Belding Robert, Grabowski Gregory, Williams Kevin, Mobley Kyle, Bray Chris, Woolf Shane, Jumelle Patrick, Koon David
Palmetto Health-USC Orthopedic Center, Columbia, SC (Dr. Grabowski, Dr. Williams, Dr. Mobley, and Dr. Koon); the Department of Orthopaedic Surgery, Greenville Health, System, Greenville, SC (Dr. Bray); the Department of Orthopaedics and Physical Medicine, Medical University of South Carolina, Charleston, SC (Dr. Woolf); and the Department of Orthopaedic Surgery, Hospital de la Paix, Port au Prince, Haiti (Dr. Jumelle).
J Am Acad Orthop Surg Glob Res Rev. 2019 Aug 6;3(8):e027. doi: 10.5435/JAAOSGlobal-D-19-00027. eCollection 2019 Aug.
After a devastating earthquake in Haiti in 2010, multiple South Carolinian orthopaedic teams, funded by the South Carolina Orthopedic Association (SCOA), developed an exchange program for Haitian residents.
SCOA teams have sequentially logged their patient experiences since 2015 for a total of six updates per year. These logs were reviewed in detail to evaluate clinical results in terms of case volumes, cases performed, follow-up obtained, and complications.
Twenty-one orthopaedic attendings, 19 South Carolina orthopaedic residents, 22 Haitian orthopaedic residents, and 22 ancillary staff have rotated through Hospital Lumiere. The teams have seen over 2000 patients in the orthopaedic clinic and performed 554 surgeries, including 207 fractures (half of which being open), 24 nonunion and 7 malunion repairs, 15 lower extremity amputations, 27 hemiarthroplasties for femoral neck fractures, and 34 cases of chronic osteomyelitis.
The SCOA Foundation has developed a coordinated service for the musculoskeletal needs of the Haitian people while collaboratively elevating the standard of orthopaedic training in Haiti. We report a collaborative model that other US residency programs can use to impart beneficial changes not only in their home program, but also in training programs abroad.
2010年海地发生毁灭性地震后，由南卡罗来纳州骨科协会（SCOA）资助的多个南卡罗来纳州骨科团队为海地居民制定了一项交流计划。
自2015年以来，SCOA团队按顺序记录了他们的患者经历，每年共更新六次。对这些记录进行了详细审查，以根据病例数量、实施的病例、获得的随访情况和并发症来评估临床结果。
21名骨科主治医师、19名南卡罗来纳州骨科住院医师、22名海地骨科住院医师和22名辅助人员在卢米埃尔医院进行了轮岗。这些团队在骨科诊所接待了2000多名患者，并实施了554台手术，包括207例骨折（其中一半为开放性骨折）、24例骨不连和7例骨畸形愈合修复、15例下肢截肢、27例股骨颈骨折半关节置换术以及34例慢性骨髓炎病例。
SCOA基金会为海地人民的肌肉骨骼需求开发了一项协调服务，同时协同提高海地骨科培训的标准。我们报告了一种合作模式，其他美国住院医师培训项目可以采用这种模式，不仅在其本国项目中，而且在国外培训项目中带来有益的变革。
