Incorporating and balancing advancing subspecialization is a significant challenge of modern surgery. The changes of surgical education and early subspecialization is a smaller spectrum of experience of graduating surgeons joining the rural workforce. Surgeons working in rural and remote hospitals, however, must be proficient in the great breadth of current surgical practice and face a number of challenges and demands that are specific to rural surgery. This textbook provides an update on the evidence and surgical techniques for the experienced rural surgeon and most importantly is a guideline for younger surgeons and surgical trainees joining the general surgical workforce in rural and remote areas around the world.

This unique reference fulfills the unmet need of a textbook that addresses the scope of practice for surgeons practicing in rural regions. The text provides up-to-date content covering a wide breadth of topics relevant to surgical care in rural areas, with focus on the surgical diseases that are often treated by surgical subspecialists in the urban setting. Written by experts in each subspecialty, the text focuses on procedural aspects of surgical patient care. The first section discusses practice issues unique to rural surgery and provides an overview of applying principles of quality improvement to surgical practice. Subsequent chapters cover specific surgical procedures. Each chapter includes a brief discussion of indications and contraindications for surgery. The surgical technique is described with attention to important anatomic details. Key portions of the procedure are highlighted including potential complications and how to avoid them. Procedure specific perioperative care is also discussed. Supported with ample illustrations and images, Advanced Surgical Techniques for Rural Surgeons is a valuable resource for surgeons currently in practice or preparing to practice in a rural area, as well as surgical technicians, surgical nurse practitioners and physician’s assistants.

This issue of Surgical Clinics of North America focuses on Rural Surgery and is edited by Dr. Tyler G. Hughes. Articles will include: Status of the rural workplace: Hospital survival and economics; Rural standards and the quality equation; Scope of practice of the rural surgeon; Advanced technology and the rural surgeon; Qualitative research in rural surgery; Perioperative support in the rural surgery world; Initial and ongoing training of the rural surgeon; Demographics in rural populations; Dealing with the sick rural surgery patient in need of transfer; National quality projects and patient selection decisions; Status of the rural surgical workforce; Regionalization of rural surgery; and more!

On Call is an autobiography of J. Lottman, a female surgeon that she hopes will inspire other male and female surgeons to consider becoming rural surgeons. There aren’t many rural surgeons around, making this an uncommon autobiography and practice. It spans a thirty-year practice from 1981 to 2011, after her schooling and training. Dr. Lottmann explains the distinctiveness of a rural surgery practice and how it differs from an urban practice. She explains the scope of general surgery and her surgical caseload changes over those thirty years. Advanced surgical techniques for rural surgeons have significantly changed since she began her career. Although there has been significant medical advancement, a rural surgeon can find it challenging to offer the most up-to-date procedures in a small rural hospital due to the cost of the equipment. On Call will take you through Dr. Lottman’s training, practice, and some of her most memorable cases, challenges, and triumphs. She also shares the unique challenges of female surgeons as they navigate marriage and motherhood and being a surgeon—frequently, the only one in town. Dr. Lottmann hopes her autobiography will encourage medical students to pursue a career in rural surgery because there is a great need for them in this country.

Embark on a poignant journey through the heart of rural India with "Memoirs of a Rural Surgeon" by J.K. Banerjee, a captivating memoir that offers readers a vivid glimpse into the life and work of a dedicated medical practitioner serving in remote communities. Join Dr. Banerjee as he shares his experiences, challenges, and triumphs while providing healthcare to the underserved populations of rural India. In this compelling memoir, J.K. Banerjee takes readers on a deeply personal journey through his decades-long career as a rural surgeon, offering candid insights into the joys and struggles of practicing medicine in some of India's most marginalized communities. From his humble beginnings as a young doctor fresh out of medical school to his later years as a seasoned healthcare professional, Banerjee's narrative is a testament to the resilience of the human spirit and the transformative power of compassionate care. With warmth and humility, Banerjee recounts the countless encounters with patients and families that have left an indelible mark on his life and practice. From delivering babies in makeshift clinics to performing life-saving surgeries in challenging conditions, readers are transported to the front lines of rural healthcare, where every day brings new challenges and opportunities to make a difference. The overall tone and mood of "Memoirs of a Rural Surgeon" are one of empathy, compassion, and deep respect for the communities and patients served by Dr. Banerjee. His unwavering commitment to providing quality healthcare to those in need shines through in every page, inspiring readers to reflect on the importance of access to healthcare and the transformative impact of compassionate medical care. Widely acclaimed for its poignant storytelling and heartfelt reflections, "Memoirs of a Rural Surgeon" has become a cherished work in the genre of medical memoirs, offering readers a rare glimpse into the realities of rural healthcare in India. Banerjee's memoir is a powerful testament to the dedication and resilience of healthcare professionals working tirelessly to improve the lives of others. Designed to appeal to readers of all backgrounds and interests, "Memoirs of a Rural Surgeon" offers a compelling narrative that celebrates the human spirit and the transformative power of medicine. Whether you're a healthcare professional, a student aspiring to enter the medical field, or simply someone interested in stories of courage and compassion, this memoir offers valuable insights and inspiration. In comparison to other medical memoirs, "Memoirs of a Rural Surgeon" stands out for its intimate portrayal of rural life and healthcare in India and its profound reflections on the human experience. Banerjee's memoir invites readers to step into the shoes of a dedicated rural surgeon and gain a deeper understanding of the challenges and rewards of providing healthcare in underserved communities. On a personal level, "Memoirs of a Rural Surgeon" resonates with readers by highlighting the power of empathy, compassion, and resilience in the face of adversity. Banerjee's reflections on his experiences and encounters with patients offer valuable lessons on the importance of human connection and the enduring impact of acts of kindness and caring. Don't miss your chance to be inspired by the remarkable journey of "Memoirs of a Rural Surgeon" by J.K. Banerjee. Let this captivating memoir remind you of the transformative power of compassionate care and the enduring legacy of those who dedicate their lives to serving others.

