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The Rural American Surgeon

by Randy Lehman
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Latest episodes

  • Can Rural Hospitals Really Provide the Same Quality Cancer Care? (Part 1)

    October 8, 2026 · 33 min

    Dr. Ronald Weigel joins host Dr. Randy Lehman on The Rural American Surgeon to discuss the American College of Surgeons Commission on Cancer’s new rural accreditation pathway and what it could mean for hospitals, surgeons, and cancer…

  • The Rural Surgeon’s Guide to Treating Pilonidal Disease

    October 1, 2026 · 36 min

    Dr. Levi Smucker joins host Dr. Randy Lehman on The Rural American Surgeon to discuss his path to rural general surgery, from growing up in Pennsylvania and training at Bassett Healthcare in Cooperstown to building his practice in Goshen…

  • What Rural Surgeons Need That Most Residencies Don’t Teach

    September 24, 2026 · 22 min

    Dr. Joon Shim, program director at Bassett Healthcare in Cooperstown, New York, joins host Dr. Randy Lehman and Jacob on The Rural American Surgeon to discuss how Bassett prepares residents for the realities of rural general surgery. Dr…

  • Why Rural Surgeons Can’t Afford to Be Too Specialized (Part 2)

    September 17, 2026 · 37 min

    Stuart Ferguson returns for part two of his conversation on The Rural American Surgeon to explore the practical realities of providing urologic and general surgical care in the remote Shetland Islands. Stuart discusses the limitations that…

  • Why Rural Surgeons Can’t Afford to Be Too Specialized (Part 1)

    September 10, 2026 · 37 min

    Stuart Ferguson, a consultant general surgeon in Scotland’s remote Shetland Islands, joins The Rural American Surgeon to discuss what it takes to practice surgery 200 miles into the North Sea and why he deliberately built his career around…

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  • What Does a Rural Surgeon Actually Need to Know?

    September 3, 2026 · 33 min

    Dr. Amiri, program director at Marshall University, and fourth year surgery resident David Kanarowski join The Rural American Surgeon to discuss Marshall’s dedicated rural general surgery residency and how it prepares surgeons for…

  • Are You Really Ready to Be the Only Surgeon in the Room?

    August 27, 2026 · 29 min

    Dr. Anne O’Rourke, program director at the University of Wisconsin, joins The Rural American Surgeon to discuss how UW’s rural surgery track prepares general surgery residents for independent rural practice. She explains how the five-year…

  • Training Miniseries 3: Dr. Frank Wood and Dr. Barclay Stewart

    June 11, 2026 · 53 min

    Our “Training the Rural Surgeon” miniseries continues as Dr. Randy Lehman and Jacob Steffen are joined by Dr. Frank Wood from the University of Oklahoma and Dr. Barclay Stewart from the University of Washington to examine how residency…

  • Training Miniseries 2: Dr. Mariela Rivera

    June 4, 2026 · 21 min

    Our “Training the Rural Surgeon” miniseries continues as Dr. Randy Lehman and Jacob Steffen are joined by Dr. Mariela Rivera, Program Director at Mayo Clinic in Rochester, Minnesota. They discuss how Mayo Clinic’s rural general surgery…

  • Training Miniseries 1: Dr. Mel Johnson and Dr. Lauren Dudas

    May 28, 2026 · 50 min

    Our “Training the Rural Surgeon” miniseries begins with Dr. Randy Lehman joined by medical student Jacob Steffen, Dr. Mel Johnson from Gundersen, and Dr. Lauren Dudas from WVU to examine how residency programs prepare surgeons for broad…

  • Why Great Surgical Residents Prepare Before They Feel Ready | Jacob Steffen Pt. 2

    May 21, 2026 · 57 min

    The operating room rewards preparation long before it rewards confidence. In Part Two of this conversation, Dr. Randy Lehman continues mentoring medical student Jacob Steffen through the realities of surgical training: knot tying, OR…

  • How Responsibility Turns Students Into Surgeons | Jacob Steffen Pt. 1

    May 14, 2026 · 52 min

    In surgery, responsibility comes before confidence.Medical students entering a Sub I are expected to manage patients, present clearly, stay organized, and earn trust before they feel fully comfortable doing it.In this Part One episode, Dr…

Full episode archive on Apple Podcasts →

About the show

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.