The Institute for Global Orthopaedics and Traumatology (IGOT) was founded in 2006 by the faculty and residents of the University of California, San Francisco (UCSF) Department of Orthopaedic Surgery.


IGOT’s mission is to use the power of surgical education to save limbs and save lives in the developing world.


Through our global network of over 75 partners and affiliates we:


Host advanced surgical training courses across the globe to save limbs & lives of patients today, and invest in the surgeons of tomorrow.


Collaborate on locally-driven, high-quality research studies with the potential to permanently improve care standards.


Build a leadership development infrastructure to empower surgeons to become the leading voices in advocacy for health issues effecting their region.


Facilitate the flow of orthopaedic knowledge between global partner sites through observerships, fellowships and online with the IGOT Portal.




The purpose of IGOT’s Knowledge Exchange Initiative is to facilitate the flow of orthopaedic knowledge between our global partners and UCSF’s Department of Orthopaedic Surgery. First, we invite members of our partner institutions to partake in the Global Scholars Program and Orthopaedic Observerships at the Orthopaedic Trauma Institute (OTI). IGOT also enables fourth year UCSF orthopaedic residents to learn from our partner sites through a one-month Global Elective rotation during their fourth year.



IGOT’s Surgical Education Initiative strives to provide orthopaedic surgeons from low-and-middle income countries (LMICs) with the training and educational resources needed to save limbs and lives. To prevent amputations in LMICs, IGOT has created the Surgical Management and Reconstructive Training (SMART) Course, which is hosted both in-country (Tanzania, Nepal) as well as in San Francisco. In addition, the online IGOT Portal contains potentially lifesaving orthopaedic training modules as well as an unique case-submission forum that leverages global crowdsourcing to solve difficult cases.



The goal of IGOT’s Global Research Initiative is to enable orthopaedic surgeons from low-and-middle income countries (LMICs) to conduct high-quality studies on how to reduce the burden of musculoskeletal disease in resource-poor environments. To achieve this goal, IGOT hosts the annual “International Research Symposium,” provides guidance on study design and data management for partner institutions, and supports the yearlong Morgan and Madison McClellan International Research Fellowship for one 3rd/4th year medical student. Since 2006, we have worked with 65 global leaders across 10 countries on 45 research projects, and facilitated the travel of 50 IGOT ambassadors and scholars to and from our partner institutions.



The purpose of IGOT’s Advocacy and Leadership Initiative is to raise awareness of the global burden of musculoskeletal injury and how orthopaedic surgery can be used to reduce that burden in resource-poor settings. IGOT advocates through editorials, research articles, presentations at national and international conferences, and the annual Bay Area Global Health Film Festival

IGOT’s International SMART Course
Surgical Management and Reconstructive Training

IGOT’S International SMART Course (Surgical Management and Reconstructive Training) is a locally-driven, sustainable surgical training program teaching highly relevant, limb-saving techniques to surgeons in the developing world. Hosted in-country, the course delivers a hands-on curriculum to hundreds of local surgeons developing skills to be passed from generation to generation.


IGOT’s goal is to offer an online platform for surgical education that is easily accessible, self-paced and free to supplement the content of the SMART Course as well as provide access to those who are unable to attend a course. The IGOT Portal is a novel endeavor that we hope to scale and expand using already existing technology. It strives to leverage our expert network of faculty and partner institutions to crowdsource solutions to surgical cases and meet the needs of orthopaedic surgeons in developing countries.




COACT is an umbrella society dedicated to supporting the collaboration of academic global health and orthopaedic efforts through mentorship, sharing of best practices, research opportunities, and resources.


Dr. Chris McConnachie Fellowship Fund was established in 2008 to offer orthopaedic surgery residents at the University of California at San Francisco (UCSF) the opportunity for a month rotation at the Bedford Orthopaedic Center in South Africa. This program is rooted in the hope that early exposure will encourage future volunteerism throughout residents’ professional lives.


Orthopaedic Residency Program

Since 2006 IGOT and UCSF’s Department of Orthopaedic Surgery has offered a formal “Global Elective” opportunity for PGY-4 residents. This program is the longest standing (with the first resident participating in 1999) and formally recognized global elective in the field of orthopaedic surgical training. It is credited for being a major attraction to applicants of the UCSF program and has been responsible for shaping the current leaders of global orthopaedics.




