The Rural Surgeon: A new column
In May 2011, during the 5th Annual Rural Surgery Symposium and Workshop, I presented a talk, “The ACS and the Rural Surgeon.” Past President Dr. LaMar McGinnis acknowledged the educational value of the presentation, which then went on to wider distribution. The Board of Regents received another talk about rural surgery in February 2012: “Us vs. Them.” Based on the talk and because of their keen insights, the Regents formed the Advisory Council on Rural Surgery – the first new advisory council in 50 years. Subsequently, a College-developed rural listserv became the most highly successful communications program in ACS history and led to the creation of the rural surgery community. In the following 2 years, rural surgeons exchanged 9 million emails on numerous, varied topics. An article in the July 2014 ACS Bulletin describes the program (https://bulletin.facs.org/2014/07/acs-rural-listserv-an-underdog-success-story/). Finally, in his inaugural address at the 2012 Clinical Congress, Dr. Brent Eastman identified rural surgery as one of the four fundamental components of surgery for the next 100 years (https://bulletin.facs.org/2012/12/presidential-address/). Recognition of rural surgery obviously has increased.
My experience of moderating the rural listserv with nearly 1,000 subscribers has revealed the amazing diversity, passion, commitment, and perseverance of rural surgeons who have united in a true community. Their perspectives on their professional lives and the lives of their patients are well worth closer acquaintance by surgeons from all sectors. They have a lot to teach us all. To learn about rural surgery will be to learn about all surgery. Understand rural surgery in 2014 and, consequently, understand all surgery. Recognize the benefits of rural surgery and then instill them in all practices. Supporting rural surgery today supports all surgery.
The column aims to offer commentary on diverse topics confronting rural surgeons today. Opinions, editorials, letters, economics, and clinical matters, all from the rural perspective, will be included. Over 60 individual “threads” appeared on the listserv this year and the subjects of many of these threads could be covered in future columns. Uncommon subjects such as YKYAARSI (“You know you are a rural surgeon if…”) should be entertaining and informative. Guest authors who are experts on varying subjects will contribute articles.
While its roots are in the rural surgery community, the column’s scope will touch all surgical practices. Rural surgery will be better defined, positively characterized, and documented. In partnership with the ACS to achieve the general goal of supporting rural surgery, Rural Surgeons Speak aims to enable all ACS Fellows to realize that they belong to a community of all surgeons, regardless of location or practice type.
Dr. Caropreso is a general surgeon at Keokuk (Iowa) Area Hospital and Clinical Professor of Surgery at the University of Iowa Carver College of Medicine. He has practiced surgery in the rural communities of Mason City, Iowa; Keokuk, Iowa; and Carthage, Ill., for 37 years.
