International rotations during residency: spine deformity surgery in Ghana

International elective rotations are becoming increasingly common in residency training programs. These experiences offer a tremendous opportunity to help patients in medically underserved nations, and can enhance training by exposing participants to pathology not often encountered in developed countries. Additionally, there is emerging evidence that international training exposure develops a broader appreciation of cultural diversity in patient care, offers personal and professional development, and teaches residents to use limited resources more efficiently, giving them a unique perspective on the ordering of tests and delivery of care when they return. This paper highlights the author's experience on a volunteer trip to Ghana that was focused on treating pediatric spinal deformity, and reviews notable international medical volunteers, and highlights the evidence supporting the benefits of international residency rotations.