R. Richard (Rick) Coughlin MD, MSc 

Rick has been a champion for overseas volunteerism and involvement since 1988 with the establishment of the orthopedic division of Operation Rainbow, a non-profit that offers free orthopedic surgery to children, with his private practice partner Taylor Smith. After joining the faculty at UCSF, he founded the first formal overseas rotation for orthopaedic surgery residents’ in the Transkei of South Africa in 1999. As a Clinical Professor of Orthopaedics in the Department of Orthopaedic Surgery at UCSF at the Orthopaedic Trauma Institute based at San Francisco General Hospital, the county hospital for trauma and the indigent of the city and county of San Francisco.  Rick completed his master’s degree in ‘Public Health in Developing Countries’ at the London School of Hygiene and Tropical Medicine in 2004. Rick was awarded the American Academy of Orthopaedic Surgeons Humanitarian of the Year Award, which is given to one surgeon world-wide annually, for care of disadvantaged populations both at home and abroad.



Richard (Rich) Gosselin


Rich has dedicated his life to overseas work at various capacities. He is a native of Montréal, Canada where he attended Collège André-Grasset for his undergraduate degree in Health Sciences. After graduating from college, he attended the University of Montréal Medical School, where he obtained his M.D. degree in 1979. He finished his Orthopaedic Surgery training at his medical school alma mater in 1984. Post residency, he completed a series of Orthopaedic Surgery fellowships: Musculoskeletal Infections in Senegal, Pelvis and Acetabular Surgery in Paris, and Orthopaedic Trauma at the San Francisco General Hospital-UCSF. He served as an Attending at SFGH from 1988-1991 and afterwards pursued international relief opportunities through the Red Cross. He later settled on his private practice in Merritt Island, FL where the focus of his clinical practice was Trauma and Joint Replacement. In 1999, he retired from his practice to pursue additional training as a public health scholar at the UC-Berkeley School of Public Health (MPH, 2001), and the London School of Hygiene and Tropical Medicine (MSc, 2002). Ever since, he has been a Lecturer at UC Berkeley School of Public Health and spends his time abroad teaching and volunteering in a humanitarian capacity through IGOT, Medicine Sans Frontier (MSF), World Health Organization (WHO) and ICRC. His hobbies include traveling, photography, reading, and wine tasting. He has worked in over 40 different developing countries.



Harry Jergesen


Harry graduated from Harvard College in 1968 and received his medical degree from Harvard Medical School in 1972. He completed two years of general surgery residency at Massachusetts General Hospital and a residency in orthopaedic surgery in the Combined Harvard Orthopedic Residency Program. He was chief resident at the Peter Bent Brigham Hospital in Boston. In 1978, he was appointed assistant director of Rehabilitation Engineering Research and Development at the San Francisco Veterans Affairs Medical Center, where he served as Chief of Orthopaedic Surgery till 2007. In addition to his work at the Veterans Hospital, Harry works as an attending arthroplasty surgeon at the UCSF Arthritis Center and San Francisco General Hospital, where he specializes in surgery of the hip and knee. In addition to participating in medical missions to Central and South America, he is active in the orthopaedic section of the UCSF Global Health Sciences Program, designed to promote academic ties with UCSF and medical schools in developing countries and improve care in underserved areas in our country.


Executive Director

Amber Caldwell


Amber graduated in 2014 from the London School of Hygiene and Tropical Medicine with a masters degree in Global Health Policy. She holds a Bachelor’s Degree in Global and International Studies, emphasizing in Cultural Ideology and a minor in Sports Medicine from the University of California, Santa Barbara (2004). She was an Athletic Trainer for the collegiate sports teams while an undergraduate and pursued combining her interests in the global health field working for non-profit health organizations. Amber joined the Department of Orthopaedic Surgery at UCSF in 2006 as the Practice Manager for the Foot and Ankle Service. In 2008 Amber traveled to Mthatha, South Africa to work alongside IGOT’s colleagues at the Bedford Orthopaedic Hospital to launch an outreach education program for trauma assessment and fracture management. Upon returning from South Africa Amber joined the Orthopaedic Trauma Institute at SFGH as the Director of Outreach Development.  She works alongside Dr. Theodore Miclau to increase the Department’s local and global outreach education and development. Amber hopes to bring sustainability in healthcare and hospital infrastructure to developing countries through health systems strengthening.


