1. Orthopedic Surgery in New Zealand Isaiah Logan http://www.wrnmmc.capmed.mil/Style%20Library/Images/walter reed/OrthopaedicSurgery.jpg http://www.mch.govt.nz/nz-identity-heritage/flags

2. 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

3. 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 https://rmsbunkerblog.files.wordpress.com/2014/01/the- future-of-healthcare.jpg

4. 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 http://s.hswstatic.com/gif/about-weight-loss-surgery-ga-1.jpg

5. 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 http://www.ummchealth.com/uploadedIma ges/UMHC/body_imaging.jpg

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

7. 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 http://examinedexistence.com/wp-content/uploads/2013/10/obesity.jpg

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

9. Auckland City Hospital http://www.xigo.co.nz/wp-content/uploads/2012/07/aklhosp4.jpg

10. Cultural Experience 1 st 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

11. Tahiti

12. http://www.lonelyplanet.com/maps/pacific/new-zealand/map_of_new-zealand.jpg

15. Tongariro Alpine Crossing

16. Queenstown