Instr Course Lect. 2021;70:623-636.
The burden of unmet surgical need is heavily weighted toward low-income and middle-income countries. North American orthopaedic surgeons are increasingly interested in volunteer activities in resource-limited areas around the globe. There are multiple avenues through which an orthopaedic surgeon can positively contribute to improving musculoskeletal care around the world. Unfortunately, short-term missions are at risk of undermining local long-term development efforts if they do not mitigate harm and optimize benefit for host communities. Work in this area should be grounded in beneficence and sustainability with an emphasis on mutual respect, exchange, and a commitment to capacity building. All of the necessary information for adequate preparation for these activities is beyond the scope of this chapter, but the goal is to introduce a range of volunteer options, ethical considerations, cultural competence and volunteer preparedness principles, considerations when including trainees in global health work, and some nuts-and-bolts details on trip planning.
未满足的手术需求负担主要集中在低收入和中等收入国家。北美骨科医生越来越有兴趣参与全球资源有限地区的志愿活动。骨科医生有多种途径可以为改善全球肌肉骨骼护理做出积极贡献。不幸的是，如果短期任务不能减轻对收容社区的伤害并优化其受益，它们有可能破坏当地的长期发展努力。该领域的工作应以慈善和可持续性为基础，重点是相互尊重、交流和对能力建设的承诺。所有这些活动都需要充分的准备，但本章的范围仅限于介绍一系列志愿选择、伦理考虑、文化能力和志愿准备原则、在全球卫生工作中纳入受训人员的考虑因素以及旅行计划的一些细节。
