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. 2026 Oct 15;11(4):e26.00155. doi: 10.2106/JBJS.OA.26.00155

Table 4.

Perceived Barriers and Motivators for Rural Practice

Barrier Overall N (%)
Panel A. Barriers (among those not interested in rural practice, n = 32)
 Prefer not to live in rural area 31 (97)
 Significant other/family preference 21 (66)
 Personal well-being concerns 19 (59)
 Ability to practice subspecialty fully 13 (41)
 Lack of technical resources 13 (41)
 Lack of subspecialty support 12 (38)
 Lack of knowledge about rural practice 10 (31)
 Academic practice preference 9 (28)
 Call schedule 6 (19)
 Compensation concerns 6 (19)
 Case complexity concerns 5 (16)
 Limited rehab access 4 (13)
 Education debt 2 (6)
Motivator Overall N (%)
Panel B. Motivators (among trainees interested in rural practice, n = 6)
 Recreational activities/hobbies 6 (100)
 Grew up in a rural area 4 (67)
 Want to live in a smaller community 4 (67)
 Practice full-time 3 (50)
 Close to family 3 (50)
 Practice part-time 3 (50)
 Lower cost of living 2 (33)
 Future compensation 2 (33)
 Breadth of cases 2 (33)