ArticleJB & JS open access
Resident Rotations in Low- and Middle-Income Countries: Motivations, Impact, and Host Perspectives.
Article in JB & JS open access. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- International neurosurgery rotation in low- and middle-income countries: a report and roadmap for equitable collaboration and bidirectional learning.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Article
- Surgical Training Profiling in Low- and Middle-Income Countries: Peru, Ecuador, and Brazil.Cureus · 2025Article
- Dutch post-graduate training in Global Health and Tropical Medicine: a qualitative study on graduates' perspectives.BMC medical education · 2025Article
- Contextual validation of HEMLEM tool used for measuring clinical micro-learning environments.PloS one · 2025Article
- Teaching Scottish medical students about global health in partnership with LMIC institutions. Does it change their views on volunteering in LMIC settings?BMC medical education · 2024Article
- International medical electives in Sub-Saharan Africa: experiences from a 19-year NGO-driven initiative.BMC medical education · 2023Article
- Qualitative Analysis of the Host-Perceived Impact of Unidirectional Global Surgery Training in Kijabe, Kenya: Benefits, Challenges, and a Desire for Bidirectional Exchange.World journal of surgery · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Interest in clinical rotations in low- and middle-income countries (LMICs) has grown among high-income country (HIC) orthopaedic residents. This study addresses the following questions: (1) What motivates HIC surgical residents to rotate in LMICs? (2) What is the impact of rotations on HIC residents? (3) What are the LMIC partner perceptions of HIC collaboration? MATERIALS AND
methodsA search strategy of multiple databases returned 3,740 unique articles pertaining to HIC surgical resident motivations for participating in rotations in LMICs or the LMIC host perspective. Data extraction was dually performed using meta-ethnography, the qualitative equivalent of meta-analysis.
resultsTwenty-one studies were included in the final analysis. HIC residents were primarily motivated to rotate in LMICs by altruistic intent, with greatest impact on professional development. LMIC partners mostly valued HIC sustained investment and educational opportunities for LMIC partners. From LMIC's perspective, potential harm from collaboration arose from system-level and individual-level discordance between HIC and LMIC expectations and priorities. HIC priorities included the following: (1) adequate operative time, (2) exposure to varied pathology, and (3) mentorship. LMIC priorities included the following: (1) avoiding competition with HIC residents for surgical cases, (2) that HIC groups not undermine LMIC internal authority, (3) that HIC initiatives address local LMIC needs, and (4) that LMIC partners be included as authors on HIC research initiatives. Both HIC and LMIC partners raised ethical concerns regarding collaboration and perceived HIC residents to be underprepared for their LMIC rotation. DISCUSSION: This study synthesizes the available literature on HIC surgical resident motivations for and impact of rotating in LMICs and the LMIC host perception of collaboration. Three improvement categories emerged: that residents (1) receive
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Registered trials
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