Science in the Heartland: Exploring determinants of offering cancer clinical trials in rural-serving community urology practices.

•Nonmetropolitan community urology practices present important opportunities to increase cancer clinical trial accrual.•Even in communities with available cancer clinical trials, practices have limited awareness of trials because they lack social connections with trial investigators.•Rural-serving urologists were motivated to offer trials because they see trials as extending available treatment options, which is aligned with their professional role.•Practices were receptive to interventions, including external facilitation, to help them offer trials to their patients.