• Med. J. Aust. · Mar 2024

    Review

    The provision of general surgery in rural Australia: a narrative review.

    • Jessica Paynter, Kirby R Qin, Janelle Brennan, David J Hunter-Smith, and Warren M Rozen.
    • Monash Rural Health - Bendigo, Monash University, Bendigo, VIC.
    • Med. J. Aust. 2024 Mar 18; 220 (5): 258263258-263.

    AbstractRural surgery is most commonly provided by general surgeons to the 29% of people (7 million) living in rural Australia. The provision of rural general surgery to enable equitable and safe surgical care for rural Australians is a multifaceted issue concerning recruitment, training, retention, surgical procedures and surgical outcomes. Sustaining the rural general surgical workforce will be dependent upon growing an increased number of resident rural general surgeons, as well as changed models of care, with a need for ongoing review to track the outcomes of these changes. To increase recruitment, rural general surgical training must improve to be less stressful for trainees and to be incorporated alongside a rural-facing generalist curriculum. Rural general surgical outcomes (excluding some oncology conditions) achieve comparable results to metropolitan centres. Access to, and outcomes of, surgical oncology services continues to be inequitable for rural Australians and should be a major focus for improved service delivery.© 2024 The Authors. Medical Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of AMPCo Pty Ltd.

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