Abstract
Background: Despite interest among North American orthopaedic residents to pursue rotations in resource-limited settings, little is known regarding resident motivations and impact on host surgeons. Methods: Surveys were distributed to North American orthopaedic surgeons and trainees who participated in international rotations during residency to assess motivations for participation and to orthopaedic surgeons at partnering low- and middle-income country (LMIC) institutions to assess impact of visiting trainees. Results: Responses were received from 136 North American resident rotators and 51 LMIC host surgeons and trainees. North American respondents were motivated by a desire to increase surgical capacity at the LMIC while host surgeons reported a greater impact from learning from residents than on surgical capacity. Negative aspects reported by hosts included selfishness, lack of reciprocity, racial discrimination, competition for surgical experience, and resource burdens. Conclusions: The motivations and impact of orthopaedic resident rotations in LMICs need to be aligned. Host perceptions and bidirectional educational exchange should be incorporated into partnership guidelines.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 245-253 |
| Number of pages | 9 |
| Journal | American journal of surgery |
| Volume | 221 |
| Issue number | 2 |
| DOIs | |
| State | Published - Feb 2021 |
Funding
John Dawson, Baylor College of Medicine Program, United States, [email protected] . Brian Davis, Baylor College of Medicine Program, United States, [email protected] . Alan Daniels, Brown University Program, United States, [email protected] . Milton Little, Cedars-Sinai Medical Center Program, United States, [email protected] . John Garlich, Cedars-Sinai Medical Center Program, United States, [email protected] . Chad Coles, Ross Leighton, Dalhousie University, Canada, [email protected] , [email protected] . Michael Maceroli, Emory University School of Medicine Program, United States, [email protected] . Sandra Hobson, Emory University School of Medicine Program, United States, [email protected] . Chris Bray, Greenville Health System/University of South Carolina Program, United States, Christopher. [email protected] . Duretti Fufa, Hospital for Special Surgery/Cornell Medical Center Program, United States, [email protected] . Sariah Khormaee, Hospital for Special Surgery/Cornell Medical Center Program, United States, [email protected] . Brian Mullis, Roman M Natoli, Indiana University School of Medicine Program, United States, [email protected] , [email protected] . Babar Shafiq, Johns Hopkins University Program, United States, [email protected] . Jimmy Mackenzie, Johns Hopkins University Program, United States, [email protected] . Danny Wongworawat, Lee Zuckerman, Loma Linda University Health Education Consortium Program, United States, [email protected] , [email protected] . Joshua Speirs, Loma Linda University Health Education Consortium Program, United States, [email protected] . Charles F. Carr, Michael Mackechnie, Mary Hitchcock Memorial Hospital/DartmouthHitchcock Program, United States, [email protected] , [email protected] . George Dyer, Melvin Makhni, Massachusetts General Hospital/Brigham and Women's Hospital/Harvard Medical School Program, United States, [email protected] , [email protected] . Kiran Agarwal-Harding, Massachusetts General Hospital/Brigham and Women's Hospital/Harvard Medical School Program, United States, [email protected] . Brandon Yuan, Mayo Clinic College of Medicine and Science (Rochester) Program, United States, [email protected] . Matt Beal, McGaw Medical Center of Northwestern University Program, United States, [email protected] . Danielle Chun, McGaw Medical Center of Northwestern University Program, United States, [email protected]. Andrew Furey, Memorial University of Newfoundland, Canada, [email protected] . Brad Petrisor, McMaster University, Canada, [email protected] . Yongjung Kim, New York Presbyterian Hospital (Columbia Campus) Program, United States, [email protected] . Ken Egol, New York University School of Medicine/NYU Langone Orthopedic Hospital Program, United States, [email protected] . Christian Pean, Blake Schultz, New York University School of Medicine/NYU Langone Orthopedic Hospital Program, United States , [email protected] , [email protected] . Darin Friess, Zach Working, Oregon Health & Science University Program, United States, [email protected] , [email protected] . Grant Sun, Oregon Health & Science University Program, United States, [email protected] . Henry Boateng, Penn State Milton S Hershey Medical Center Program, United States, [email protected] . Michael Gardner, Stanford Health CareSponsored Stanford University Program, United