Orthopedic Surgery in New ZealandIsaiah Logan

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Compare the healthcare systems of the USA and NZ• NZ has nationalized healthcare• Smaller population, comparable to a major city in USA• More efficient• More effective• Better coordination of care• Same technique• Potential benefit from expectation of the consumers

Identify factors that increase the cost of healthcare in the USA compared to NZ

• Nationalized Healthcare• Everyone has access to healthcare• Decreased costly means of care, like emergency room

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Identify the surgical and non-surgical treatments of orthopedic disease and evaluate the use of each in NZ

• Same technique as the USA• Likely due to current literature• Also a contributor was the number of attending surgeons that

had fellowships in the USA• Academic medical center• Westernized country

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Compare the use of imaging studies for the diagnosis, treatment and management of orthopedic conditions

• Observation of same imaging process• A number of imaging studies are done in patient

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Identify the epidemiology of obesity in NZ• Obesity problem in NZ but lower than USA• Extensive healthcare cost attributed to obesity burden

Assess the affect of obesity on surgical treatment• Emergent surgeries no difference• Elective surgeries likely have increased time before operation

which leaves time for non surgical intervention• Potential for recommendation of weight loss

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Clinical Experience• Hands on• Major responsibility was time in the operating room• Multiple preceptors• Variety of cases• Triage• Treatment of chest pain on flight

Auckland City Hospital

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Cultural Experience• 1st overseas trip• New Zealanders, the Kiwis• Maori people & culture• Experienced national sports (rugby, cricket, etc) • Layover in Tahiti as well• Foreign language• Navigating in more challenging environment• Less westernized

Tahiti

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Tongariro Alpine Crossing

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Queenstown

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