Geographic maldistribution of general surgery PGYI residents: Another US surgical desert

Kenneth R. Sirinek; Ross Willis; Ronald M. Stewart

doi:10.1016/j.amjsurg.2014.06.033

Geographic maldistribution of general surgery PGYI residents: Another US surgical desert

Kenneth R. Sirinek, Ross Willis, Ronald M. Stewart

Department of Surgery

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Background Practicing general surgeons are unevenly distributed across the country. This study evaluates the geographic distribution of categorical, general surgery (GS) PGYI positions per capita.

Methods Data were obtained from the 2012 National Resident Matching Program match and the 2010 US Census.

Results The mean for GS PGYI positions per 10⁶ population was 3.85 ±.61; 27 states fell below this value. The 7 American College of Surgeons (ACS) regions ranged from a low of 1.4 ±.50 (Intermountain) to a high of 9.89 ± 4.41 (Northeast). The mean (2.18 ±.34) for the 19 state membership of the Southwestern Surgical Congress was below the mean for the country.

Conclusions There is a maldistribution of GS PGYI positions compared with state and regional populations, particularly in rural areas. This mirrors the maldistribution of practicing general surgeons across the United States. Additional GS residences and resident positions are urgently needed to correct this "Surgical Desert" of graduate surgical education.

Original language	English (US)
Pages (from-to)	1023-1028
Number of pages	6
Journal	American journal of surgery
Volume	208
Issue number	6
DOIs	https://doi.org/10.1016/j.amjsurg.2014.06.033
State	Published - Dec 1 2014

Keywords

General surgery
General surgery residents
Maldistribution
Rural
Surgical desert
Workforce

ASJC Scopus subject areas

Surgery

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10.1016/j.amjsurg.2014.06.033

Cite this

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title = "Geographic maldistribution of general surgery PGYI residents: Another US surgical desert",

abstract = "Background Practicing general surgeons are unevenly distributed across the country. This study evaluates the geographic distribution of categorical, general surgery (GS) PGYI positions per capita.Methods Data were obtained from the 2012 National Resident Matching Program match and the 2010 US Census.Results The mean for GS PGYI positions per 106 population was 3.85 ±.61; 27 states fell below this value. The 7 American College of Surgeons (ACS) regions ranged from a low of 1.4 ±.50 (Intermountain) to a high of 9.89 ± 4.41 (Northeast). The mean (2.18 ±.34) for the 19 state membership of the Southwestern Surgical Congress was below the mean for the country.Conclusions There is a maldistribution of GS PGYI positions compared with state and regional populations, particularly in rural areas. This mirrors the maldistribution of practicing general surgeons across the United States. Additional GS residences and resident positions are urgently needed to correct this {"}Surgical Desert{"} of graduate surgical education.",

keywords = "General surgery, General surgery residents, Maldistribution, Rural, Surgical desert, Workforce",

author = "Sirinek, {Kenneth R.} and Ross Willis and Stewart, {Ronald M.}",

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doi = "10.1016/j.amjsurg.2014.06.033",

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T1 - Geographic maldistribution of general surgery PGYI residents

T2 - Another US surgical desert

AU - Sirinek, Kenneth R.

AU - Willis, Ross

AU - Stewart, Ronald M.

PY - 2014/12/1

Y1 - 2014/12/1

N2 - Background Practicing general surgeons are unevenly distributed across the country. This study evaluates the geographic distribution of categorical, general surgery (GS) PGYI positions per capita.Methods Data were obtained from the 2012 National Resident Matching Program match and the 2010 US Census.Results The mean for GS PGYI positions per 106 population was 3.85 ±.61; 27 states fell below this value. The 7 American College of Surgeons (ACS) regions ranged from a low of 1.4 ±.50 (Intermountain) to a high of 9.89 ± 4.41 (Northeast). The mean (2.18 ±.34) for the 19 state membership of the Southwestern Surgical Congress was below the mean for the country.Conclusions There is a maldistribution of GS PGYI positions compared with state and regional populations, particularly in rural areas. This mirrors the maldistribution of practicing general surgeons across the United States. Additional GS residences and resident positions are urgently needed to correct this "Surgical Desert" of graduate surgical education.

AB - Background Practicing general surgeons are unevenly distributed across the country. This study evaluates the geographic distribution of categorical, general surgery (GS) PGYI positions per capita.Methods Data were obtained from the 2012 National Resident Matching Program match and the 2010 US Census.Results The mean for GS PGYI positions per 106 population was 3.85 ±.61; 27 states fell below this value. The 7 American College of Surgeons (ACS) regions ranged from a low of 1.4 ±.50 (Intermountain) to a high of 9.89 ± 4.41 (Northeast). The mean (2.18 ±.34) for the 19 state membership of the Southwestern Surgical Congress was below the mean for the country.Conclusions There is a maldistribution of GS PGYI positions compared with state and regional populations, particularly in rural areas. This mirrors the maldistribution of practicing general surgeons across the United States. Additional GS residences and resident positions are urgently needed to correct this "Surgical Desert" of graduate surgical education.

KW - General surgery

KW - General surgery residents

KW - Maldistribution

KW - Rural

KW - Surgical desert

KW - Workforce

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Geographic maldistribution of general surgery PGYI residents: Another US surgical desert

Abstract

Keywords

ASJC Scopus subject areas

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