Global Surgical Education Coordinator

Madeline MacKechnie


Madeline graduated summa cum laude with a Bachelor’s Degree in International Development Studies.  With a strong interest in healthcare in Lower and Middle Income Countries (LMICs), she pursued a Master’s Degree in Global Development Studies at Queen’s University Canada, focusing specifically on healthcare in Latin America.  Her interest in the intersection between global health and orthopaedics was sparked while working as a Spanish translator on an orthopaedic mission trip.  At the UCSF Orthopaedic Trauma Institute, Madeline coordinates in-house surgical training courses and provides management for IGOT’s orthopaedic educational initiatives in developing countries.  Alongside her dedicated colleagues, she’s committed to developing and advancing high-quality orthopaedic surgical skills programs both existing and new.


Director of Global Research

Dave Shearer


Dave grew up in Toppenish, a small town in Eastern Washington. He did his undergraduate studies in Mechanical Engineering at the Massachusetts Institute of Technology followed by his medical degree at the University of Washington. With an interest in clinical research and global health, he obtained an MPH from the Harvard School of Public Health before beginning residency training in orthopedic surgery at the University of California, San Francisco. He has subsequently had fellowship training in orthopedic trauma at Harborview Medical Center in Seattle and foot and ankle surgery with Dr. Michael Coughlin in Boise, Idaho. He joined the faculty at UCSF in 2015 with clinical interests in complex fracture care as well as acute and post-traumatic conditions of the foot and ankle. As co-director of the IGOT Global Research Initiative, his primary academic interest is building research capacity and conducting high-quality clinical studies in low and middle-income countries through IGOT’s partnerships. He has participated in medical trips to Central America and Southeast Asia, and since 2012 has helped to develop a strong partnership with the Muhimbili Orthopedic Institute in Dar es Salaam, Tanzania.


Director of Reconstructive Surgical Education  

Joseph N. Carey


Joe is an Assistant Professor of Surgery in the Division of Plastic and Reconstructive Surgery at the University of Southern California. His specialty is microvascular surgery, including breast reconstruction, head and neck reconstruction, extremity salvage, and hand surgery. He currently serves as the Service Chief of Plastic and Reconstructive Surgery at LAC-USC Medical Center since 2011. Dr. Carey joined IGOT in 2010 as the Course Director of the SMART Course soft-tissue reconstruction modules and skills labs. His research focus with IGOT centers on surgical education and the clinical outcomes of soft tissue reconstruction in limb salvage. Joe’s education includes a general surgery and a plastic surgery residency at USC. He also completed a Microvascular surgery fellowship at Stanford University. Joe received his undergraduate degree, masters in anatomy and medical degree from USC.


Co-Director of Global Research

Saam Morshed

MD, PhD 

Saam Morshed received his bachelor’s degree from Harvard University and completed both medical school and orthopaedic residency at the University of California San Francisco. As an Orthopaedic Research and Education Foundation Clinical Research Training Fellow, he received a Master’s of Public Health and PhD in Epidemiology from the University of California Berkeley. Prior to returning to UCSF to join the faculty in the Department of Orthopaedic Surgery, he completed subspecialty clinical training in orthopaedic trauma at Harborview Medical Center in Seattle. Saam is an attending orthopaedic trauma surgeon and Director of the Clinical Research Center at the UCSF SFGH Orthopaedic Trauma Institute. His clinical practice is focused on skeletal trauma, surgery of the pelvis and acetabulum, and problem fractures including malunions and nonunions.


Morgan and Madison McClellan

International Research Fellow (2016-17)

Devin Conway

Devin is a fourth year medical student at Tulane University, currently pursuing a year-out as the Morgan & Madison McClellan International Research Fellow. In addition to orthopaedic surgery, he has a strong interest in global health and is pursuing a Master’s in Public Health & Tropical Medicine from the Tulane School of Public Health. Devin graduated summa cum laude from Louisiana State University in 2013, graduating with college honors and a B.S. in Biological Sciences. He developed an interest in working internationally after living in Jamaica for three years as a child. This was affirmed during a volunteer trip to Tanzania during his first year of medical school. Now, Devin is focused on research revolving around the burden of musculoskeletal injuries worldwide and providing competent orthopaedic care to underserved populations both domestically and abroad.