Harfouche Melike, Krowsoski Leandra, Goldberg Amy, Maher Zoe
Temple University Hospital, Philadelphia, PA, USA.
Massachusetts General Hospital, Boston, MA, USA.
Am J Surg. 2018 Jan;215(1):200-203. doi: 10.1016/j.amjsurg.2017.03.040. Epub 2017 Apr 7.
The purpose of this study was to evaluate perceptions regarding the value of global surgical electives (GSEs) and pursuit of a career in global surgery amongst residents and surgeons.
We sent an anonymous questionnaire to all current and former surgical residents of our tertiary-care, university-based institution from the years 2000-2013. Questions addressed the experience and value of practicing surgery in low or middle income countries (LMIC) in residency and as a career.
Twenty-three (40%) graduates (G) and 36 (84%) surgical residents (R) completed the survey. Thirteen residents (36%) and 13 (52%) graduates had delivered surgical care in a LMIC. Respondents stated that their experience positively impacted patient care (G = 80% vs R = 75%) and learning (G = 75% vs R = 90%). Of the 4 graduates still working in a LMIC, the majority (75%) were providing less than 2 months of care. Logistical reasons and family obligations were the most common barriers (n = 13).
Few graduates are able to incorporate global surgery into their practice despite interest. For enduring participation, logistical and family support is needed.
本研究旨在评估住院医师和外科医生对全球外科选修课程（GSEs）价值的看法以及对从事全球外科职业的追求。
我们向2000年至2013年期间在我们这所三级医疗、以大学为基础的机构中所有现任和前任外科住院医师发送了一份匿名问卷。问题涉及在低收入或中等收入国家（LMIC）进行外科实习的经历和价值以及将其作为职业的情况。
23名（40%）毕业生（G）和36名（84%）外科住院医师（R）完成了调查。13名住院医师（36%）和13名（52%）毕业生曾在低收入或中等收入国家提供外科护理。受访者表示，他们的经历对患者护理（毕业生=80%，住院医师=75%）和学习（毕业生=75%，住院医师=90%）产生了积极影响。在仍在低收入或中等收入国家工作的4名毕业生中，大多数（75%）提供护理的时间不到2个月。后勤原因和家庭责任是最常见的障碍（n = 13）。
尽管有兴趣，但很少有毕业生能够将全球外科纳入他们的实践中。为了持续参与，需要后勤和家庭支持。
