Why This Family Doctor Does C-Sections with Dr. Brogan Bahler
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A family doc taking on surgery in rural America?
That’s what Dr. Brogan Bahler is doing as a rural family physician who has carved out a full-scope OBGYN practice, including C-sections, D&Cs, hysteroscopies, and more.
In today’s conversation, Dr. Bahler and Dr. Randy Lehman discuss:
- How residency moonlighting helped prepare him for surgical OB
- Why rural hospitals shut down OB—and what that means for local care
- What general surgeons need to know to safely assist or perform C-sections
- How to credential yourself for surgical OB privileges
- Details on how he performs a C-section
Whether you're a rural general surgeon, FMOB, or still in training, this episode is a powerful look at what it means to step up when your community needs you most.
0:00 Introduction
0:41 Dr. Bahler’s Background & Training Path
2:59 Surgical OB Without an FMOB Fellowship
5:21 How Many C-Sections Are Enough?
12:06 C-Section Skills Every Rural Surgeon Should Know
14:55 Emergency C-Sections & Locums Work
18:15 Building OB Volume in a Rural Practice
23:57 From Family Med to Full-Time OB-GYN
25:23 Why Rural OB-GYN Is Special
26:18 How I Do It: C-Section
29:06 Resources for the Busy Rural Surgeon
31:48 Financial Corner
38:51 Classic Rural Surgery Stories
Resources Mentioned:
https://www.acog.org/
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https://www.theruralamericansurgeon.com/
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