Survey of Residents Who Have Participated in Humanitarian Medical Missions

Aziz, Shahid R.; Ziccardi, Vincent B.; Chuang, Sung-Kiang

doi:10.1016/j.joms.2011.10.007

Cited by 46 publications

(45 citation statements)

References 10 publications

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“…Our literature search identified 4 papers assessing medical student interest in surgery following international surgery electives. [76][77][78][79] An AHRQ grade of low strength was awarded to this body of evidence, with a mean Newcastle-Ottawa score of 4.8. In these reports, a small group of medical students participated in supervised medical electives and were interviewed about their experiences.…”

Section: Global Health Exposurementioning

confidence: 99%

A systematic review of the factors affecting choice of surgery as a career

Peel

Schlachta

Alkhamesi

2018

cjs

170

117

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A systematic review of the factors affecting choice of surgery as a careerBackground: Interest in surgical careers among medical students has declined over the past decade. Multiple explanations have been offered for why top students are deterred or rejected from surgical programs, though no consensus has emerged. Methods:We conducted a review of the literature to better characterize what factors affect the pursuit of a surgical career. We searched PubMed and EMBASE and performed additional reference checks. Agency for Healthcare Research and Quality (AHRQ) and Newcastle-Ottawa Education scores were used to evaluate the included data.Results: Our search identified 122 full-text, primary articles. Analysis of this evidence identified 3 core concepts that impact surgical career decision-making: gender, features of surgical education, and student "fit" in the culture of surgery. Conclusion:Real and perceived gender discrimination has deterred female medical students from entering surgical careers. In addition, limited exposure to surgery during medical school and differences between student and surgeon personality traits and values may deter students from entering surgical careers. We suggest that deliberate and visible effort to include women and early-career medical students in surgical settings may enhance their interest in carreers in surgery.Contexte : On constate que l'intérêt pour une carrière en chirurgie a décliné chez les étudiants en médecine depuis une dizaine d'années. Plusieurs raisons ont été invoquées pour expliquer le désintérêt des étudiants talentueux à l'égard des programmes de chirurgie ou leur rejet de ces programmes, sans qu'on en arrive à un consensus.

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Section: Global Health Exposurementioning

confidence: 99%

A systematic review of the factors affecting choice of surgery as a career

Peel

Schlachta

Alkhamesi

2018

cjs

170

117

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“…Research shows that these experiences enhance the training of the visiting surgical residents [77, 78], but it is less clear that host institutions benefit equally. As institutional partnerships between academic centers in wealthy LMIC become increasingly common [10, 37], the cleft care community, and the surgical community at large, must look beyond the needs of visiting trainees to the needs of students, residents, faculty and staff in host institutions and communities [79].…”

Section: Building Capacity While Addressing Specific Needs: a Diagmentioning

confidence: 99%

An Opportunity for Diagonal Development in Global Surgery: Cleft Lip and Palate Care in Resource-Limited Settings

Patel

Hoyler

Maine

et al. 2012

Plastic Surgery International

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Global cleft surgery missions have provided much-needed care to millions of poor patients worldwide. Still, surgical capacity in low- and middle-income countries is generally inadequate. Through surgical missions, global cleft care has largely ascribed to a vertical model of healthcare delivery, which is disease specific, and tends to deliver services parallel to, but not necessarily within, the local healthcare system. The vertical model has been used to address infectious diseases as well as humanitarian emergencies. By contrast, a horizontal model for healthcare delivery tends to focus on long-term investments in public health infrastructure and human capital and has less often been implemented by humanitarian groups for a variety of reasons. As surgical care is an integral component of basic healthcare, the plastic surgery community must challenge itself to address the burden of specific disease entities, such as cleft lip and palate, in a way that sustainably expands and enriches global surgical care as a whole. In this paper, we describe a diagonal care delivery model, whereby cleft missions can enrich surgical capacity through integration into sustainable, local care delivery systems. Furthermore, we examine the applications of diagonal development to cleft care specifically and global surgical care more broadly.

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“…These benefits may include increased surgical exposure to rare advanced pathologies not often seen in high-income countries, learning to adapt in an environment with fewer resources, developing an international professional network, and increasing cultural sensitivity and social awareness. 1 Some authors have even suggested that programs that offer these opportunities during residency can influence recruitment of top candidates. 15 In a Canadian survey of general surgery and orthopedic residents, half of the respondents stated that the presence of a global surgery program would positively influence their choice of residency program.…”

Section: Motivating Factorsmentioning

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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Survey of Residents Who Have Participated in Humanitarian Medical Missions

Cited by 46 publications

References 10 publications

A systematic review of the factors affecting choice of surgery as a career

A systematic review of the factors affecting choice of surgery as a career

An Opportunity for Diagonal Development in Global Surgery: Cleft Lip and Palate Care in Resource-Limited Settings

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

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