1. Motivations and impact of international rotations in low- and middle-income countries for orthopaedic surgery residents: Are we on the same page?
- Author
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Heather J. Roberts, Patrick D. Albright, David W. Shearer, Nae Won, Madeline C. MacKechnie, R. Richard Coughlin, Theodore Miclau, Saam Morshed, Sanjeev Sabharwal, John Dawson, Brian Davis, Alan Daniels, Milton Little, John Garlich, Chad Coles, Ross Leighton, Michael Maceroli, Sandra Hobson, Chris Bray, Duretti Fufa, Sariah Khormaee, Brian Mullis, Roman M. Natoli, Babar Shafiq, Jimmy Mackenzie, Danny Wongworawat, Lee Zuckerman, Joshua Speirs, Charles F. Carr, Michael Mackechnie, George Dyer, Melvin Makhni, Kiran Agarwal-Harding, Brandon Yuan, Matt Beal, Danielle Chun, Andrew Furey, Brad Petrisor, Yongjung Kim, Ken Egol, Christian Pean, Blake Schultz, Darin Friess, Zach Working, Grant Sun, Henry Boateng, Michael Gardner, Malcolm DeBaun, Saquib Rehman, Eric Gokcen, J. Milo Sewards, Nicholas Bernthal, Zachary Burke, Alex Upfill Brown, Melissa Esparza, Peter O'Brien, David Stockton, Kevin Neal, Nathan O'Hara, Arun Hariharan, Peter Cole, Ann Van Heest, Patrick Horst, Brandon Kelly, Mauricio Kfuri, Karl Lalonde, Jaimo Ahn, Samir Mehta, Matt Winterton, Luke Lopas, James Kellam, Thomas Higgins, Iain Elliot, Paul Whiting, Jordan T. Shaw, Nathaniel M. Wilson, William Obremskey, Cassandra A. Lee, Keith Kenter, Joseph Weistroffer, Josh Veenstra, David Knowles, Devin Conway, Aung Thein Htay, Myat Thu Wynn, Dr Peter Smitham, Dr Dino Aguilar, Amanda J. McCoy, Kiprono Koech, Ian Orwa, Marvin Wekesa, Francis Mbugua, Daniel D. Galat, John Mandela, David Jomo, James Kinyua, Mbonisi Malaba, Felix Kuguru, Fasto Yugusuk, Pierre Woolley, Marc-Alain Pean, Billy Haonga, Edmund Eliezer, Samuel Hailu, Fre Alemseged, Linda Chokotho, Allman Tinoco, Bibek Banskota, Scott Nelson, and Francisco Alberto Hernandez Vargas
- Subjects
Adult ,Male ,medicine.medical_specialty ,International Cooperation ,media_common.quotation_subject ,Developing country ,Racism ,03 medical and health sciences ,0302 clinical medicine ,Surveys and Questionnaires ,medicine ,Humans ,Orthopedic Procedures ,030212 general & internal medicine ,Developing Countries ,Reciprocity (cultural anthropology) ,media_common ,Surgeons ,Motivation ,business.industry ,Internship and Residency ,General Medicine ,Middle Aged ,Orthopedics ,Low and middle income countries ,Family medicine ,General partnership ,North America ,Orthopedic surgery ,Female ,Surgery ,business ,030217 neurology & neurosurgery - 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.
- Published
- 2021
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