ACOMS Review - Spring 2019 ACOMS Review April 2019 | Page 7

What are some challenges of humanitarian work? Some difficulties include lack of sleep and working in a foreign environment with staff who are unfamiliar with you and speak a different language. It is also difficult to establish trust with patients and their families when we are there for a set amount of time. Lastly, it’s hard leaving with the possibility of unfinished business and knowing you still have to leave. What would you say to surgeons who are hesitant to try mission work? I recommend starting with something easy. Don’t push the boundaries of your scope. It is very easy to become overwhelmed. I recommend starting with a “tooth mission.” A tooth mission gives you the opportunity to get a feel for what it’s like working in an environment that may be fraught with miscommunication and lack of instruments and other resources. After you become comfortable with easier humanitarian surgery, then think about moving to a more challenging mission. What are steps that surgeons can take to start getting involved in global surgery? Getting involved takes a lot of work. Organizations may reject you or not even respond, but you have to keep trying. It’s a difficult process, because organizations are hesitant to work with a new surgeon, especially if they have no experience working in foreign conditions, but eventually you will be selected for a project. Most importantly, remember mission work can be overwhelming, so start within your scope.