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    Science

    The Rural American Surgeon

    Welcome to ”The Rural American Surgeon,” a podcast series dedicated to providing insights, resources, and a community for the surgeons of rural America. Your host, Randy Lehman, is an established authority on the multifaceted aspects of rural surgery—from the unique professional benefits and challenges, rural surgical training paradigms, current reimbursement landscape, and how to create triple win opportunities for sustainable rural surgery in partnerships with hospitals and rural communities.

    This podcast is designed for both rural general surgeons and rural surgical specialists who are seeking not just advice and guidance on practicing in rural areas, but also inspiration to foster valuable partnerships across our great land.

    Each episode is a deep dive into topics such as mastery of rural surgery, the rural lifestyle, fighting professional isolation, building a system to ensure surgical services are offered at a high level, using scarce resources wisely, achieving personal financial freedom, accessing a wealth of outside surgical resources, and inspiration at a high level of why what we do is important.

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    Copyright: © Copyright 2024 All rights reserved.

    • Apple Podcasts
    • Google Play
    • Spotify

    Latest Episodes:
    E17: Robotic Ventral Hernia Repair with Dr. Jeremy Stoller Jan 02, 2025
    Show notes

    Host Dr. Randy Lehman welcomes Dr. Jeremy "Bud" Stoller, a distinguished rural surgeon from Van Wert, Ohio. Known for his expertise in hernia repair and his commitment to rural healthcare, Dr. Stoller shares his journey from training at The Ohio State University and the University of Toledo to practicing in his hometown. Dr. Stoller details his approach to ventral hernia repair and his excitement for utilizing robotics in his small-town hospital setting.

    0:00 Intro

    5:10 Dr. Stoller’s Background

    12:29 How I Do It: Ventral Hernia Repair

    37:02 Financial Corner

    39:01 Classic Rural Surgery Anecdotes

    43:06 Resources for the Busy Rural Surgeon

    Resources Mentioned:

    International Hernia Collaboration

    SurgeOn app

    General Surgery News

    American College of Surgeons (ACS) forums


    E16: Big Impact in Small Town Family Medicine with Dr. Tod Stillson Dec 26, 2024
    Show notes

    Host Dr. Randy Lehman and Dr. Tod Stillson have a heartwarming conversation about the importance of transparency and trust when it comes to small town healthcare–especially in family medicine when you have the opportunity to serve families through many stages of life. In addition to discussing the impact of closing obstetrics units in rural hospitals, Dr. Stillson shares insights on achieving financial independence and introduces his “Employment Lite” model, which combines the benefits of traditional employment with private practice. This episode might just save a rural surgeon a few hundreds of thousands of dollars over the years!

    0:00 Intro

    3:43 Dr. Stillson’s Background

    7:51 Rural Maternity Unit Closures

    9:12 Financial Corner

    31:45 Resources for the Busy Rural Surgeon

    36:17 Classic Rural Surgery Anecdotes

    41:28 Resources for the Busy Rural Surgeon

    Resources mentioned in this episode:

    Doctor Incorporated book

    Donor Advised Funds

    SimpliMD


    E15: Rural Surgery Research with Dr. Dorothy Hughes Dec 19, 2024
    Show notes

    As part of this new miniseries, "The Children of Rural Surgeons," host Dr. Randy Lehman welcomes Dr. Dorothy Hughes, daughter of esteemed rural surgeon, Dr. Tyler Hughes. Their conversation delves into her experiences growing up with a small-town surgeon for a father and how that impacted her upbringing. And ultimately, how Dr. Dorothy Hughes came full circle to rural surgery from an academic perspective, including some of the compelling research she's done in this field.

    0:00 Intro

    1:10 Dr. Dorothy Hughes’ Background

    5:55 Growing Up as the Child of a Rural Surgeon

    15:37 How I Do It: Rural Surgery Research

    19:43 Financial Corner

    23:01 Classic Rural Surgery Anecdotes

    25:01 Resources for the Busy Rural Surgeon

    Resources Mentioned:

    Trailblazing Rural Surgery with Dr. Tyler Hughes

    North American Rural Surgical Society

    Selected Readings in General Surgery

    Dr. Dorothy Hughes’ Google Scholar account


    E14: "My Dad's a Rural Surgeon!" with Charlotte Lehman Dec 12, 2024
    Show notes

    In this heartfelt episode, Dr. Randy Lehman is joined by two very special guests, his daughter Charlotte and a surprise appearance by his wife, Brittaney. Together they reflect on the demanding days of residency in Minnesota, and how the transition to rural practice in Indiana has impacted their family life and balance.

    Charlotte describes her dad’s work as candidly and charmingly as only an 8-year-old can (“lots of gross surgeries!”) and reflects on how much more she gets to see her dad now compared to the days of residency. This fun and lighthearted episode not only provides insights into the professional life of a rural surgeon with small children, but also underscores the personal aspects of being present with family throughout a demanding career.


