Impact of Participation in an International Surgical Observership Program: Results of an Online Survey
Nancy Valencia-Rojas, Edgar B Rodas, Paula Ferrada, Michel B Aboutanos
Global surgery, International experiences, International observership, Rotations, Surgical training, Survey, Trauma
Citation Information :
Valencia-Rojas N, Rodas EB, Ferrada P, Aboutanos MB. Impact of Participation in an International Surgical Observership Program: Results of an Online Survey. Panam J Trauma Crit Care Emerg Surg 2019; 8 (3):148-153.
Aim: To assess the impact of international surgical observership, the level of satisfaction of past participants and obtain their feedback on their experience. Since 2011, the international observership program (IOP) is offered in partnership with the Panamerican Trauma Society (PTS) and the Virginia Commonwealth University (VCU), Division of Acute Care Surgery Services. The IOP has facilitated knowledge exchange opportunities on trauma care and emergency medical systems (EMSs) for physicians in training from Latin America countries.
Materials and methods: An online survey using REDCap was conducted among past participants (n = 36). The 14-question survey had a combination of dichotomous, multiple-choice, open-ended, and Likert scale questions. To keep the survey anonymous, participant identifiers were not used. Descriptive analysis was carried out.
Results: The response rate was 53% (n = 19). The overall effect of IOP should be considered as positive, as 17 (89%) respondent alumni consider the IOP exceeded or met their expectations and 18 (95%) would recommend it to a friend and colleague. Similarly, 89% of the IOP\'s alumni believe that the observership helped them with their career growth. Most of the observers commented that the experience was inspiring, opened their minds, and broadened their horizons.
Conclusion: The present survey adds further evidence of the positive impact that international observerships offer to physicians in training coming from low- and middle-income countries. The IOP introduces students to new knowledge for comprehensive care of trauma patients that would be advantageous to their future professional roles.
Turner SR, White J, Poth C, et al. Preparing students for clerkship: a resident shadowing program. Acad Med 2012;87(9):1288–1291. DOI: 10.1097/ACM.0b013e3182623143.
Thompson MJ, Huntington MK, Dan Hunt D, et al. Educational effects of international health electives on U.S. and Canadian medical students and residents: a literature review. Acad Med 2003;78(3): 342–347. DOI: 10.1097/00001888-200303000-00023. Available from: https://insights.ovid.com/pubmed?pmid=12634222.
Blue A, Mutchnick IS, Moyer CA, et al. Expanding the boundaries of medical education: evidence for cross-cultural exchanges. Acad Med 2003;78(10 Suppl):S1–S5. DOI: 10.1097/00001888-200310001- 00002. Available from: https://insights.ovid.com/pubmed?pmid= 14557080.
Harris PA, Taylor R, Thielke R, et al. Research electronic data capture (REDCap) - a metadata-driven methodology and workflow process for providing translational research informatics. J Biomed Inform 2009;42(2):377–381. DOI: 10.1016/j.jbi.2008.08.010.
De Geyndt W. Improving the quality of health care in Latin America. Int J Health Care 2001;13(2):85–87. DOI: 10.1093/intqhc/13.2.85.
Ferrada P, Ivatury RR, Spain DA, et al. International rotations: a valuable source to supplement operative experience for acute-care surgery, trauma, and surgical critical care fellows. J Trauma Acute Care Surg 2017;82(1):51–57. DOI: 10.1097/TA.0000000000001307.
McKinley DW, Williams SR, Norcini JJ, et al. International exchange programs and U.S. medical schools. Acad Med 2008;83(Suppl): S53–S57. DOI: 10.1097/ACM.0b013e318183e351. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18820502.
Kusnoor AV, Stelljes LA. Interprofessional learning through shadowing: insights and lessons learned. Med Teach 2016;38(12):1278–1284. DOI: 10.1080/0142159X.2016.1230186.
Hau DK, Smart LR, DiPace JI, et al. Global health training among U.S. residency specialties: a systematic literature review. Med Educ Online 2017;22(1):1270020. DOI: 10.1080/10872981.2016.1270020.
Butteris SM, Schubert CJ, Batra M, et al. Global health education in US pediatric residency programs. Pediatrics 2015;136(3):458–465. DOI: 10.1542/peds.2015-0792. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26260713.
Merchant AI, Walters CB, Valenzuela J, et al. Creating a global acute care surgery fellowship to meet international need. J Surg Educ 2017;74(5):780–786. DOI: 10.1016/j.jsurg.2017.01.012. Available from: https://www.sciencedirect.com/science/article/pii/S1931720416302008?via%3Dihub.
Abdalla M, Kovach N, Liu C, et al. The importance of global health experiences in the development of new cardiologists. J Am Coll Cardiol 2016;67(23):2789–2797. DOI: 10.1016/j.jacc.2015.10.089.
Bohman DM, Borglin G. Student exchange for nursing students: does it raise cultural awareness’? A descriptive, qualitative study. Nurse Educ Pract 2014;14(3):259–264. DOI: 10.1016/j.nepr.2013.11.006.
Nguyen KA, Hart SR, Pidcock KN, et al. Creating learning opportunities for pharmacy students through an observership program. Am J Heal Pharm 2012;69(21):1905–1909. DOI: 10.2146/ajhp110714.
Fornari ED, Sabharwal S, Schwend RM. The POSNA-COUR international scholar program. Results of the first 7 years. J Pediatr Orthop 2017;37(8):570–574. DOI: 10.1097/BPO.0000000000000721. Available from: http://www.posna.org/education/cour/application/COU.
Nigri G, Early K, Tsoulfas G, et al. International scholarship programs of the american college of surgeons: expansion of the global surgical network. World J Surg 2018;42(5):1222–1237. DOI: 10.1007/s00268-017-4284-0.
Carlos Serna Ojeda J, Pérez Jiménez M, Domínguez Cherit G, et al. La expansión de los horizontes en los campos clínicos: los beneficios de las rotaciones nacionales e internacionales en la educación médica. Revista AVANCES 2012;9(27):23–25.