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Motivations and impact of international rotations in low- and middle-income countries for orthopaedic surgery residents: Are we on the same page?
- Source :
-
American journal of surgery [Am J Surg] 2021 Feb; Vol. 221 (2), pp. 245-253. Date of Electronic Publication: 2020 Sep 12. - Publication Year :
- 2021
-
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.<br />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.<br />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.<br />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.<br />Competing Interests: Declaration of competing interest Dr. Miclau has received grant funding from the Wyss Medical Foundation for activities outside the submitted work. None of the other authors have any conflicts of interest to disclose.<br /> (Copyright © 2020. Published by Elsevier Inc.)
- Subjects :
- Adult
Developing Countries
Female
Humans
Internship and Residency statistics & numerical data
Male
Middle Aged
North America
Orthopedic Procedures education
Orthopedics statistics & numerical data
Surgeons statistics & numerical data
Surveys and Questionnaires
International Cooperation
Internship and Residency organization & administration
Motivation
Orthopedics education
Surgeons psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1879-1883
- Volume :
- 221
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- American journal of surgery
- Publication Type :
- Academic Journal
- Accession number :
- 33092782
- Full Text :
- https://doi.org/10.1016/j.amjsurg.2020.08.046