title: Rural surgeons would embrace surgical telementoring for help with difficult cases and acquisition of new skills.
abstract: Surgical telementoring, consisting of an expert surgeon guiding a less experienced surgeon through advanced or novel cases from a remote location, is an evolving technology which has potential to become an integral part of surgical practice. This study sought to apprise the attitudes of rural general surgeons toward the possible benefits and applications of surgical telementoring in their practices.
  
  
  
  A survey assessing demographics and attitudes toward telementoring was e-mailed to members of the American College of Surgeons (ACS) Advisory Council for Rural Surgery and posted to the ACS website in areas targeting rural surgeons. A link to a webpage with a description of surgical telementoring and brief demonstrative video were included with the survey.
  
  
  
  There were 159 respondents, with 82.3 % of them practicing in communities smaller than 50,000 people. Overall, 78.6 % felt that telementoring would be useful to their practice, and 69.8 % thought it would benefit their hospitals. There was no correlation between years of practice and perceived usefulness of surgical telementoring. When asked the single most useful, or primary, application of surgical telementoring there was a split between learning new techniques (46.5 %) and intraoperative assistance with unexpected findings (39.0 %). When asked to select all applications in which they would be interested in using telementoring from a list of possible uses, surgeons most frequently selected: intraoperative consultation for unexpected findings (67.7 %), trauma consultation (32.9 %), and laparoscopic colectomy (32.9 %).
  
  
  
  Surgical telementoring is on the verge of widespread use but industry and surgical societies remain ambivalent about supporting its implementation due to concerns over lack of interest. This study demonstrates interest among rural surgeons. While there are differing opinions regarding compensation of the telementoring, the most common, single interest in the use of surgical telementoring was for learning new techniques or skill sets.
authors.affiliation: Akron Children's Hospital, 1 Perkins Sq, Ste 8400, Akron, OH, 44308, USA.
authors.forename: Ian C
authors.initials: IC
authors.lastname: Glenn
authors.affiliation: Akron Children's Hospital, 1 Perkins Sq, Ste 8400, Akron, OH, 44308, USA.
authors.forename: Nicholas E
authors.initials: NE
authors.lastname: Bruns
authors.affiliation: Akron Children's Hospital, 1 Perkins Sq, Ste 8400, Akron, OH, 44308, USA.
authors.forename: Danial
authors.initials: D
authors.lastname: Hayek
authors.affiliation: McPherson Hospital, Mcpherson, KS, USA.
authors.forename: Tyler
authors.initials: T
authors.lastname: Hughes
authors.affiliation: Akron Children's Hospital, 1 Perkins Sq, Ste 8400, Akron, OH, 44308, USA. tponsky@gmail.com.
authors.forename: Todd A
authors.initials: TA
authors.lastname: Ponsky
mesh_terms: D001291:Attitude of Health Personnel; D013502:General Surgery / Q000193:education*; D006801:Humans; D008611:Mentors; D019114:Remote Consultation; D012424:Rural Population; D066231:Surgeons; D011795:Surveys and Questionnaires; D014481:United States
keywords: Rural medicine; Rural surgery; Skill acquisition; Telemedicine; Telementoring; Telesurgery