Universidad Peruana Cayetano Heredia

Perspectives of South American physicians hosting foreign rotators in emergency medicine

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dc.contributor.author O’Donnell, Steve
dc.contributor.author Adler, David H.
dc.contributor.author Inboriboon, Pholaphat Charles
dc.contributor.author Alvarado, Hermenegildo
dc.contributor.author Acosta, Raul
dc.contributor.author Godoy-Monzon, Daniel
dc.date.accessioned 2022-01-04T20:30:00Z
dc.date.available 2022-01-04T20:30:00Z
dc.date.issued 2014
dc.identifier.uri https://hdl.handle.net/20.500.12866/10513
dc.description.abstract Background: Emergency Medicine (EM) is increasingly becoming an international field. The number of fellowships in International EM in the USA is growing along with opportunities to complete international health electives (IHEs) during residency training. The impact on host institutions, however, has not been adequately investigated. The Objetive: of this study is to assess the experience of several South American hospitals hosting foreign EM residents completing IHEs. Methods: Anonymous, semi-structured one-on-one interviews were conducted with physicians working in Emergency Departments in three hospitals in Lima, Peru and one hospital in Buenos Aires, Argentina. All participants reported previously working with EM foreign rotators. Interviews were analyzed qualitatively and coded for common themes. Results: Three department chairs, six residents, and 15 attending physicians were interviewed (total = 24). After qualitative analysis of interviews, two broad theme categories emerged: Benefits and challenges. Most commonly reported benefits were knowledge sharing about emergency medical systems (78%), medical knowledge transfer (58%), and long-term relationship formation (42%). Top challenges included rotator Spanish language proficiency (70%) lack of reciprocity (58%), and level of training and rotation length (25%). Spanish proficiency related directly to how involved rotators became in patient care (e.g., taking a history, participating in rounds) but was not completely prohibitive, as a majority of physicians interviewed felt comfortable speaking in English. Lack of reciprocity refers to the difficulty of sending host physicians abroad as well as failed attempts at building long-lasting relationships with foreign institutions. Lastly, 25% preferred rotators to stay for at least 1 month and rotate in the last year of EM residency. This latter preference increased knowledge transfer from rotator to host. Conclusions: Our research identified benefits and challenges of IHEs in Emergency Medicine from the perspective of physician hosts in several hospitals in South America. Our results suggest that IHEs function best when EM residents rotate later in residency training and when relationships are maintained and deepened among those involved including host physicians, rotators, and institutions. This leads to future rotators, project collaboration, research, and publications which not only benefit individuals involved but also the wider field of Emergency Medicine. en_US
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartofseries International Journal of Emergency Medicine
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Human en_US
dc.subject Peru en_US
dc.subject priority journal en_US
dc.subject Argentina en_US
dc.subject clinical competence en_US
dc.subject clinical supervision en_US
dc.subject emergency medicine en_US
dc.subject foreign student en_US
dc.subject Global health en_US
dc.subject international cooperation en_US
dc.subject International Emergency Medicine en_US
dc.subject International Health Elective en_US
dc.subject learning en_US
dc.subject physician attitude en_US
dc.subject qualitative research en_US
dc.subject residency education en_US
dc.subject Residency education en_US
dc.subject South American en_US
dc.title Perspectives of South American physicians hosting foreign rotators in emergency medicine en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s12245-014-0024-5
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.08
dc.relation.issn 1865-1380


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