Rural PREP Grand Rounds: Enhanced Surgical Skills Training

Thursday, August 27, 2020
10:00 am -11:00 am, PT
11:00 am – 12:00 pm, MT
12:00 pm – 1:00 pm, CT
1:00 pm – 2:00 pm, ET

David Kermode DO &
Joel Wells DO,
Wayne County Hospital, Corydon,


Rural physicians are required to adapt their scope of practice to the community they serve. As a family physician, this may involve certain surgical skills such as cesarian sections. This Grand Rounds will address options for training specific to your local community and steps on how to prepare for that eventuality. This session will provide a framework for tailoring your education and training as you prepare for practice in a rural community.

Learning Objectives

Participants will be able to:

  1. Identify surgical skills that lend themselves to the fellowship training model.
  2. Reflect on your own resources and needs to address your ability to do local training.
  3. Share your education and training experience/challenges with other programs.

Pre-Session Review Content & Assignment

Prior to the Grand Rounds event, participants will spend 30-60 minutes in the following activity:

  1. Read Iglesias & Kornelsen’s (2018) An evidence-based program for rural surgical and obstetrical networks
  2. Watch Iglesias’ (2015) The evidence underpinning privileging and maintenance of competency
  3. Along with your team, complete the pre-session activity questionnaire (link) by August 25th (you only need to submit one questionnaire per team). You will receive an email containing a copy of your responses. Please forward those responses to your teammates so that they can individually be prepared to share them with others in random small groups with others.
  4. Each team member should bring a print-out or easily accessible electronic copy of your team’s responses to the Grand Rounds event.




David Kermode, DO
Wayne County Hospital, Corydon, IA

Dave is a general surgeon practicing in a small hospital in rural Iowa. He is currently working to help train family physicians in a year-long fellowship, which he developed with Joel Wells, D.O. Their focus is training family physicians to do c-sections, colonoscopies, and other procedures necessary for physicians in rural areas where a surgeon does not reside. He has also worked at Northeast Regional Medical Center in Kirksville, Missouri training general surgery residents. He was the Chair of the Department of Surgery for ATSU Kirksville. He has also worked at Mercy Hospital in Des Moines, Iowa training general surgery residents.

Joel Wells, DO
Wayne County Hospital, Corydon, IA

Joel Wells is a board-certified family physician who has resided in Corydon Iowa since 1989. During that time he has been in solo practice, partnership, and group practice as well as self-employed and employed by the hospital. He has been involved in teaching since he started practicing. He has progressed from medical students on a regular basis to a continuity clinic for Family Medicine residents associated with the Des Moines Mercy Family Medicine program and now is the director of a fellowship program which is operated independently by Wayne County Hospital which is a critical access hospital.