Assessing Resident Perceptions and Needs
23 affiliations
- 1Orthopaedic Trauma Institute, Institute for Global Orthopaedics and Traumatology, Department of Orthopaedic Surgery, University of California, San Francisco, California
- 2School of Medicine, Zuckerberg San Francisco General Hospital, San Francisco, California
- 3Rush Medical College, Rush University Medical Center, Chicago, Illinois
- 4Department of Orthopaedic Surgery, Cleveland Clinic Martin Health, Stuart, Florida
- 5Department of Orthopaedic Surgery, Harvard Global Orthopaedics Collaborative, Beth Israel Deaconess Medical Center, Harvard Medical Center, Boston, Massachusetts
- 6Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, Texas
- 7Department of Orthopaedic Surgery, University of Texas Health Science Center-Houston, Houston, Texas
- 8Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, ON, Canada
- 9Department of Orthopaedic Surgery, Oregon Health and Sciences University, Portland, Oregon
- 10Department of Orthopaedic Surgery, University of California, Davis, Sacramento, California
- 11Department of Orthopaedic Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, California
- 12Department of Orthopaedic Surgery, Brown University, Providence, Rhode Island
- 13Department of Orthopaedic Surgery, Columbia University, New York Presbyterian Hospital, New York, New York
- 14Department of Orthopaedic Surgery, Loma Linda University, Loma Linda, California
- 15Department of Orthopaedic Surgery, Orthopaedic Trauma, Duke University, Durham, North Carolina
- 16Department of Orthopaedic Surgery, University of Cincinnati, Cincinnati, Ohio
- 17Department of Orthopaedic Surgery, Grossman School of Medicine, NYU Langone Health, New York, New York
- 18Department of Orthopaedic Surgery, University of Washington, Harborview Medical Center, Seattle, Washington
- 19Department of Orthopaedic Surgery, Stanford University, Palo Alto, California
- 20Department of Orthopaedic Surgery, Loyola University Medical Center, Maywood, Illinois
- 21Department of Orthopaedic Surgery, University of Wisconsin-Madison, Madison, Wisconsin
- 22Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota
- 23Department of Orthopaedic Surgery, University of California, Davis, Davis Medical Center, Sacramento, California
Abstract
Introduction:: Global orthopaedics includes collaborative efforts to improve clinical care, education, research, and capacity across international settings, with an emphasis on equitable, bidirectional, and sustainable partnerships. Interest in global orthopaedics among North American residents continues to grow, yet structured opportunities for clinical, educational, and research engagement in low- and middle-income countries (LMICs) remain limited. This study evaluated the availability of global orthopaedic opportunities within residency programs and assessed resident experiences, perceptions, and interest in expanding these initiatives.
Methods:: A cross-sectional survey was distributed to orthopaedic surgery residents in the United States and Canada through the Consortium of Orthopaedic Academic Traumatologists (COACT)-affiliated faculty and resident leads. Residents from postgraduate years 1 to 5 were eligible. Survey domains included prior global health experience, opportunities available at home institutions, resident satisfaction with existing resources, and interest in future global orthopaedic engagement. Descriptive statistics were performed.
Results:: Thirty of 35 residency programs (85.7%) participated, with 299 of 300 residents completing the survey (99.7%). Forty-six respondents (15.4%) reported prior or current participation in global orthopaedic activities, most commonly through organized teaching or clinical experiences (50.0%), research collaborations (41.3%), and elective international clinical rotations (37.0%). Nearly one third of residents (30.1%) reported that their residency program offered no global orthopaedic opportunities. Residents expressed dissatisfaction with the availability of mentorship, elective international rotations, and global outreach opportunities at their home institutions. Despite limited access, interest in expanding opportunities in LMICs was notable, particularly for mentorship and guidance (73.2%), elective international rotations (72.9%), and collaborative research (54.8%).
Conclusions:: North American orthopaedic residents demonstrate substantial interest in global orthopaedic engagement that exceeds the opportunities currently available. These findings support expanding structured mentorship, international partnerships, and centralized networks such as COACT to facilitate sustainable global clinical, educational, and research opportunities during residency.
