Yao Caroline A, Swanson Jordan, McCullough Meghan, Taro Trisa B, Gutierrez Ricardo, Bradshaw Allison, Campbell Alex, Magee William P, Magee William P
Los Angeles, Calif.; and Norfolk, Va.
From the Division of Plastic and Reconstructive Surgery and the University of Southern California Institute of Global Health, Keck School of Medicine of the University of Southern California; the Department of Plastic and Reconstructive Surgery, Shriners Hospital for Children; the Division of Plastic and Reconstructive Surgery, Children's Hospital Los Angeles; and Operation Smile International.
Plast Reconstr Surg. 2016 Sep;138(3):531e-538e. doi: 10.1097/PRS.0000000000002484.
The emphasis on cultural competency for physicians and surgeons is increasingly important, as communication with both patients and other providers significantly affects individual and system-wide outcomes. International surgical training has been shown to improve leadership skills, cultural competency, and technical proficiency of participants in short-term follow-up. This study explores the long-term impact of international surgical mission experiences on developing participants' core competencies, professional outcomes, and commitment to global health.
All 208 plastic and reconstructive surgeons who completed the Operation Smile Regan/Stryker fellowship programs between 2006 and 2015 were surveyed electronically.
One hundred sixty-five surveys were returned, for an overall response rate of 79.3 percent. The majority of participants reported that the fellowship positively impacted all six Accreditation Council for Graduate Medical Education core competencies. Most participants who were attending physicians at the time of the survey were practicing general plastic surgery, with 42 percent in an academic/teaching environment, 32 percent in assistant/associate professor positions, and 6 percent in either a program director or department chairman position. The majority currently volunteer on local or international missions, and all respondents would consider volunteering again.
Carefully structured and rigorously proctored programs such as the Regan/Stryker Fellowship offer plastic surgery residents the opportunity to gain valuable professional and personal experiences that benefit them long after their service experience. Programs of this nature can not only effectively improve cultural competency of physicians, but also positively influence their attitudes toward leadership and direct that potential to meet the growing need for surgical care in low- and middle-income countries.
随着与患者及其他医疗服务提供者的沟通对个人及全系统的治疗结果有着重大影响，对内科医生和外科医生文化能力的重视日益重要。国际外科培训已被证明在短期随访中能提高参与者的领导能力、文化能力和技术水平。本研究探讨国际外科任务经历对培养参与者核心能力、职业成果以及对全球健康的投入的长期影响。
对2006年至2015年间完成“微笑行动”里根/史赛克奖学金项目的所有208名整形外科医生进行电子调查。
共收到165份调查问卷，总体回复率为79.3%。大多数参与者表示，该奖学金项目对毕业后医学教育认证委员会的所有六项核心能力都产生了积极影响。大多数在调查时为在职医生的参与者从事普通整形外科工作，其中42%在学术/教学环境中工作，32%担任助理/副教授职位，6%担任项目主任或系主任职位。大多数人目前在当地或国际任务中志愿服务，所有受访者都愿意再次考虑志愿服务。
精心构建且严格监督的项目，如里根/史赛克奖学金项目，为整形外科住院医师提供了获得宝贵专业和个人经验的机会，这些经验在他们的服务经历结束后很长时间内都能使他们受益。这种性质的项目不仅能有效提高医生的文化能力，还能积极影响他们对领导力的态度，并引导这种潜力以满足低收入和中等收入国家对外科护理日益增长的需求。
