Global surgical electives in residency: The impact on training and future practice

Background

The purpose of this study was to evaluate perceptions regarding the value of global surgical electives (GSEs) and pursuit of a career in global surgery amongst residents and surgeons.

Methods

We sent an anonymous questionnaire to all current and former surgical residents of our tertiary-care, university-based institution from the years 2000–2013. Questions addressed the experience and value of practicing surgery in low or middle income countries (LMIC) in residency and as a career.

Results

Twenty-three (40%) graduates (G) and 36 (84%) surgical residents (R) completed the survey. Thirteen residents (36%) and 13 (52%) graduates had delivered surgical care in a LMIC. Respondents stated that their experience positively impacted patient care (G = 80% vs R = 75%) and learning (G = 75% vs R = 90%). Of the 4 graduates still working in a LMIC, the majority (75%) were providing less than 2 months of care. Logistical reasons and family obligations were the most common barriers (n = 13).

Conclusion

Few graduates are able to incorporate global surgery into their practice despite interest. For enduring participation, logistical and family support is needed.