International Experience, Electives, and Volunteerism in Surgical Training: A Survey of Resident Interest

Powell, Anathea C.; Mueller, Catherine; Kingham, T. Peter; Berman, Russell S.; Pachter, H. Leon; Hopkins, Mary Ann

doi:10.1016/j.jamcollsurg.2007.02.049

Cited by 131 publications

(119 citation statements)

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“…Recent literature suggests strong global health interest exists among residents, including surgical trainees [3,12,22] and, specifically, orthopaedists [14,17]. Similarly, numerous studies indicate a growing amount of global health activity within residency programs [4,11,13,19,23].…”

Section: Discussionmentioning

confidence: 99%

“…Recent surveys have demonstrated a major interest in global health pursuits among surgical trainees [2,3,12,22], including orthopaedic residents [14,17]. Additionally, several surgical residency programs have published detailed descriptions of their global health opportunities [15,21,23,28], including at least one orthopaedic program [11,24].…”

Section: Introductionmentioning

confidence: 99%

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What Is the Current Status of Global Health Activities and Opportunities in US Orthopaedic Residency Programs?

Clement

Clagett

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Interest in developing national health care has been increasing in many fields of medicine, including orthopaedics. One manifestation of this interest has been the development of global health opportunities during residency training. Questions/purposes We assessed global health activities and opportunities in orthopaedic residency in terms of resident involvement, program characteristics, sources of funding and support, partner site relationships and geography, and program director opinions on global health participation and the associated barriers. Methods An anonymous 24-question survey was circulated to all US orthopaedic surgery residency program directors (n = 153) by email. Five reminder emails were distributed over the next 7 weeks. A total of 59% (n = 90) program directors responded. Results Sixty-one percent of responding orthopaedic residencies facilitated clinical experiences in developing countries. Program characteristics varied, but most used clinical rotation or elective time for travel (76%), which most frequently occurred during Postgraduate Year 4 (57%) and was used to provide pediatric (66%) or trauma (60%) care. The majority of programs (59%) provided at least some funding to traveling residents and sent accompanying attendings on all ventures (56%). Travel was most commonly within North America (85%), and 51% of participating programs have established international partner sites although only 11% have hosted surgeons from those partnerships. Sixty-nine percent of residency directors believed global health experiences during residency shape future volunteer efforts, 39% believed such opportunities help attract residents to a training program, and the major

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

What Is the Current Status of Global Health Activities and Opportunities in US Orthopaedic Residency Programs?

Clement

Clagett

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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“…[20][21][22][23][24][25] Medical student interest in international rotations is increasing. The percentage of graduating medical students who had participated in international rotations was 27.2% in 2006, up from 15.3% in 1989 and 6.2% in 1984.…”

Section: Discussionmentioning

confidence: 99%

An International Health Track Is Associated With Care for Underserved US Populations in Subsequent Clinical Practice

Bazemore¹,

Goldenhar²,

Lindsell³

et al. 2011

Journal of Graduate Medical Education

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Background Recent efforts to increase insurance coverage have revealed limits in primary care capacity, in part due to physician maldistribution. Of interest to policymakers and educators is the impact of nontraditional curricula, including global health education, on eventual physician location. We sought to measure the association between graduate medical education in global health and subsequent care of the underserved in the United States. Methods In 2005, we surveyed 137 graduates of a family medicine program with one of the country's longest-running international health tracks (IHTs). We compared graduates of the IHT, those in the traditional residency track, and graduates prior to IHT implementation, assessing the anticipated and actual involvement in care of rural and other underserved populations, physician characteristics, and practice location and practice population. Results IHT participants were more likely to practice abroad and care for the underserved in the United States in the first 5 years following residency than non-IHT peers. Their current practices were more likely to be in underserved settings and they had higher percentages of uninsured and non–English-speaking patients. Comparisons between pre-IHT and post-IHT inception showed that in the first 5 years following residency, post-IHT graduates were more likely to care for the underserved and practice in rural areas and were likely to offer volunteer community health care services but were not more likely to practice abroad or to be in an academic practice. Conclusions Presence of an IHT was associated with increased care of underserved populations. After the institution of an IHT track, this association was seen among IHT participants and nonparticipants and was not associated with increased long-term service abroad.

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“…6 Lecturers need to pay more attention to the suggestions of trainees to improve the training programs, 7 eg by broadening their cultural horizons by studying abroad to provide internationalised training. 8 The methods of training young general surgeons have changed over the years and have gradually adapted to technological progress. This progress has led to international approval of training programs, to which even Italy, with its conservative and traditionalist background, has fully adapted.…”

Section: Overseas Surgical Trainingmentioning

confidence: 99%

Surgical training in Italy

Cola

2007

Bulletin

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There are 41 faculties of medicine in Italy, located at 36 different universities, some of which have 2 (Naples, Bari) or even 4 faculties (Rome, Milan). Each faculty has one or more schools of specialisation in general surgery, making a total of 60 schools. On average, each school accepts 6 students a year, ranging from 1 to 32. At present, there are 1,812 students registered in the various academic years of the schools of general surgery in Italy.

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International Experience, Electives, and Volunteerism in Surgical Training: A Survey of Resident Interest

Cited by 131 publications

References 3 publications

What Is the Current Status of Global Health Activities and Opportunities in US Orthopaedic Residency Programs?

What Is the Current Status of Global Health Activities and Opportunities in US Orthopaedic Residency Programs?

An International Health Track Is Associated With Care for Underserved US Populations in Subsequent Clinical Practice

Surgical training in Italy

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