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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? | LitMetric

AI Article Synopsis

  • Many North American orthopaedic residents want to gain experience by working in lower-income countries, but it's unclear why and how it helps everyone involved.
  • A survey revealed that these residents are excited to help improve local surgery, while local surgeons learn valuable skills from them.
  • However, there were some problems like feeling unappreciated or competition, so it's important to find a better way for everyone to benefit from these experiences.

Article 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.

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Source
http://dx.doi.org/10.1016/j.amjsurg.2020.08.046DOI Listing

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