What Rural Surgeons Need That Most Residencies Don’t Teach
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Narrated by:
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By:
Dr. Joon Shim, program director at Bassett Healthcare in Cooperstown, New York, joins host Dr. Randy Lehman and Jacob on The Rural American Surgeon to discuss how Bassett prepares residents for the realities of rural general surgery.
Dr. Shim explains how residents begin gaining operating room experience from day one and train across a broad spectrum of surgical cases without competing with surgical fellows.
The conversation explores what it takes to thrive in rural surgery, including adaptability, resilience, emotional intelligence, and the ability to provide excellent care when patients face challenges with transportation, insurance, and access to specialists.
Dr. Shim also shares what she looks for in residency applicants, Bassett’s approach to leadership development, and why rural surgeons must be prepared to think independently, operate confidently, and care for the entire community.
Key Takeaways
01:21 How Bassett’s Rural Surgery Residency Is Structured
01:54 Building Independence From the First Day in the OR
03:35 What Makes a Resident Thrive in Rural Surgery
04:25 Why Adaptability Is Essential for Rural Surgeons
05:30 How Rural Healthcare Can Improve Continuity of Care
06:26 Providing Excellent Care Despite Patient Resource Limitations
07:15 Adapting Treatment for a Patient With Limited Access to Care
08:22 The Extreme Cases Rural Surgeons Can Encounter
09:56 What Dr. Shim Looks for in Residency Applicants
11:25 Teaching Emotional Intelligence and Leadership
12:42 How Much Operative Experience Interns Can Get
14:27 Training Across Specialties Without Surgical Fellows
15:38 Where Bassett Surgery Graduates Go to Practice
16:46 How Medical Students Can Learn More About Bassett
17:28 Training Surgeons Who Are Technically Driven and Deeply Human
17:48 Thinking Independently and Leading Compassionately
18:54 Connecting With the Rural Surgery Community
19:59 How to Choose the Right Residency Program
20:35 Dr. Shim’s Journey From Major Trauma Centers to Rural Surgery
Resources Mentioned
AO Foundation
https://www.aofoundation.org/
Bassett Healthcare Network
https://www.bassett.org/
Bassett General Surgery Residency Program https://www.bassett.org/medical-education/residency-fellowship-programs/general-surgery-residency-program
Bassett Surgery Residents on Instagram
https://www.instagram.com/bassettsurgeryresidents/
North American Rural Surgical Society
https://www.northamericanrss.org/