgery. Rural surgical rotations during the residency period can increase the number of general surgeons working in rural areas. Further studies are needed to evaluate the placement of general surgeons in rural areas.
预计为住院医师提供农村外科培训，将增加在农村地区工作的普通外科医生数量；然而，农村培训项目对确保此类外科医生数量增加的影响仍有待确定。因此，我们回顾了农村外科轮转与农村地区普通外科医生数量增加之间的相关性。通过电子数据库检索了截至2022年4月期间关于住院医师阶段农村外科轮转与非农村外科轮转结果的研究。在514篇文章中，有5篇符合综述条件。所有研究均发表于美国。四项研究报告称，由于农村外科轮转，农村地区普通外科医生数量有所增加。对所有研究进行的荟萃分析显示，对农村地区普通外科医生数量有积极影响（优势比=2.19，95%置信区间=1.23 - 3.91）。这些项目通常为期2至12个月，需要有丰富的小手术经验以及外科所需的亚专业经验。住院医师阶段的农村外科轮转可增加在农村地区工作的普通外科医生数量。需要进一步研究以评估普通外科医生在农村地区的安置情况。
