Surgical International Rotations: The Latin American Survey
Fecha
2018-10Autor
Resumen
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Abstract
Over the last decades there has been a dramatic
increase in the demand for global surgical experiences. While the
perspectives of surgical mentors and trainees, typically from high
income countries (HICs), have been explored, little is known about
the perspectives and view of host surgeons from low and middle income countries (LMICs). Our objective was to explore the perspectives of mentoring host surgeons and host trainees from LMICs
throughout Latin America (LA).
METHODS: An online survey was used to explore perceptions of
academic general surgeons, surgical fellows, and general surgery residents throughout LA, of such rotations from a host perspective;
challenges and patient safety; perceived positives and negatives to
the host nation beyond the trainee and ethical considerations.
Participation was voluntary and confidential.
RESULTS: Out of 488 physicians, 88 responded to the survey (18%)
representing 13 LA countries: (65%) were academic surgeons, followed
by general surgery residents (26%). Less than 50% of those surveyed
work or train at an institution which currently provides an international rotation; 80% of LA surgeons felt similar opportunities for
them to train in a HIC were denied due to financial limitations. Frustration was expressed at having only observer status when visiting a
HIC whereas close to 40% of LA sites provided hands-on surgical
training as well. Ethical concerns were significant in more than half
of those surveyed.
CONCLUSIONS: This survey identifies deficiencies regarding structure and supervision of trainees during international rotations. Lack of
funding and paucity of reciprocity regarding clinical training extended
to surgeons in host institutions are also opportunities identified.
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http://repositorio.mederi.com.co/handle/123456789/537https://www.sciencedirect.com/science/article/abs/pii/S1072751518312018#!