TY - JOUR
T1 - Motivations and impact of international rotations in low- and middle-income countries for orthopaedic surgery residents
T2 - Are we on the same page?
AU - the COACT Resident Rotation Study Group
AU - Roberts, Heather J.
AU - Albright, Patrick D.
AU - Shearer, David W.
AU - Won, Nae
AU - MacKechnie, Madeline C.
AU - Richard Coughlin, R.
AU - Miclau, Theodore
AU - Morshed, Saam
AU - Sabharwal, Sanjeev
AU - Dawson, John
AU - Davis, Brian
AU - Daniels, Alan
AU - Little, Milton
AU - Garlich, John
AU - Coles, Chad
AU - Leighton, Ross
AU - Maceroli, Michael
AU - Hobson, Sandra
AU - Bray, Chris
AU - Fufa, Duretti
AU - Khormaee, Sariah
AU - Mullis, Brian
AU - Natoli, Roman M.
AU - Shafiq, Babar
AU - Mackenzie, Jimmy
AU - Wongworawat, Danny
AU - Zuckerman, Lee
AU - Speirs, Joshua
AU - Carr, Charles F.
AU - Mackechnie, Michael
AU - Dyer, George
AU - Makhni, Melvin
AU - Agarwal-Harding, Kiran
AU - Yuan, Brandon
AU - Beal, Matt
AU - Chun, Danielle
AU - Furey, Andrew
AU - Petrisor, Brad
AU - Kim, Yongjung
AU - Egol, Ken
AU - Pean, Christian
AU - Schultz, Blake
AU - Friess, Darin
AU - Working, Zach
AU - Sun, Grant
AU - Boateng, Henry
AU - Gardner, Michael
AU - DeBaun, Malcolm
AU - Rehman, Saquib
AU - Gokcen, Eric
N1 - Publisher Copyright:
© 2020
PY - 2021/2
Y1 - 2021/2
N2 - 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.
AB - 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.
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U2 - 10.1016/j.amjsurg.2020.08.046
DO - 10.1016/j.amjsurg.2020.08.046
M3 - Article
C2 - 33092782
AN - SCOPUS:85092770356
SN - 0002-9610
VL - 221
SP - 245
EP - 253
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 2
ER -