title: A pilot curriculum in international surgery for medical students.
abstract: BACKGROUND
  As medical student interest in global surgical care grows, a comprehensive curriculum is necessary to understand surgical care in resource-limited environments.
  
  
  METHODS
  We developed a surgical elective encompassing a multiyear medical student curriculum, with the goal of improving students' understanding of global surgical care, consisting of a junior seminar and a senior clerkship. This student elective focused on the global burden of surgical disease, ethics of care in low-resource settings, and care of marginalized U.S.
  
  
  METHODS
  Students who participated in the fourth year clerkship at a tertiary center in Northern India completed a reflective essay on their experience. Qualitative analysis was conducted using constant comparison and axial coding to establish a grounded theory.
  
  
  RESULTS
  Medical students showed a desire to serve the poor, build collaborative relationships, and integrate international health into their future career.
  
  
  CONCLUSIONS
  This novel curriculum provides students a clinical and public health basis to understand challenges of surgical care in low-resource environments while laying the groundwork for students with a future career in global health.
authors.affiliation: Department of General Surgery, Oregon Health and Science University, Portland, Oregon. Electronic address: moren@ohsu.edu.
authors.forename: Alexis
authors.initials: A
authors.lastname: Moren
authors.affiliation: Department of General Surgery, Oregon Health and Science University, Portland, Oregon.
authors.forename: Mackenzie
authors.initials: M
authors.lastname: Cook
authors.affiliation: Department of Family Medicine, University of New Mexico, Albuquerque, New Mexico.
authors.forename: Molly
authors.initials: M
authors.lastname: McClain
authors.affiliation: School of Medicine, Oregon Health and Science University, Portland, Oregon.
authors.forename: Julie
authors.initials: J
authors.lastname: Doberne
authors.affiliation: Division of Trauma, Critical Care and Acute Care Surgery, Oregon Health and Science University, Portland, Oregon.
authors.forename: Laszlo
authors.initials: L
authors.lastname: Kiraly
authors.affiliation: Legacy Institute for Surgical Education and Innovation, Legacy Research Institute, Legacy Health, Portland, Oregon.
authors.forename: Rosina Serene
authors.initials: RS
authors.lastname: Perkins
authors.affiliation: Surgery and Inequalities Course, Oregon Health and Science University, Portland, Oregon.
authors.forename: Karen
authors.initials: K
authors.lastname: Kwong
mesh_terms: D001291:Attitude of Health Personnel; D003479:Curriculum / Q000592:standards*; D003695:Delivery of Health Care; D013502:General Surgery / Q000193:education*; D014943:Global Health; D006295:Health Resources
keywords: Medical Knowledge; Patient Care; Practice-Based Learning and Improvement; international surgery; medical students; qualitative analysis; surgical education