Among Their Peers: Peer Review Can Prove Tricky for Rural Surgeons

Isolation—it's a feeling rural physicians are used to. It especially comes to the forefront when organizing a peer-review panel and country doctors are reminded that their peers are few and far between.

For surgeons in particular, this difficulty is heightened because in many cases the only peers nearby are either practice partners or direct competitors. Traditionally, rural surgical peer-review panels have often included nonsurgical local physicians, distant surgeons not familiar with the limitations of the rural setting or expensive third parties.

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