The Rural American Surgeon

Why This Family Doctor Does C-Sections with Dr. Brogan Bahler

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A family doc taking on surgery in rural America?

That’s what Dr. Brogan Bahler is doing as a rural family physician who has carved out a full-scope OBGYN practice, including C-sections, D&Cs, hysteroscopies, and more.

In today’s conversation, Dr. Bahler and Dr. Randy Lehman discuss:

  • How residency moonlighting helped prepare him for surgical OB
  • Why rural hospitals shut down OB—and what that means for local care
  • What general surgeons need to know to safely assist or perform C-sections
  • How to credential yourself for surgical OB privileges
  • Details on how he performs a C-section

    • Whether you're a rural general surgeon, FMOB, or still in training, this episode is a powerful look at what it means to step up when your community needs you most.

    0:00 Introduction

    0:41 Dr. Bahler’s Background & Training Path
    2:59 Surgical OB Without an FMOB Fellowship
    5:21 How Many C-Sections Are Enough?
    12:06 C-Section Skills Every Rural Surgeon Should Know
    14:55 Emergency C-Sections & Locums Work
    18:15 Building OB Volume in a Rural Practice
    23:57 From Family Med to Full-Time OB-GYN
    25:23 Why Rural OB-GYN Is Special
    26:18 How I Do It: C-Section
    29:06 Resources for the Busy Rural Surgeon
    31:48 Financial Corner
    38:51 Classic Rural Surgery Stories

    Resources Mentioned:

    https://www.acog.org/


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    The Rural American SurgeonBy Randy Lehman