MacKechnie Madeline C, MacKechnie Michael A, van Lieshout Esther M M, Verhofstad Michael H J, Quintero Jose Eduardo, Padilla Rojas Luis G, Tabares Neyra Horacio, Russo Bibiana Dello, Giordano Vincenzo, Vilensky Eduardo, Fuehrer Sheryl L, Miclau Theodore
Orthopaedic Trauma Institute, Institute for Global Orthopaedics and Traumatology, Department of Orthopaedic Surgery, University of California, San Francisco, School of Medicine, Zuckerberg San Francisco General Hospital, San Francisco, California.
Department of Orthopaedic Surgery, Cleveland Clinic Martin Health, Stuart, Florida.
OTA Int. 2021 Oct 19;4(4):e146. doi: 10.1097/OI9.0000000000000156. eCollection 2021 Dec.
There is growing interest in leadership courses for physicians. Few opportunities are available in global regions with limited resources. This study describes orthopaedic trauma surgeons' desired leadership skill acquisition, opportunities, and barriers to course participation in Latin America.
Latin American orthopaedic trauma surgeons from the Asociación de Cirujanos Traumatólogos de las Americas (ACTUAR) network were surveyed. This survey solicited and gauged the surgeons' level of interest in leadership topics and their relative importance utilizing a 5-point Likert-scale. Additionally, comparisons were calculated between middle-income countries (MICs) and high-income countries (HICs) to ascertain if needs were different between groups. The survey included demographic information, nationality, level of training, years in practice, leadership position, needs assessment, and perceived barriers for leadership educational opportunities.
One hundred forty-four orthopaedic surgeons completed the survey, representing 18 countries across Latin America; 15 MICs and 3 HICs. Participants had more than 20 years in practice (49%) and held leadership positions (81%) in hospital settings (62%), national orthopaedic societies (45%), and/or clinical settings (40%). Sixty-three percent had never attended a leadership course due to lack of opportunities/invitations (69%), difficulty missing work (24%), and costs (21%). Ninety-seven percent expressed interest in attending a leadership course. No difference in needs was determined between respondents from MICs and HICs. Professional Ethics, Crisis Management/Organizational Change Management, and High Performing Team-Building were identified as the most important leadership topics.
Orthopaedic surgeons in Latin America demonstrate an interest in acquiring additional leadership skills but have few opportunities. Identifying interests, knowledge gaps, and core competencies can guide the development of such opportunities.
对医生领导力课程的兴趣日益浓厚。资源有限的全球地区此类机会较少。本研究描述了拉丁美洲骨科创伤外科医生期望获得的领导技能、参与课程的机会以及障碍。
对来自美洲创伤外科医生协会（拉丁美洲骨科创伤外科医生进行了调查。该调查通过5分李克特量表征求并衡量了外科医生对领导力主题的兴趣程度及其相对重要性。此外，还对中等收入国家（MICs）和高收入国家（HICs）进行了比较，以确定两组之间的需求是否存在差异。调查内容包括人口统计学信息、国籍、培训水平、执业年限、领导职位、需求评估以及对领导力教育机会的认知障碍。
144名骨科外科医生完成了调查，代表拉丁美洲18个国家；其中15个中等收入国家和3个高收入国家。参与者的执业年限超过20年（49%），并在医院环境（62%）、国家骨科协会（45%）和/或临床环境（40%）中担任领导职位（81%）。63%的人因缺乏机会/邀请（69%）、难以请假（24%）和费用（21%）而从未参加过领导力课程。97%的人表示有兴趣参加领导力课程。中等收入国家和高收入国家的受访者在需求方面未发现差异。职业道德、危机管理/组织变革管理和高效团队建设被确定为最重要的领导力主题。
拉丁美洲的骨科外科医生表现出对获得更多领导技能的兴趣，但机会很少。确定兴趣、知识差距和核心能力可以指导此类机会的发展。
