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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?

2020; Elsevier BV; Volume: 221; Issue: 2 Linguagem: Inglês

10.1016/j.amjsurg.2020.08.046

1879-1883

Heather J. Roberts, Patrick Albright, David Shearer, Nae Won, Madeline C. MacKechnie, R. Richard Coughlin, Theodore Miclau, Saam Morshed, Sanjeev Sabharwal, John A. Dawson, Brian R. Davis, Alan H. Daniels, Milton T. M. Little, John Garlich, Chad P. Coles, Ross Leighton, Michael Maceroli, Sandra L. Hobson, Chris Bray, Duretti T. Fufa, Sariah Khormaee, Brian Mullis, Roman M. Natoli, Babar Shafiq, Jimmy Mackenzie, Montri D. Wongworawat, Lee M. Zuckerman, Joshua N. Speirs, Charles F. Carr, Michael A. MacKechnie, George S.M. Dyer, Melvin C. Makhni, Kiran J. Agarwal-Harding, Brandon J. Yuan, Matt Beal, Danielle S. Chun, Andrew Furey, Brad Petrisor, Yong-Jung Kim, Kenneth A. Egol, Christian A. Péan, Blake J. Schultz, Darin Friess, Zachary M. Working, Grant S. Sun, Henry A. Boateng, M. Gardner, Malcolm R. DeBaun, Blake J. Schultz, Saquib Rehman, Eric Gokcen, J. Milo Sewards, Nicholas M. Bernthal, Zachary Burke, Alex Upfill Brown, Melissa Esparza, Peter O’Brien, David J. Stockton, Kevin M. Neal, Nathan N. O’Hara, Arun R. Hariharan, Peter Cole, Ann E. Van Heest, Patrick K. Horst, Brandon Kelly, Maurício Kfuri, Karl Lalonde, Jaimo Ahn, Sameer Mehta, Matt Winterton, Luke A. Lopas, James F. Kellam, Thomas F. Higgins, Iain Elliot, Paul S. Whiting, Jordan T. Shaw, Nathaniel M. Wilson, William T. Obremskey, Cassandra A. Lee, Keith Kenter, Joseph K. Weistroffer, J. Veenstra, David A. Knowles, Devin Conway, Aung Thein Htay, Myat Thu Wynn, Peter Smitham, Dr Dino Aguilar, Amanda McCoy, Kiprono Koech, Ian Orwa, Marvin Wekesa, Francis Mbugua, Daniel D. Galat, John Mandela, David Jomo, James Kinyua, Mbonisi Malaba, Felix Kuguru, Fasto L.T. Yugusuk, Pierre Marie Woolley, Marc-Alain Pean, Billy T. Haonga, Edmund Eliezer, Samuel Hailu, Fre Alemseged, Linda Chokotho, Allman Tinoco, Bibek Banskota, Scott W. Nelson, Francisco Vargas,

Travel-related health issues

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.