Department of Orthopaedics, University of North Carolina, 3147 Bioinformatics Building, 130 Mason Farm Road, Chapel Hill, NC, 27514, USA,
Clin Orthop Relat Res. 2013 Nov;471(11):3689-98. doi: 10.1007/s11999-013-3184-3. Epub 2013 Jul 27.
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.
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.
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 perceived challenges were funding (73%), faculty time (53%), and logistical planning (43%).
Global health interest and activity are common among orthopaedic residency programs. There is diversity in the characteristics and geographical locations of such activity, although some consensus does exist among program directors around funding and faculty time as the largest challenges.
在包括骨科在内的许多医学领域，人们对发展国家卫生保健的兴趣日益浓厚。这种兴趣的表现之一是在住院医师培训期间提供全球卫生机会。
问题/目的：我们评估了骨科住院医师参与度、项目特点、资金和支持来源、合作机构关系和地理位置、以及项目主任对全球健康参与的看法和相关障碍等方面的全球健康活动和机会。
通过电子邮件向所有美国骨科外科住院医师培训项目主任（n=153）分发了一份包含 24 个问题的匿名调查。在接下来的 7 周内，共发送了 5 封提醒邮件。共有 59%（n=90）的项目主任做出了回应。
61%的参与骨科住院医师项目在发展中国家提供临床经验。项目特点各不相同，但大多数使用临床轮转或选修时间进行旅行（76%），这最常发生在住院医师培训的第 4 年（57%），并用于提供儿科（66%）或创伤（60%）护理。大多数项目（59%）为旅行的住院医师提供了至少部分资金，并让随行的主治医生参与所有项目（56%）。旅行最常发生在北美（85%），51%的参与项目建立了国际合作机构，尽管只有 11%的项目接待了来自这些合作机构的外科医生。69%的住院医师项目主任认为住院医师期间的全球健康经验塑造了未来的志愿工作，39%的人认为这些机会有助于吸引住院医师参加培训项目，而主要的感知挑战是资金（73%）、教师时间（53%）和后勤规划（43%）。
全球健康的兴趣和活动在骨科住院医师项目中很常见。尽管项目主任在资金和教师时间作为最大挑战方面存在一定共识，但此类活动的特点和地理位置存在多样性。