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BibTeX
@article{mackechnie2026assessing,
title = {{Assessing Resident Perceptions and Needs}},
author = {Madeline C. MacKechnie and Amr Turkmani and Michael A. MacKechnie and Finn Leschly and Kiran Agarwal-Harding and John R. Dawson and James F. Kellam and Sheila Sprague and Zachary Working and R. Lor Randall and Joseph Patterson and Roman Hayda and Melvin Rosenwasser and Scott C. Nelson and Malcolm Debaun and Michael T. Archdeacon and Nirmal Tejwani and Reza Firoozabadi and Michael J. Gardner and Ashley Levack and Paul Whiting and Brandon J. Yuan and Gillian Soles and Theodore Miclau and Taylor Ottesen},
journal = {JBJS Open Access},
year = {2026},
month = oct,
doi = {10.2106/jbjs.oa.26.00157},
url = {https://doi.org/10.2106/jbjs.oa.26.00157},
note = {CC BY-NC-ND 4.0},
}
RIS
TY - JOUR
TI - Assessing Resident Perceptions and Needs
AU - Madeline C. MacKechnie
AU - Amr Turkmani
AU - Michael A. MacKechnie
AU - Finn Leschly
AU - Kiran Agarwal-Harding
AU - John R. Dawson
AU - James F. Kellam
AU - Sheila Sprague
AU - Zachary Working
AU - R. Lor Randall
AU - Joseph Patterson
AU - Roman Hayda
AU - Melvin Rosenwasser
AU - Scott C. Nelson
AU - Malcolm Debaun
AU - Michael T. Archdeacon
AU - Nirmal Tejwani
AU - Reza Firoozabadi
AU - Michael J. Gardner
AU - Ashley Levack
AU - Paul Whiting
AU - Brandon J. Yuan
AU - Gillian Soles
AU - Theodore Miclau
AU - Taylor Ottesen
PY - 2026
DA - 2026/10/27
JO - JBJS Open Access
DO - 10.2106/jbjs.oa.26.00157
UR - https://doi.org/10.2106/jbjs.oa.26.00157
AB - Introduction:: Global orthopaedics includes collaborative efforts to improve clinical care, education, research, and capacity across international settings, with an emphasis on equitable, bidirectional, and sustainable partnerships. Interest in global orthopaedics among North American residents continues to grow, yet structured opportunities for clinical, educational, and research engagement in low- and middle-income countries (LMICs) remain limited. This study evaluated the availability of global orthopaedic opportunities within residency programs and assessed resident experiences, perceptions, and interest in expanding these initiatives. Methods:: A cross-sectional survey was distributed to orthopaedic surgery residents in the United States and Canada through the Consortium of Orthopaedic Academic Traumatologists (COACT)-affiliated faculty and resident leads. Residents from postgraduate years 1 to 5 were eligible. Survey domains included prior global health experience, opportunities available at home institutions, resident satisfaction with existing resources, and interest in future global orthopaedic engagement. Descriptive statistics were performed. Results:: Thirty of 35 residency programs (85.7%) participated, with 299 of 300 residents completing the survey (99.7%). Forty-six respondents (15.4%) reported prior or current participation in global orthopaedic activities, most commonly through organized teaching or clinical experiences (50.0%), research collaborations (41.3%), and elective international clinical rotations (37.0%). Nearly one third of residents (30.1%) reported that their residency program offered no global orthopaedic opportunities. Residents expressed dissatisfaction with the availability of mentorship, elective international rotations, and global outreach opportunities at their home institutions. Despite limited access, interest in expanding opportunities in LMICs was notable, particularly for mentorship and guidance (73.2%), elective international rotations (72.9%), and collaborative research (54.8%). Conclusions:: North American orthopaedic residents demonstrate substantial interest in global orthopaedic engagement that exceeds the opportunities currently available. These findings support expanding structured mentorship, international partnerships, and centralized networks such as COACT to facilitate sustainable global clinical, educational, and research opportunities during residency.
SN - 2472-7245
ER -