The POSNA-COUR International Scholar Program. Results of the First 7 Years
The POSNA-COUR International Scholar Program. Results of the First 7 Years
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POSNA-COUR 国际学者计划。
DOI：
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
R. Schwend
中科院分区：
文献类型：
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作者：
E. Fornari;S. Sabharwal;R. Schwend
背景：北美小儿骨科协会 (POSNA) - 服务欠缺地区儿童骨科 (COUR) 国际学者计划于 2007 年启动，旨在为在全球资源匮乏的环境中治疗患有骨科疾病的儿童的新兴领导者提供教育机会。每年为 4 至 6 名骨科医生提供财务支持，参加 POSNA 年会或国际小儿骨科研讨会。还鼓励学者们在旅行期间参观选定的观察中心。自2007年以来，已有41名国际学者参与了该项目。我们希望评估该计划的影响并获得反馈以改善未来参与者的体验。方法：创建了一项包含 23 个问题的网络调查，并发送给 2013 年 7 月之前参加过该计划的 22 个国家的 38 名过去的学者。在线收集答复并对来自 18 个国家完成调查的 24 名受访者 (62%) 的数据进行了分析。结果：在受访者中，16/24 (66%) 表示他们目前的实践至少包括 75% 的儿科业务。 24 人中，有 12 人（52%）接受过儿科骨科专科培训，这些人通常在北美以外的地区接受过培训。所有学者都认为他们参加的会议非常有用，并随后对他们的临床实践做出了改变。 24 人中有 19 人 (82%) 进行了会前或会后观察。 24 名参与者中有 22 名 (92%) 与他们在会议上遇到的 POSNA 成员保持联系，其中 86% 的受访者表示他们随后就患者管理问题咨询了 POSNA 成员。 62% 的学者在获得奖学金后让 POSNA 成员拜访他们，29% 的学者此后返回拜访 POSNA 成员进行进一步的临床观察。 24 人中的 21 人 (91%) 有机会通过讲座、手术演示和/或临床培训与所在地区的其他人分享他们获得的知识。学者们的普遍反应是，奖学金计划是一次真正变革性的生活经历，为他们提供了接受最高质量的专业教育的机会。这些学者报告的主要挑战是他们所在地区缺乏可用的专科/专科培训、患者无力支付费用以及医生工作量过大。所有受访者都表示有兴趣安排 POSNA 共同主办的区域会议。结论：自 2007 年以来，POSNA-COUR 国际学者计划一直为在全球资源匮乏的环境中执业的骨科医生提供了富有成效的资源。它为学者们提供了独特的培训，并进一步使他们能够向本地区的其他人传授知识。迄今为止，该计划已成功地培养了持久的关系，从而促进了持续的教育交流。证据级别：IV 级——病例系列。
Background: The Pediatric Orthopedic Society of North America (POSNA)-Children’s Orthopedics in Underserved Regions (COUR) International Scholar Program was initiated in 2007 to provide educational opportunities for emerging leaders who treat children with orthopaedic conditions in resource-challenged environments worldwide. Financial support is available each year for 4 to 6 orthopaedic surgeons to attend either the POSNA Annual Meeting or the International Pediatric Orthopedic Symposium. The scholars are also encouraged to visit selected centers for observerships during their trip. Since 2007 there have been 41 international scholars who have participated in the program. We wished to assess the impact of the program and to obtain feedback to improve the experience for future participants. Methods: A 23-question web-based survey was created and sent to 38 past scholars from 22 countries who have participated in the program by July 2013. The responses were gathered online and the data were analyzed for the 24 (62%) respondents from 18 countries who completed the survey. Results: Of the respondents, 16/24 (66%) reported that their current practice is comprised of at least 75% pediatrics. Twelve of 24 (52%) were fellowship trained in pediatric orthopaedics, typically outside of North America. All scholars found the meeting they attended to be very useful and have subsequently made changes to their clinical practice. Nineteen of 24 (82%) did a premeeting or postmeeting observership. Twenty-two of 24 (92%) participants have remained in contact with POSNA members they met at the meeting, with 86% of respondents stating that they have subsequently consulted POSNA members on management of patients. Sixty-two percent of the scholars had a POSNA member visit them following the scholarship and 29% have since returned to visit POSNA members for further clinical observerships. Twenty-one of 24 (91%) have had the opportunity to share the knowledge they gained with others in their region through lectures, surgical demonstrations, and/or clinical training. A common response from the scholars was that the scholarship program was a truly transformative life experience that provided them with an opportunity to receive the highest quality of professional education. The main challenges that these scholars report are lack of available fellowship/subspecialty training in their region, patients’ inability to pay, and excessive physician workload. All of the respondents expressed interest in arranging a POSNA cosponsored regional meeting. Conclusions: Since 2007, the POSNA-COUR international scholar program has been a fruitful resource for orthopaedists practicing in resource-challenged environments worldwide. It has provided unique training for the scholars and has further enabled them to teach others in their region. The program has thus far succeeded in fostering lasting relationships that have led to continued educational exchanges. Level of Evidence: Level IV—case series.