International Health Electives in Orthopaedic Surgery Residency Training

Shultz, Paul; Kamal, Robin N.; Daniels, Alan H.; DiGiovanni, Christopher W.; Akelman, Edward

doi:10.2106/jbjs.m.01189

Cited by 32 publications

(37 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ophthalmology residents 58 2012 54% of ophthalmology residency program survey respondents offered GH electives. Orthopedic residents 59,60 2014, 2015 26% of orthopedic residency program survey respondents offered GH electives. Otolaryngology residents 61 2010 23% of US otolaryngology departments identified GH initiatives within their departments; 90% of those initiatives supported resident involvement.…”

Section: Graduate Medical Educationmentioning

confidence: 99%

Global Health: Preparation for Working in Resource-Limited Settings

et al. 2017

View full text Add to dashboard Cite

Trainees and clinicians from high-income countries are increasingly engaging in global health (GH) efforts, particularly in resource-limited settings. Concomitantly, there is a growing demand for these individuals to be better prepared for the common challenges and controversies inherent in GH work. This is a state-of-the-art review article in which we outline what is known about the current scope of trainee and clinician involvement in GH experiences, highlight specific considerations and issues pertinent to GH engagement, and summarize preparation recommendations that have emerged from the literature. The article is focused primarily on short-term GH experiences, although much of the content is also pertinent to long-term work. Suggestions are made for the health care community to develop and implement widely endorsed preparation standards for trainees, clinicians, and organizations engaging in GH experiences and partnerships.

show abstract

Section: Graduate Medical Educationmentioning

confidence: 99%

Global Health: Preparation for Working in Resource-Limited Settings

et al. 2017

View full text Add to dashboard Cite

show abstract

“…The barriers are multimodal, including home residency logistics, funding, accreditation board approval, and ethical implications. 7,12,14,21,22 Our survey results demonstrated that there are barriers regarding funding and ACGME approval. A high percentage of residents (47.7% [71/149]) responded that they were unwilling to pay out of pocket for international rotations.…”

Section: Barriersmentioning

confidence: 87%

Current US neurosurgical resident involvement, interest, and barriers in global neurosurgery

Lundy¹,

Miller²,

Woodrow³

2020

Neurosurgical Focus

View full text Add to dashboard Cite

OBJECTIVEIt is estimated that nearly 47 million preventable deaths occur annually due the current worldwide deficit in surgical care; subsequently, the World Health Organization resolved unanimously to endorse a decree to address this deficit. Neurosurgeons from industrialized nations can help address the needs of underserved regions. Exposure during training is critical for young neurosurgeons to gain experience in international work and to cultivate career-long interest. Here, the authors explore the opinions of current residents and interest in global neurosurgery as well as the current state of international involvement, opportunities, and barriers in North American residency training.METHODSAn internet-based questionnaire was developed using the authors’ university’s REDCap database and distributed to neurosurgical residents from US ACGME (Accreditation Council for Graduate Medical Education)–approved programs. Questions focused on the resident’s program’s involvement and logistics regarding international rotations and the resident’s interest level in pursuing these opportunities.RESULTSA 15% response rate was obtained from a broad range of training locations. Twenty-nine percent of respondents reported that their residency program offered elective training opportunities in developing countries, and 7.6% reported having participated in these programs. This cohort unanimously felt that the international rotation was a beneficial experience and agreed that they would do it again. Of those who had not participated, 81.3% reported interest or strong interest in international rotations.CONCLUSIONSThe authors’ results indicate that, despite a high level of desire for involvement in international rotations, there is limited opportunity for residents to become involved. Barriers such as funding and rotation approval were recognized. It is the authors’ hope that governing organizations and residency programs will work to break down these barriers and help establish rotations for trainees to learn abroad and begin to join the cause of meeting global surgical needs. To meet overarching international neurosurgical needs, neurosurgeons of the future must be trained in global neurosurgery.

show abstract

“…A 2014 survey of residency programs showed that only 26% of residency programs have established opportunities for their trainees to rotate abroad. 11 However, whether this number of available international rotation meets the orthopedic resident demand remains unknown. The current study provides evidence that the majority of orthopedic residents show serious interest in rotating abroad and that this number may surpass the number of available opportunities to train internationally.…”

Section: Discussionmentioning

confidence: 99%

“…According to a national survey done in 2014, only 26% of orthopedic residency programs offer international training opportunities. 11 The survey also hinted at growing interest among orthopedic residents. Previously, a study at the University of Washington indicated that 60% of orthopedic residents would be willing to enroll in an international health elective if given the opportunities.…”

mentioning

confidence: 99%

High Disparity Between Orthopedic Resident Interest and Participation in International Health Electives

Zhang¹,

Shultz²,

Daniels³

et al. 2016

Orthopedics

View full text Add to dashboard Cite

Few orthopedic surgical residency programs offer international health electives (IHEs). Efforts to expand these programs have been increasing across medical disciplines. Whether orthopedic residents will participate remains unknown. This study quantified and characterized orthopedic resident interest and barriers to IHEs in US residency programs. A web-based survey was administered to residents from 154 US orthopedic residency programs accredited by the Accreditation Council for Graduate Medical Education 2014 to 2015. Questions assessed demographics and program background, previous medical experience abroad, barriers to participation, and level of interest in participating in an international health elective during their training and beyond. Twenty-seven (17.5%) residency programs responded. Chi-square analysis showed that residents who expressed interest in participating were significantly more likely to have experience abroad compared with those who expressed no interest (P<.004). Analysis using Mann-Whitney U test suggested that those who expressed interest were more likely to believe IHEs are important to resident training (P<.0011; mean Likert scale score of 3.7 vs 2.6), provide valuable experience (P<.001; mean Likert scale score of 4.2 vs 3.2), and should be required for orthopedic residencies (P<.001; mean Likert scale score of 2.8 vs 1.9). Residents are strongly interested in participating in IHEs during their training, and many may integrate global health into future practices. Residents perceive lack of funding and scheduling flexibility as barriers preventing them from participating. Prior experience abroad influences level of interest, and international clinical experience may enhance future perception of its value. [Orthopedics. 2016; 39(4):e680-e686.].

show abstract

International Health Electives in Orthopaedic Surgery Residency Training

Cited by 32 publications

References 20 publications

Global Health: Preparation for Working in Resource-Limited Settings

Global Health: Preparation for Working in Resource-Limited Settings

Current US neurosurgical resident involvement, interest, and barriers in global neurosurgery

High Disparity Between Orthopedic Resident Interest and Participation in International Health Electives

Contact Info

Product

Resources

About