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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 :
- 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.
- 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
Subjects
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