The Journal of Bone and Joint Surgery (American). 2009;91:2999-3004.
doi:10.2106/JBJS.I.00460
© 2009 The Journal of Bone and Joint Surgery, Inc.
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The International Orthopaedic Health Elective at the University of California at San Francisco: The Eight-Year Experience

Alexander R. Disston, MD1, Gabriel J. Martinez-Diaz, BS2, Sarath Raju, MPH3, Maria Rosales, BA2, Wil C. Berry, BA2 and R. Richard Coughlin, MD, MSc2

1 6772 Sims Drive, Oakland, CA 94611. E-mail address: Alexander.Disston@ucsf.edu
2 University of California at San Francisco, 1001 Potrero Avenue, SFGH 30, Room 3A36, San Francisco, CA 94110. E-mail address for G.J. Martinez-Diaz: gjmd@stanford.edu. E-mail address for M. Rosales: rosalesmc@gmail.com. E-mail address for W.C. Berry: wil.berry@ucsf.edu. E-mail address for R. Coughlin: coughlin@orthosurg.ucsf.edu
3 Biostatistics, Research Ethics, and Design Program, Clinical and Translational Institute (CTSI) at UCSF, 185 Berry Street, Suite 5512, San Francisco, CA 94107. E-mail address: sraju@ucla.edu

Investigation performed at the Department of Orthopaedic Surgery, University of California at San Francisco School of Medicine, San Francisco; Institute for Global Orthopaedics and Traumatology, San Francisco; and the Biostatistics, Research Ethics, and Design Program, Clinical and Translational Institute, University of California at San Francisco, San Francisco, California

The first 150 words of the full text of this article appear below.


   Introduction
 
It is estimated that half of the world's population lacks access to adequate primary health care and that two-thirds of the population lacks access to orthopaedic care1. While opportunities for orthopaedic surgeons to volunteer internationally have existed for many years, only a small percentage of practicing orthopaedic surgeons in the United States do so. One reason for this low rate of volunteerism is that physicians who have recently finished residency training face substantial loan burdens. In addition, recent graduates need to establish and build their practices2,3. Residents at the University of California at San Francisco (UCSF) may elect to participate in an overseas volunteerism program as early as their third postgraduate year. This program is rooted in the hope that early exposure will encourage future participation in similar activities throughout the residents' professional lives. While reports on the early experience of this elective have demonstrated a trend toward . . . [Full Text of this Article]


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