Surprise Souvenirs: Why Clinicians Should Always Ask About Foreign Travel | Research (2024)

Americans take 60 million international trips each year, and as many as half of those travelers bring back unwanted souvenirs in the form of gastrointestinal illnesses, fevers, skin disorders and other ills.

That's why physicians should routinely ask patients if they've recently been out of the country, says Dr. Stefan Hagmann, assistant professor of pediatrics at Einstein.

Surprise Souvenirs: Why Clinicians Should Always Ask About Foreign Travel | Research (1)
Dr. Stefan Hagmann
Dr. Hagmann and his team analyzed data from the GeoSentinel Surveillance Network, consisting of travel and tropical medicine clinics in 24 countries on six continents that compile clinical information on sick travelers. Patients in the study had crossed an international border within the last 10 years and had sought medical care from a GeoSentinel clinician for a presumed travel-associated condition.

Charting the Conditions
Gastrointestinal illness was the leading diagnostic category (58 percent). Topping the list of GI conditions were giardiasis (caused by accidentally ingesting the protozoan Giardia) and intestinal strongyloidiasis (a tropical or subtropical ailment caused by a parasitic worm that penetrates the skin). The next most common category was systemic febrile illness (18 percent), with malaria and dengue as the most common identified diagnoses. A close third were dermatologic disorders (17 percent), most often related to insect bites. Together, those three categories accounted for more than 90 percent of the illnesses afflicting travelers seen at GeoSentinel clinics. Vaccine-preventable infections affected 2 percent of travelers who sought medical care.

The researchers also looked at correlations between types of travelers and diseases they brought back. For example, malaria predominated among travelers visiting friends and relatives, while rickettsial infections (tick-borne spotted fever and the like) disproportionately affected tourists.

Always Ask
"Questions about recent travel should be a routine part of medical history-taking," says Dr. Hagmann, a pediatric infectious disease specialist at Bronx-Lebanon Hospital who is also on the pediatrics staff at Montefiore. "They would allow for quicker diagnosis and earlier treatment of travel-related conditions. Consider a patient who arrives in the doctor's office with a fever and mentions a recent trip to a malaria endemic area. That information warrants malaria smears and, if available, a rapid malaria test."

The study appeared in the December 2014 issue of Family Practice.

Posted on: Thursday, January 29, 2015

Surprise Souvenirs: Why Clinicians Should Always Ask About Foreign Travel | Research (2024)

FAQs

Surprise Souvenirs: Why Clinicians Should Always Ask About Foreign Travel | Research? ›

Americans take 60 million international trips each year, and as many as half of those travelers bring back unwanted souvenirs in the form of gastrointestinal illnesses, fevers, skin disorders and other ills. That's why physicians should routinely ask patients if they've recently been out of the country, says Dr.

Do surgeons travel for work? ›

Physicians and surgeons may travel between their offices and the hospital to care for patients.

How to be an international doctor? ›

If you want to work as a physician internationally, you need to have completed your medical degree and residency, and you must be board certified to practice medicine. Depending on the position, you may need to have a specific work visa. Your employer may sponsor that.

Are there doctors that travel around the world? ›

Several nonprofits recruit travel doctors to provide medical aid where it's needed around the world. For example, Doctors Without Borders is an organization that recruits medical professionals to provide care for many countries worldwide.

What are travel doctors called? ›

A locum tenens physician is a doctor who temporarily fills in for another doctor at a hospital or medical practice. People sometimes assume that all locum tenens physicians are traveling physicians, but that's not necessarily the case. Most traveling doctors are locum tenens physicians.

Where do surgeons make the most money? ›

Top 25 states for surgeon pay
RankStateAverage salary
1North Dakota$359,220
2Rhode Island$356,680
3South Carolina$356,560
4California$351,580
21 more rows
Sep 14, 2022

Can surgeons be fired? ›

Can a doctor be fired from their job? It may come as a surprise, but the answer is “yes.” A doctor can be fired by his or her employer — a medical practice, hospital, or other healthcare facility.

What is the hardest country to become a doctor in? ›

Now that we've gone through each country in detail, which one is the most competitive? Based on the data, Canada is the most competitive. The process and requirements of getting into medical school are very similar to the U.S.; however, more students are competing for each medical school spot.

Which country pays doctors the most? ›

10 Highest paying countries for doctors
  • Switzerland. Switzerland tops the chart when it comes to the highest-paying countries for doctors and related healthcare professionals. ...
  • Canada. ...
  • Luxembourg. ...
  • USA. ...
  • Ireland. ...
  • Australia. ...
  • Austria. ...
  • Belgium.
May 13, 2024

Which country is easiest to become a doctor? ›

In which country is the process of becoming a doctor considered to be the easiest in terms of requirements and duration? The perception of the easiest country to become a doctor varies, but some Caribbean nations, including Antigua, are known for streamlined processes and shorter durations for medical education.

Why do doctors ask about international travel? ›

Americans take 60 million international trips each year, and as many as half of those travelers bring back unwanted souvenirs in the form of gastrointestinal illnesses, fevers, skin disorders and other ills. That's why physicians should routinely ask patients if they've recently been out of the country, says Dr.

What is the #1 medical tourism destination country in the world? ›

In the 2020-2021 global medical tourism ranking based on 46 destinations, Canada came first with an index score of 76.47.

What kind of doctor travels a lot? ›

Locum Tenens (Physicians and Advanced Practitioners)

Working as a locum tenens healthcare professional offers greater choice and control of your career and the ability to travel and explore new practice settings.

What is a remote medical visit called? ›

Telehealth — sometimes called telemedicine — lets you see your health care provider without going to their office. You can have a telehealth visit online using your computer, tablet, or smartphone.

What is a traveling clinician? ›

Being a traveling healthcare clinician allows you to have flexibility in where you work and how often. Though it's harder to get vacation time as a traveler, you can decide if you want to take time off between assignments. You'll also gain experience working in a variety of environments.

What is the meaning of locum doctor? ›

A locum doctor is one who temporarily fills a rota gap within a hospital, clinic or practice. This can often be on a relatively short-term basis, although in the healthcare sector, it's not uncommon for loc*ms to hold their post as part of a practice's core medical team for more extended periods.

Do surgeons have time for family? ›

The time spent with family can vary greatly depending on the individual's specialty, work environment, and personal circ*mstances. For instance, some surgeons might work long hours, often exceeding 12 hours a day, leaving little time for family.

Do surgeons go to work everyday? ›

In emergency situations or public health crises, their shifts may be longer. To make up for their long shifts, surgeons often work less than six days a week, with an average weekly schedule of four days.

What is the longest shift a surgeon can work? ›

Surgeons work an average of 50 to 60 hours per week, and this does not include their on-call hours. Surgeons' shifts can be anywhere from 12 to 28 hours long. Many private surgical practices and hospitals do not allow surgeons to work for over 80 hours a week.

Can surgeons operate remotely? ›

While the field of robotic surgery is fairly well established, most of these robots are controlled by surgeons at the location of the surgery. Remote surgery is remote work for surgeons, where the physical distance between the surgeon and the patient is less relevant.

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