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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?

Authors :
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
Francisco Alberto Hernandez Vargas
Source :
The American Journal of Surgery. 221:245-253
Publication Year :
2021
Publisher :
Elsevier BV, 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. 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.

Details

ISSN :
00029610
Volume :
221
Database :
OpenAIRE
Journal :
The American Journal of Surgery
Accession number :
edsair.doi.dedup.....3213c1d0d3f66c5ea3e543730b23ea26
Full Text :
https://doi.org/10.1016/j.amjsurg.2020.08.046