surgery for rural america thomas h. cogbill, m.d. gundersen lutheran medical foundation la crosse,...
TRANSCRIPT
![Page 1: SURGERY FOR RURAL AMERICA Thomas H. Cogbill, M.D. Gundersen Lutheran Medical Foundation La Crosse, Wisconsin](https://reader035.vdocuments.us/reader035/viewer/2022062518/56649f4e5503460f94c6ff0b/html5/thumbnails/1.jpg)
SURGERY FOR RURAL SURGERY FOR RURAL AMERICAAMERICA
Thomas H. Cogbill, M.D.
Gundersen Lutheran Medical FoundationLa Crosse, Wisconsin
![Page 2: SURGERY FOR RURAL AMERICA Thomas H. Cogbill, M.D. Gundersen Lutheran Medical Foundation La Crosse, Wisconsin](https://reader035.vdocuments.us/reader035/viewer/2022062518/56649f4e5503460f94c6ff0b/html5/thumbnails/2.jpg)
Gundersen Lutheran Health Gundersen Lutheran Health SystemSystem
Fully IntegratedFully Integrated
Physician-LedPhysician-Led
453 Physicians453 Physicians
6159 Employees6159 Employees
![Page 3: SURGERY FOR RURAL AMERICA Thomas H. Cogbill, M.D. Gundersen Lutheran Medical Foundation La Crosse, Wisconsin](https://reader035.vdocuments.us/reader035/viewer/2022062518/56649f4e5503460f94c6ff0b/html5/thumbnails/3.jpg)
![Page 4: SURGERY FOR RURAL AMERICA Thomas H. Cogbill, M.D. Gundersen Lutheran Medical Foundation La Crosse, Wisconsin](https://reader035.vdocuments.us/reader035/viewer/2022062518/56649f4e5503460f94c6ff0b/html5/thumbnails/4.jpg)
Main Clinic – La Crosse, WisconsinMain Clinic – La Crosse, Wisconsin
(population 51,000)(population 51,000)
12 General Surgeons12 General Surgeons
Branch Clinics – 25 LocationsBranch Clinics – 25 Locations
9 General surgeons9 General surgeons
![Page 5: SURGERY FOR RURAL AMERICA Thomas H. Cogbill, M.D. Gundersen Lutheran Medical Foundation La Crosse, Wisconsin](https://reader035.vdocuments.us/reader035/viewer/2022062518/56649f4e5503460f94c6ff0b/html5/thumbnails/5.jpg)
GL SURGICAL RESIDENCYGL SURGICAL RESIDENCY
Began in 1974Began in 1974
Currently 2 Categorical Positions/YearCurrently 2 Categorical Positions/Year
Only Surgical ResidencyOnly Surgical Residency
Single Fellowship – Bariatric/MISSingle Fellowship – Bariatric/MIS
![Page 6: SURGERY FOR RURAL AMERICA Thomas H. Cogbill, M.D. Gundersen Lutheran Medical Foundation La Crosse, Wisconsin](https://reader035.vdocuments.us/reader035/viewer/2022062518/56649f4e5503460f94c6ff0b/html5/thumbnails/6.jpg)
GL SURGICAL RESIDENCYGL SURGICAL RESIDENCY
Committed to General SurgeryCommitted to General Surgery
High Volume Open CasesHigh Volume Open Cases
High Volume Laparoscopic CasesHigh Volume Laparoscopic Cases
Critical Care – 2 Months (R1/R3)Critical Care – 2 Months (R1/R3)
R4/R5 Trauma Resuscitation LeadersR4/R5 Trauma Resuscitation Leaders
![Page 7: SURGERY FOR RURAL AMERICA Thomas H. Cogbill, M.D. Gundersen Lutheran Medical Foundation La Crosse, Wisconsin](https://reader035.vdocuments.us/reader035/viewer/2022062518/56649f4e5503460f94c6ff0b/html5/thumbnails/7.jpg)
GL SURGICAL RESIDENCYGL SURGICAL RESIDENCY
Obstetrics/Gynecology – 2 Months (R3)Obstetrics/Gynecology – 2 Months (R3)
High Volume Endoscopy – 2 Months High Volume Endoscopy – 2 Months (R3/R4)(R3/R4)
Rural Surgery Elective – (R4)Rural Surgery Elective – (R4)
