Michael Thomas LeCompte1,2, Connor Goldman3, John L Tarpley4, Margaret Tarpley4, Erik N Hansen5,6, Peter M Nthumba7,8, Kyla P Terhune9, Rondi M Kauffmann10. 1. Vanderbilt University Medical Center, Medical Center North Suite CCC-4312, 1161 21st Avenue South, Nashville, TN, 37232-2730, USA. michael.t.lecompte@vanderbilt.edu. 2. , Nashville, USA. michael.t.lecompte@vanderbilt.edu. 3. Vanderbilt University, 3101 West End Ave, Nashville, TN, 37203, USA. 4. Vanderbilt Institute for Global Health, Vanderbilt Department of Surgery, AIC Kijabe Hospital, Kijabe, Kenya. 5. Bethany Kids - Kijabe Hospital, PO Box 20, Kijabe, 00220, Kenya. 6. Department of Pediatric Surgery, Vanderbilt University Medical Center, Nashville, TN, 37232, USA. 7. Plastic, Reconstructive, and Hand Surgery, AIC Kijabe Hospital, PO Box 20, Kijabe, 002200, Kenya. 8. Surgical Society of Kenya, Kijabe, Kenya. 9. Vanderbilt University Medical Center, Medical Center North Suite CCC-4312, 1161 21st Avenue South, Nashville, TN, 37232-2730, USA. 10. Division of Surgical Oncology and Endocrine Surgery, Vanderbilt University Medical Center, 597 Preston Research Building, 2220 Pierce Ave., Nashville, TN, 37232, USA.
Abstract
INTRODUCTION: Global surgery is increasingly recognized as a vital component of international public health. Access to basic surgical care is limited in much of the world, resulting in a global burden of treatable disease. To address the lack of surgical workforce in underserved environments and to foster ongoing interest in global health among US-trained surgeons, our institution established a residency rotation through partnership with an academic hospital in Kijabe, Kenya. This study evaluates the perceptions of residents involved in the rotation, as well as its impact on their future involvement in global health. MATERIALS AND METHODS: A retrospective review of admission applications from residents matriculating at our institution was conducted to determine stated interest in global surgery. These were compared to post-rotation evaluations and follow-up surveys to assess interest in global surgery and the effects of the rotation on the practices of the participants. RESULTS: A total of 78 residents matriculated from 2006 to 2016. Seventeen participated in the rotation with 76% of these reporting high satisfaction with the rotation. Sixty-five percent had no prior experience providing health care in an international setting. Post-rotation surveys revealed an increase in global surgery interest among participants. Long-term interest was demonstrated in 33% (n = 6) who reported ongoing activity in global health in their current practices. Participation in global rotations was also associated with increased interest in domestically underserved populations and affected economic and cost decisions within graduates' practices.
INTRODUCTION: Global surgery is increasingly recognized as a vital component of international public health. Access to basic surgical care is limited in much of the world, resulting in a global burden of treatable disease. To address the lack of surgical workforce in underserved environments and to foster ongoing interest in global health among US-trained surgeons, our institution established a residency rotation through partnership with an academic hospital in Kijabe, Kenya. This study evaluates the perceptions of residents involved in the rotation, as well as its impact on their future involvement in global health. MATERIALS AND METHODS: A retrospective review of admission applications from residents matriculating at our institution was conducted to determine stated interest in global surgery. These were compared to post-rotation evaluations and follow-up surveys to assess interest in global surgery and the effects of the rotation on the practices of the participants. RESULTS: A total of 78 residents matriculated from 2006 to 2016. Seventeen participated in the rotation with 76% of these reporting high satisfaction with the rotation. Sixty-five percent had no prior experience providing health care in an international setting. Post-rotation surveys revealed an increase in global surgery interest among participants. Long-term interest was demonstrated in 33% (n = 6) who reported ongoing activity in global health in their current practices. Participation in global rotations was also associated with increased interest in domestically underserved populations and affected economic and cost decisions within graduates' practices.
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