Evidence map›Paper›PMID 40329457›Full record

ArticleThe Australian journal of rural health2025

The Need for a Rural Surgeon Speciality Pathway in Australia and New Zealand.

Gavin J Carmichael, Joshua G Kovoor, Brandon Stretton, Alexander Beath, John Kefalianos, Daksh Tyagi, Connor Bentley, Stephen Bacchi, Jonathan Henry W Jacobsen, Weng Onn Chan and 6 more

Abstract read
In one paragraph

Article in The Australian journal of rural health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Gavin J CarmichaelUniversity of Melbourne, Melbourne, Victoria, Australia.ORCID 0009-0009-2143-3896
Joshua G KovoorUniversity of Melbourne, Melbourne, Victoria, Australia.
Brandon StrettonUniversity of Adelaide, Adelaide, South Australia, Australia.
Alexander BeathUniversity of Melbourne, Melbourne, Victoria, Australia.
John KefalianosUniversity of Melbourne, Melbourne, Victoria, Australia.
Daksh TyagiUniversity of Newcastle, Newcastle, New South Wales, Australia.
Connor BentleySt Vincents Hospital, Fitzroy, Victoria, Australia.
Stephen BacchiUniversity of Adelaide, Adelaide, South Australia, Australia.
Jonathan Henry W JacobsenUniversity of Adelaide, Adelaide, South Australia, Australia.
Weng Onn ChanUniversity of Adelaide, Adelaide, South Australia, Australia.
Aashray GuptaRoyal Adelaide Hospital, Adelaide, South Australia, Australia.ORCID 0000-0002-8038-0378
Ammar ZakaGold Coast University Hospital, Southport, Queensland, Australia.
Silas D NannGold Coast University Hospital, Southport, Queensland, Australia.
Yuchen LuoUniversity of Melbourne, Melbourne, Victoria, Australia.
Matthew Marshall-WebbFlinders University, Adelaide, South Australia, Australia.
Mathew O JacobUniversity of Melbourne, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis commentary aims to address the critical shortage of surgeons in rural Australia and propose the development of a sustainable rural surgical training pathway. By examining current healthcare disparities and workforce challenges, it highlights the need for locally trained and retained rural surgeons to improve health outcomes and reduce healthcare inequities. CONTEXT: Rural Australians experience significant healthcare disparities due to geographical isolation, lower socioeconomic status and limited availability of specialist care. The current model relies heavily on patient transfers to metropolitan centres, which are costly, logistically challenging and unsustainable. Current surgical training programmes offer some rural exposure; however, they remain metropolitan-centric, resulting in fewer surgeons practising in rural areas. APPROACH: A dedicated rural surgical training pathway is proposed to address this gap. It would focus on selecting candidates with a demonstrated commitment to rural practice and provide tailored training, mentorship and guaranteed rural placements. Training must align with the specific healthcare needs of rural communities. Additionally, initiatives like the rural health equity strategy and regional training hubs must be supported by structural changes in the selection process to prioritise rural trainees.

conclusionAddressing the shortage of rural surgeons is essential to improving healthcare equity. A rural surgical training pathway can aid in long-term retention of surgeons in rural areas. This model supports both healthcare and economic sustainability, aligns with national rural health strategies and fosters stronger community connections. Investing in rural surgical training is a critical step towards reducing healthcare disparities and building a more resilient rural health system.

Indexed as

Rural Health ServicesSurgeonsAustraliaHealthcare DisparitiesHumansNew Zealand

Identifiers

PMID40329457
PMCPMC12056216

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.