Practice-Based Learning CurriculumPractice-Based Learning Curriculum
![Page 8: SURGERY FOR RURAL AMERICA Thomas H. Cogbill, M.D. Gundersen Lutheran Medical Foundation La Crosse, Wisconsin](https://reader035.vdocuments.us/reader035/viewer/2022062518/56649f4e5503460f94c6ff0b/html5/thumbnails/8.jpg)
Practice Management Practice Management CurriculumCurriculum
Ethics Grand Rounds (6/year)Ethics Grand Rounds (6/year)
Coding & ReimbursementCoding & Reimbursement
MalpracticeMalpractice
ContractsContracts
Practice ManagementPractice Management
![Page 9: SURGERY FOR RURAL AMERICA Thomas H. Cogbill, M.D. Gundersen Lutheran Medical Foundation La Crosse, Wisconsin](https://reader035.vdocuments.us/reader035/viewer/2022062518/56649f4e5503460f94c6ff0b/html5/thumbnails/9.jpg)
Rural Surgery ElectiveRural Surgery Elective
Prairie du Chien, Wisconsin (pop 6047)Prairie du Chien, Wisconsin (pop 6047)
Decorah, Iowa (pop 7944)Decorah, Iowa (pop 7944)
Anticipated Practice SitesAnticipated Practice Sites
![Page 10: SURGERY FOR RURAL AMERICA Thomas H. Cogbill, M.D. Gundersen Lutheran Medical Foundation La Crosse, Wisconsin](https://reader035.vdocuments.us/reader035/viewer/2022062518/56649f4e5503460f94c6ff0b/html5/thumbnails/10.jpg)
![Page 11: SURGERY FOR RURAL AMERICA Thomas H. Cogbill, M.D. Gundersen Lutheran Medical Foundation La Crosse, Wisconsin](https://reader035.vdocuments.us/reader035/viewer/2022062518/56649f4e5503460f94c6ff0b/html5/thumbnails/11.jpg)
Emphasis on AcademicsEmphasis on Academics
Require 2 PublicationsRequire 2 Publications
Require 2 PresentationsRequire 2 Presentations
Evidence-Based LearningEvidence-Based Learning
![Page 12: SURGERY FOR RURAL AMERICA Thomas H. Cogbill, M.D. Gundersen Lutheran Medical Foundation La Crosse, Wisconsin](https://reader035.vdocuments.us/reader035/viewer/2022062518/56649f4e5503460f94c6ff0b/html5/thumbnails/12.jpg)
GraduatesGraduates
FellowshipFellowship 24%24%
Urban/Large Rural Urban/Large Rural
General SurgeryGeneral Surgery 26%26%
Small Rural General SurgerySmall Rural General Surgery 50%50%
![Page 13: SURGERY FOR RURAL AMERICA Thomas H. Cogbill, M.D. Gundersen Lutheran Medical Foundation La Crosse, Wisconsin](https://reader035.vdocuments.us/reader035/viewer/2022062518/56649f4e5503460f94c6ff0b/html5/thumbnails/13.jpg)
Postgraduate ResponsibilityPostgraduate Responsibility
1.1. Faculty clinical resourceFaculty clinical resource
2.2. CME programsCME programs
3.3. Teaching Teaching
a. ATLSATLS
b. Rural electiveRural elective
![Page 14: SURGERY FOR RURAL AMERICA Thomas H. Cogbill, M.D. Gundersen Lutheran Medical Foundation La Crosse, Wisconsin](https://reader035.vdocuments.us/reader035/viewer/2022062518/56649f4e5503460f94c6ff0b/html5/thumbnails/14.jpg)
Essentials for Rural SurgeryEssentials for Rural Surgery
Strong 5-Year Core General SurgeryStrong 5-Year Core General Surgery
Obstetrics/GynecologyObstetrics/Gynecology
EndoscopyEndoscopy
Surgical SubspecialtiesSurgical Subspecialties
Practice Management CurriculumPractice Management Curriculum
Full Immersion Rural Surgery ElectiveFull Immersion Rural Surgery Elective