    E13: GI Bleeds in Rural Canada with Dr. Emily Mitic Dec 05, 2024
    Show notes

    Explore surgical care in rural Canada through the perspective of host Dr. Randy Lehman as he sits down with Canadian general surgeon, Dr. Emily Mitic. Dr. Mitic is dedicated to serving rural Alberta, practicing in a small city uniquely positioned between two major urban centers, which means her hospital serves a greater population of about 425,000 people. Tune in for a detailed walkthrough of Dr. Mitic’s approach to GI bleeds, a discussion of some distinctions between American and Canadian healthcare, and a lively rural surgery anecdote!

    [00:00] Introduction

    [00:55] Dr. Mitic’s Background

    [07:42] How I Do It: GI Bleed

    [30:43] Financial Corner: Canadian Healthcare

    [37:57] Classic Rural Surgery

    [42:12] Resources for the Busy Rural Surgeon

    Resources Mentioned:

    Huber Ag Equipment

    American College of Colorectal Surgeons Guidelines


    E12: From Residency to Rural with Dr. Ben Mundell Nov 27, 2024
    Show notes

    Host Dr. Randy Lehman sits down with Dr. Ben Mundell, a newly minted general surgeon carving out his path in the Eastern Sierras of California. Together they discuss what it takes to thrive as a rural surgeon, especially in those crucial early months out of residency. Tune in for practical advice, invaluable insights, and must-know resources for making a successful transition from residency to rural practice.

    0:00 - Introduction
    4:16 - Challenges Facing Rural Hospitals
    09:00 - Dr. Lehman's Early Career Insights
    13:00 - Handling Complex Cases in Rural Practice
    18:40 - Expanding Surgical Scope in Rural Hospitals
    26:30 - How I Do It: Laparoscopic Inguinal Hernia Repair
    44:00 - Resources for the Busy Rural Surgeon

    Resources Mentioned:

    UpToDate

    North American Rural Surgical Society


    E11: The Value of Surgical Mentorship with Dr. Eugene Shively Nov 21, 2024
    Show notes

    Host Dr. Randy Lehman sits down with friend, mentor, and "godfather" of rural surgery, Dr. Eugene Shively to discuss his impressive 46-year career. From the comfort of Dr. Shively's 200-year-old cabin (listen for the full story!), the two discuss the evolution of surgical techniques, Dr. Shively's approach to common bile duct exploration, and invaluable advice for residents who plan to pursue a career in rural surgery.

    [0:00] Introduction

    [0:48] Dr. Shively’s Background

    [10:25] How I Do It: Common Bile Duct Exploration

    [25:50] Financial Corner

    [31:51] Classic Rural Surgery

    [39:13] Resources for the Busy Rural Surgeon

    [45:45] How I Do It: Perianal Procedures

    [59:08] Importance of Having a Mentor

    Resources Mentioned:


    Podcast: Single Payer Health Care


    E10: Purpose, Practicing, and Publishing with Dr. Michael Sarap Nov 15, 2024
    Show notes

    In part two of their conversation, Dr. Randy Lehman welcomes back Dr. Michael Sarap to dive deeper into his 37 years as a rural surgeon. Building on their earlier insights into financial strategies for young surgeons, Dr. Sarap shares intense and captivating stories from rural practice. Listeners will come away inspired and equipped with resources for building a strong network of specialist colleagues. With a wealth of experience and a deep passion for small-town healthcare, Dr. Sarap makes this episode a must-listen for any provider dedicated to rural communities.

    [00:00] Introduction

    [01:05] Financial Corner

    [10:55] Happiness and greater purpose

    [15:15] Classic rural surgery anecdotes

    [25:24] Resources for the busy rural surgeon

    [31:23] Publishing papers while practicing

    Resources Mentioned:

    Book: Man's Search for Meaning

    Book: Ikigai

    Article: Ripples: One Trauma Case, Three Generations of Lives Saved

    North American Rural Surgical Society

    ACS Chapters


    E09: Laparoscopic Surgery Insights with Dr. Michael Sarap Nov 14, 2024
    Show notes

    In this episode, host Dr. Randy Lehman sits down with Dr. Michael Sarap, a seasoned rural surgeon with 37 years of experience. Dr. Sarap shares the rewards and challenges of his career, offering invaluable insights into building a successful rural surgery practice. From mastering advanced endoscopic techniques to performing complex procedures like laparoscopic common bile duct exploration, join us for an engaging discussion that underscores the impact of dedicated rural surgeons in their communities.

    [0:00] Intro
    [0:48] Dr. Sarap's background
    [5:48] Building a rural surgery practice
    [33:44] How I Do It: Laparoscopic Common Bile Duct Exploration

    Resources Mentioned:

    ACS Stop the Bleed


    E08: Rural Robotic Revolution with Dr. John Robertson Oct 31, 2024
    Show notes

    In this episode, host Dr. Randy Lehman sits down with Dr. John Robertson, who started his medical career in the big city before transitioning to rural surgery. Dr. Robertson delves into his “modified plug and patch” technique for inguinal hernia repair and his embrace of robotics in the OR, offering valuable insights for both urban and rural practitioners.

    [00:00] Introduction

    [00:50] Dr. Robertson’s background

    [07:07] Collaboration and community in rural practice

    [17:00] How I Do It: Open inguinal hernia

    [30:12] How I Do It: Robotic surgery techniques

    [34:56] Financial Corner

    [36:14] Classic rural surgery anecdotes

    [41:52] Resources for the busy rural surgeon


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