Interest in international surgical volunteerism: results of a survey of members of the American Pediatric Surgical Association

Butler, Marilyn; Krishnaswami, Sanjay; Rothstein, David H.; Cusick, Robert A.

doi:10.1016/j.jpedsurg.2011.09.008

Cited by 24 publications

(14 citation statements)

References 12 publications

(12 reference 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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“…International health training electives are increasingly incorporated into curricula, or provisions are made to use semester breaks for such placements with or without earning credits toward the qualification. Offered with a focus on under- or post-graduate students’ learning opportunities [ 31 – 33 ], it comes as no surprise that these placements are very popular in medicine, nursing and allied health professions with a particularly keen interest in surgical residencies [ 34 – 37 ]. However, strong ethical concerns have been raised [ 38 , 39 ] identical to those discussed later on.…”

Section: Introductionmentioning

confidence: 99%

More harm than good? The questionable ethics of medical volunteering and international student placements

Bauer

2017

Trop Dis Travel Med Vaccines

131

103

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It has been argued that much of international medical volunteering is done for the wrong reasons, in that local people serve as a means to meet volunteers’ needs, or for the right reasons but ignorance and ill-preparedness harm the intended beneficiaries, often without volunteers’ grasp of the damage caused. The literature on ethical concerns in medical volunteering has grown tremendously over the last years highlighting the need for appropriate guidelines. These same concerns, however, and an appreciation of the reasons why current aid paradigms are flawed, can serve as indicators on how to change existing practices to ensure a better outcome for those who are in need of help. Such paradigm change envisages medical assistance in the spirit of solidarity, social justice, equality, and collegial collaboration.

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“…Interest in global surgical initiatives has been demonstrated among residents from other surgical disciplines. 5,13,15 One survey conducted among American general surgery residents showed that 92% of respondents had an interest in participating in an international elective, and 85% of respondents intended to include volunteerism in their future practice. 14 This study likewise demonstrated a strong interest in global surgery initiatives among residents, with 57% of residents having an interest in participating during residency and 64% planning on participating as future attending staff.…”

Section: Resident Interestmentioning

confidence: 99%

“…Among other surgical disciplines, residents have shown interest in participating in global health electives and initiatives; however, no study exists that evaluates interest in and barriers to participation specifically among neurosurgery residents. 1,5 Thus, the objective of this study was to collect data related to Canadian neurosurgery residents' participation in global neurosurgical electives or humanitarian trips to LMICs. Specifically, we sought to determine the level of interest, degree of participation, perceived barriers to participation, and strategies for increasing participation.…”

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confidence: 99%

Interest and participation in global neurosurgery: a survey of Canadian neurosurgery residents

Westwick

Elkaim

Obaid

et al. 2020

Neurosurgical Focus

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OBJECTIVEThe lack of access to primary neurosurgical care presents a significant burden for patients in low- and middle-income countries (LMICs). Efforts to decrease the inequities in access to surgical care have become an increasing focus of initiatives and advocacy within the international neurosurgery community. Although residents may represent highly active members of international teams, the extent of their availability for and interest in global neurosurgery opportunities remains unclear. The objectives of this study were to assess the degree of participation, the level of interest, and the perceived barriers for residents of Canadian neurosurgery programs in engaging in neurosurgery initiatives in LMICs.METHODSA cross-sectional survey was administered to 144 residents from all accredited Canadian neurosurgery residency programs. The survey was used to determine the level of participation and interest in global neurosurgery initiatives.RESULTSThe survey response rate from residents at Canadian neurosurgery programs was 45/144 (31%), although not all respondents answered every question; thus, the denominator for each question is not always 45. Most neurosurgery residents (n = 30, 68%) were unaware of any global neurosurgery opportunities available during residency. Despite 64% of residents having an interest in participation (strongly agree/agree; n = 28), with most residents planning on participating as attending staff (strongly agree/agree; n = 28, 64%), only 3 residents (7%) had taken part in LMIC neurosurgery initiatives. The most cited perceived limitations for participation were lack of time (n = 37, 84%) and finances (n = 26, 59%).CONCLUSIONSAmong surveyed residents from Canadian neurosurgery programs, there was a low participation rate in global neurosurgery initiatives and limited knowledge of available opportunities, despite relatively high interest. Many respondents identified time and financial constraints as barriers to participation. Many residents felt that interest could increase were there a structured program dedicated to global neurosurgery available in their residency program.

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Interest in international surgical volunteerism: results of a survey of members of the American Pediatric Surgical Association

Cited by 24 publications

References 12 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?

More harm than good? The questionable ethics of medical volunteering and international student placements

Interest and participation in global neurosurgery: a survey of Canadian neurosurgery residents

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