This issue of Surgical Clinics of North America focuses on Rural Surgery and is edited by Dr. Tyler G. Hughes. Articles will include: Status of the rural workplace: Hospital survival and economics; Rural standards and the quality equation; Scope of practice of the rural surgeon; Advanced technology and the rural surgeon; Qualitative research in rural surgery; Perioperative support in the rural surgery world; Initial and ongoing training of the rural surgeon; Demographics in rural populations; Dealing with the sick rural surgery patient in need of transfer; National quality projects and patient selection decisions; Status of the rural surgical workforce; Regionalization of rural surgery; and more!

A Rural Surgeon follows the adventures and misadventures of Dr John Case and his family as they commence their new life in the Western Canadian Prairie province of Alberta, and learn first-hand of its extreme weather. Life in another Commonwealth country ensures that there are many cultural similarities, but the Cases also experience an immense number of differences from their previous lifestyle. Discover along with Dr Case the impact of less regulation and increased personal freedom, combined with more responsible social behaviour and the helpful interdependence necessary in a remote and sparsely populated region. A broad and wide-ranging description of life in a remote Western Canadian city from a physician’s point of view, this book will appeal to readers who enjoy reading of life’s diversities, tragedies, and triumphs. Physicians will recognise and find interest in the changing practice of medicine in a rapidly expanding city during a time of enormous scientific advances. As with all of Dr Case’s books, he presents a wonderful balance of laughter and tragedy. His inquisitiveness and compassion shine in his description of life as a specialist surgeon in a nonurban environment.

Emergency General Surgery has become a cornerstone of Acute Care Surgery over the past decade. Once the scope of community general surgeons, the growing complexity of patients with acute surgical diseases has increasingly driven their care to tertiary referral centers. The aging population confounds this problem further as these patients present with more complex comorbidities, life-threatening physiology, and progressively severe anatomic disease severity. To ensure better outcomes, the practice has evolved to focus on evidence-based practice management guidelines in order to standardize care and optimize outcomes. The purpose of this text is to be a comprehensive volume for patients with acute surgical diseases. There will be three sections, each comprised of multiple chapters. The first section will be a comprehensive analysis of the background of Emergency General Surgery. The goal of this section will be to provide the reader background into the acute surgical practice and to introduce the reader to the important concepts discussed in the remainder of the textbook. The second section will be the largest and will discuss specific acute surgical diseases. Individual chapters will outline the diagnostic approach, current treatment standards, operative approaches, and expected outcomes with an emphasis on practice management guideline implementation into practice. As acute surgical diseases and surgical critical care are integral to each other, the last section will be Critical Care for the Acute Care Surgeon. These topics will focus on the critical care concepts essential to surgeons who care for acute diseases. This comprehensive text is targeted to any surgeon who takes emergency call for any of the listed diseases including community and referral general and vascular surgeons. In addition, this would be an excellent resource for all general surgery residents. Lastly, this would also serve as a resource to intensivists who care for acute surgical patients.

Essential Surgery is part of a nine volume series for Disease Control Priorities which focuses on health interventions intended to reduce morbidity and mortality. The Essential Surgery volume focuses on four key aspects including global financial responsibility, emergency procedures, essential services organization and cost analysis.

Proposed topics for this issue include: Demographics and Workforce in issues in Rural Surgery; Measuring Quality in Rural Surgery; Education of the Rural Surgeon (Models from Oregon, Wisconsin, Tennessee, MIBH); Rural Surgery - the Australian experience; Working Models (Oklahoma, Iowa, North Dakota); Starting a Rural Surgical Program from Scratch; The Importance of Rural Surgery - The primary care perspective; The Financial Impact of a Rural Surgeon on a Hospital.