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Mobile Pediatric Orthopaedic Education (MoPOEd)A Unique Program Teaching Sustainable Pediatric Orthopaedics in the Developing World
Robert M. Bernstein, MD1; Carol B. Cozen, AIA2; Hugh G. Watts, MD3; William Hohl, MD4
1 Department of Pediatric Orthopaedic Surgery and Rehabilitation, Steven and Alexandra Cohen Children's Medical Center of New York, 269-01 76th Avenue, Suite 365, New Hyde Park, NY 11040. E-mail address: Rbernstein1@nshs.edu
2 1750 8th Street, Manhattan Beach, CA 90266
3 Shriners Hospitals for Children, Los Angeles Unit, 3160 Geneva Street, Los Angeles, CA 90020
4 Cedars-Sinai Medical Center, 444 South San Vicente Boulevard, Suite 603, Los Angeles, CA 90048
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Disclosure: One or more of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of an aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

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Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2011 Nov 16;93(22):e134 1-5. doi: 10.2106/JBJS.J.01978
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Approximately 45% of the population of the developing world is under fifteen years of age1, yet many developing countries have little or no available health care for the treatment of bone, joint, and muscle problems in children. While the World Health Organization and other organizations focus on the eradication of human immunodeficiency virus (HIV), malaria, and other diseases2 through the development of vaccines and medications, little or no effort has been directed to diseases requiring surgical treatment, which according to one estimate account for 11% of the total global disease burden and a loss of 128 million disability-adjusted life years (DALYs)3. Weiser et al. estimated that approximately 234 million major surgical procedures are performed worldwide each year, yet the poorest one-third of the world's population undergoes only 3.5% of those procedures4. Gosselin and Heitto estimated that the cost of the surgical procedures performed at a district trauma hospital in Cambodia was $77.40 per DALY averted5. They noted that this was extremely cost-effective when compared with antiretroviral therapy ($350 to $500 per DALY averted).
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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