2023-09-28 14:46:10 +00:00
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abstract: 'Background: There is substantial disparity in access to surgical care
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worldwide that largely impacts children in resource-limited
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environments. Although it has been suggested that surgeons in
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high-income countries work alongside their overseas peers to bridge this
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gap, there is limited information regarding the impact of pediatric
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orthopaedic observerships that are available to international surgeons.
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This study aimed to assess the perceived impact of such visitations on
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overseas surgeons, including their professional development and clinical
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practice. Methods: A survey was distributed to overseas surgeons who
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participated in a pediatric orthopaedic observership in North America in
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the years 2009 to 2019. Details were collected regarding each
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respondent''s demographics and observership program, and the impact of
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this short-term clinical experience as perceived by the visiting
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surgeon. Results: Of the 181 international surgeons from 56 countries
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who participated in a pediatric orthopaedic observership, most were
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young male surgeons residing in a middle-income nation. The majority of
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surgeons observed in outpatient clinics (98\%) and in the operating room
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(96\%) and attended educational in-house conferences (92\%). Most
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observers (75\%) acknowledged gaining relevant orthopaedic knowledge and
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clinical skills that improved local patient care, and nearly all (99\%)
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shared the newly acquired knowledge with their peers and trainees. Most
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(97\%) were still living and working in the country that had been their
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residence at the time of their observership. No noteworthy trends were
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identified between the income classification of the surgeons'' country of
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residence and their ability to incorporate the acquired skills into
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their practice. Conclusions: Participating in a North American pediatric
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orthopaedic observership has a positive perceived impact on the majority
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of visiting surgeons, with potential gains in clinical skills and
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knowledge that likely benefit their patients, peers, and trainees. Such
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participation does not contribute to substantial brain drain and may
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assist with local capacity building. Identifying ways to increase access
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to such educational opportunities, particularly for surgeons from
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lower-income countries, should be explored further.'
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affiliation: 'Sabharwal, S (Corresponding Author), UCSF Benioff Childrens Hosp Oakland,
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Oakland, CA 94609 USA.
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Sabharwal, S (Corresponding Author), Univ Calif San Francisco, San Francisco, CA
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94143 USA.
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Carrillo, Laura A.; Sabharwal, Sanjeev, UCSF Benioff Childrens Hosp Oakland, Oakland,
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CA 94609 USA.
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Carrillo, Laura A., Med Coll Wisconsin, Milwaukee, WI 53226 USA.
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Sabharwal, Sanjeev, Univ Calif San Francisco, San Francisco, CA 94143 USA.'
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author: Carrillo, Laura A. and Sabharwal, Sanjeev
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author-email: Sanjeev.Sabharwal@ucsf.edu
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author_list:
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- family: Carrillo
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given: Laura A.
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- family: Sabharwal
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given: Sanjeev
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da: '2023-09-28'
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doi: 10.2106/JBJS.20.01464
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eissn: 1535-1386
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files: []
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issn: 0021-9355
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journal: JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
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keywords-plus: 'MIDDLE-INCOME COUNTRIES; EDUCATION; OPPORTUNITIES; CHALLENGES; BURDEN;
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COUR'
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language: English
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month: APR 7
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number: '7'
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number-of-cited-references: '31'
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orcid-numbers: Carrillo, Laura/0000-0003-1469-3269
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papis_id: 3bcc67ac60c8a38c9ce6dae7b6c81e6c
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ref: Carrillo2021pediatricorthopaedic
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times-cited: '2'
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title: Pediatric Orthopaedic Observerships in North America for International Surgeons
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The Visitor's Perspective
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000656630300001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '103'
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web-of-science-categories: Orthopedics; Surgery
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year: '2021'
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