Highlights
- •Resident rotations in low-income countries must consider needs of host surgeons.
- •Successful academic partnerships foster reciprocity and bidirectional exchange.
- •Resident motivations are not aligned with perceived impact on host surgeons.
Abstract
Background
Despite interest among North American orthopaedic residents to pursue rotations in
resource-limited settings, little is known regarding resident motivations and impact
on host surgeons.
Methods
Surveys were distributed to North American orthopaedic surgeons and trainees who participated
in international rotations during residency to assess motivations for participation
and to orthopaedic surgeons at partnering low- and middle-income country (LMIC) institutions
to assess impact of visiting trainees.
Results
Responses were received from 136 North American resident rotators and 51 LMIC host
surgeons and trainees. North American respondents were motivated by a desire to increase
surgical capacity at the LMIC while host surgeons reported a greater impact from learning
from residents than on surgical capacity. Negative aspects reported by hosts included
selfishness, lack of reciprocity, racial discrimination, competition for surgical
experience, and resource burdens.
Conclusions
The motivations and impact of orthopaedic resident rotations in LMICs need to be aligned.
Host perceptions and bidirectional educational exchange should be incorporated into
partnership guidelines.
Keywords
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Article info
Publication history
Published online: September 12, 2020
Accepted:
August 30,
2020
Received in revised form:
August 19,
2020
Received:
May 18,
2020
Identification
Copyright
© 2020 Published by Elsevier Inc.