States, [email protected] . Malcolm Debaum, Blake Schultz, Stanford Health CareSponsored Stanford University Program, United States, [email protected] , [email protected] . Saquib Rehman, Eric Gokcen, J. Milo Sewards, Temple University Hospital Program, United States, [email protected] , [email protected] , [email protected] . Nicholas Bernthal, UCLA David Geffen School of Medicine/UCLA Medical Center Program, United States, [email protected] . Zachary Burke, Alex Upfill Brown, UCLA David Geffen School of Medicine/UCLA Medical Center Program, United States, [email protected] , [email protected] . Melissa Esparza, University of Arizona College of Medicine-Phoenix Program (Banner), United States, [email protected] . Peter O'Brien, University of British Columbia, Canada, [email protected] . David Stockton, University of British Columbia, Canada, [email protected] . Kevin Neal, University of Florida College of Medicine Jacksonville Program, United States, Kevin. [email protected] . Nathan O'Hara, University of Maryland Program, United States, NO'[email protected] . Arun Hariharan, University of Maryland Program, United States, [email protected] . Peter Cole, Ann Van Heest, Patrick Horst, University of Minnesota Program, United States, [email protected] , [email protected] , [email protected] . Brandon Kelly, University of Minnesota Program, United States, [email protected] . Mauricio Kfuri, University of Missouri-Columbia Program, United States, [email protected] . Karl Lalonde, University of Ottawa, Canada, [email protected] . Jaimo Ahn, Samir Mehta, University of Pennsylvania Health System Program, United States, [email protected] , [email protected] . Matt Winterton, Luke Lopas, University of Pennsylvania Health System Program, United States, [email protected] , [email protected] . James Kellam, University of Texas Health Science Center at Houston Program, United States, [email protected] . Thomas Higgins, University of Utah Program, United States, [email protected] . Iain Elliot, University of Utah Program, United States, [email protected] . Paul Whiting, University of Wisconsin Hospitals and Clinics Program, United States, [email protected] . Jordan T Shaw, Nathaniel M Wilson, University of Wisconsin Hospitals and Clinics Program, United States. William Obremskey, Vanderbilt University Medical Center Program, United States, [email protected]. Cassandra A. Lee, Wake Forest University School of Medicine Program, United States, [email protected]. Keith Kenter, Joseph Weistroffer, Western Michigan University Homer Stryker MD School of Medicine Program, United States, [email protected] , [email protected] . Josh Veenstra, David Knowles, Western Michigan University Homer Stryker MD School of Medicine Program, United States [email protected] , [email protected] Devin Conway, Yale-New Haven Medical Center Program, United States, [email protected] . Aung Thein Htay, Yangon Orthopedic Hospital, Myanmar, [email protected] . Myat Thu Wynn, Yangon Orthopedic Hospital, Myanmar, [email protected] . Dr. Peter Smitham PhD, FRCS, FRACS, Royal Adelaide Hospital, Australia. Dr. Dino Aguilar, MD, Hospital Antonio Lenín Fonseca de Managua, Nicaragua. Amanda J McCoy MD, MPH, Tenwek Mission Hospital, Kenya. Kiprono Koech MD, Tenwek Mission Hospital, Kenya. Ian Orwa MD, Tenwek Mission Hospital, Kenya. Marvin Wekesa MD, Tenwek Mission Hospital, Kenya. Francis Mbugua MD, AIC Kijabe Hospital, Kenya. Daniel D Galat MD, AIC Kijabe Hospital, Kenya. John Mandela MD, AIC Kijabe Hospital, Kenya. David Jomo MD, AIC Kijabe Hospital, Kenya. James Kinyua, CURE International Hospital Kenya, Kenya. Mbonisi Malaba, CURE International Hospital Kenya, Kenya. Felix Kuguru, CURE International Hospital Kenya, Kenya. Fasto Yugusuk, CURE International Hospital Kenya, Kenya. Pierre Woolley, La Paix Hospital, Haiti, [email protected] . Marc-Alain Pean MD, La Paix Hospital, Haiti, [email protected] . Dr. Billy Haonga, MD, Dr. Edmund Eliezer, Muhimbili Orthopaedic Institute, Tanzania, [email protected] , [email protected] . Dr. Samuel Hailu, Tikur Anbessa Teaching Hospital, Ethiopia, [email protected] . Dr. Fre Alemseged, Tikur Anbessa Teaching Hospital, Ethiopia, [email protected] . Linda Chokotho, Beit Cure International Hospital (Malawi), Malawi, [email protected] . Allman Tinoco, MD, Hospital San Juan de Dios, Colombia, [email protected] . Bibek Banskota, Hospital and Rehabilitation Centre for Disabled Children, Nepal. Scott Nelson, Hospital Adventiste d'Haiti, Haiti, [email protected] . Francisco Alberto Hernandez Vargas, Hospital Escuela Antonio Lenin Fonseca, Nicaragua, [email protected] .
Keywords
- Education
- Global surgery
- International rotation
- Low- and middle-income country
- Orthopaedic residency
ASJC Scopus subject areas
- Surgery
