The International Orthopaedic Health Elective at the University of California at San Francisco: The Eight-Year Experience

Disston, Alexander; Martínez-Díaz, Gabriel J.; Raju, Sarath; Rosales, María Elena Tejeda; Berry, Wil; Coughlin, R. Richard

doi:10.2106/jbjs.i.00460

Cited by 37 publications

(51 citation statements)

References 10 publications

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“…20 The trend from these 2 surveys indicates that a sizeable portion of Canadian surgical trainees appear to have a genuine interest in global health issues. Likewise, an increase in response rate from 27% to 38.0% may indicate that interest is increasing among surgical trainees, a trend also suggested in U.S. surveys of surgical residents 28 and seen among North American medical students in general. 29 However, this low response rate may indicate that our findings reflect the opinion of the respondents alone and may not reflect the opinions of the whole population, thus possibly introducing a bias in this study.…”

Section: Discussionmentioning

confidence: 78%

Surgical residency training and international volunteerism: a national survey of residents from 2 surgical specialties

Matar

Trottier

Balaa

et al. 2012

CJS

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Background: Many low- and middle-income countries (LMICs) lack basic surgical resources, resulting in avoidable disability and mortality. Recently, residents in surgical training programs have shown increasing interest in overseas elective experiences to assist surgical programs in LMICs. The purpose of this study was to survey Canadian surgical residents about their interest in international volunteerism. Methods: We sent a web-based survey to all general and orthopedic surgery residents enrolled in surgical training programs in Canada. The survey assessed residents’ interests, attitudes and motivations, and perceived barriers and aids with respect to international volunteerism. Results: In all, 361 residents completed the survey for a response rate of 38.0%. Half of the respondents indicated that the availability of an international surgery elective would have positively influenced their selection of a residency program. Excluding the 18 residents who had volunteered during residency, 63.8% of the remaining residents confirmed an interest in international volunteering with “contributing to an important cause,” “teaching” and “tourism/cultural enhancement” as the leading reasons for their interest. Perceived barriers included “lack of financial support” and “lack of available organized opportunities.” All (100%) respondents who had done an international elective during residency confirmed that they would pursue such work in the future. Conclusion: Administrators of Canadian surgical programs should be aware of strong resident interest in global health care and accordingly develop opportunities by encouraging faculty mentorships and resources for global health teaching.

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Section: Discussionmentioning

confidence: 78%

Surgical residency training and international volunteerism: a national survey of residents from 2 surgical specialties

Matar

Trottier

Balaa

et al. 2012

CJS

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“…6,7 The trauma burden is huge in Kenya due to poor transport and health and safety measures at work. 8 As a result most patients operated on are trauma cases.…”

Section: The Kenya Orthopaedic Projectmentioning

confidence: 99%

The Kenya Orthopaedic Project

Cousins

Obolensky

McAllen

et al. 2012

The Journal of Bone and Joint Surgery. British volume

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We report the results of six trauma and orthopaedic projects to Kenya in the last three years. The aims are to deliver both a trauma service and teaching within two hospitals; one a district hospital near Mount Kenya in Nanyuki, the other the largest public hospital in Kenya in Mombasa. The Kenya Orthopaedic Project team consists of a wide range of multidisciplinary professionals that allows the experience to be shared across those specialties. A follow-up clinic is held three months after each mission to review the patients. To our knowledge there are no reported outcomes in the literature for similar projects. A total of 211 operations have been performed and 400 patients seen during the projects. Most cases were fractures of the lower limb; we have been able to follow up 163 patients (77%) who underwent surgical treatment. We reflect on the results so far and discuss potential improvements for future missions.

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“…In the academic context, political will among department leadership is crucial to the longterm success of collaboration. At the University of California, the political will on the part of department chairs and division chiefs has been vital to the development of an overseas elective for residents that is more than a decade old [5]. In 2006, the University of California established the Institute for Global Orthopaedics and Traumatology with the support of leadership, faculty, and residents.…”

mentioning

confidence: 99%