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I n my previous column, I highlighted one concern that may be common among private-practicing orthopaedic surgeons: Retiring without experiencing all of the opportunities that orthopaedic surgery offers [1]. I bundled these opportunities into four categories: Charity, research, teaching, and leadership. Although all four of these endeavors are vital, to me, charitable work is the most fulfilling. It is easy to forget that large portions of the globe are in such desperate need, and that our time, skill, and compassion are ours to share. In 2003, I volunteered abroad for the first time in Ulaan Baatar, Mongolia to teach Mongolian trauma surgeons some of our approaches to patients with musculoskeletal injuries. The decision to volunteer abroad changed my purpose as an orthopaedic trauma surgeon. Since that time, I have been on 15 other foreign medical mission trips in Asia, Africa, Eastern Europe, and Haiti. At the time of that first trip, I had only been in private practice for 3 years, and I was planning to go on a medical mission when I was more financially stable and my children were older. In private practice, everything depends on our productivity. The stress of developing your practice while trying to be a worthy spouse, parent, and friend can be overwhelming, and I suspected that the ‘‘moreexperienced me’’ would volunteer abroad once I had fewer family and professional demands. But plans change. I received a message from an organization I belonged to that needed an orthopaedic trauma surgeon to teach in Mongolia. It struck me that I didn’t have to wait until later in my career to volunteer abroad. Why wait? What if later never comes? Although there are clear-cut healthcare delivery disparities in the United States, this inequity is far more dramatic in other parts of the world. There is a little-known concept described as the 10/40 window. Approximately 82% of the poorest people in the world live between 10 N and 40 N parallels, and there is tremendous need for quality orthopaedic care in these countries [2]. Indeed, there are several good reasons why we should participate in charity work at all phases of our work life, but volunteering abroad deserves careful consideration. Here are some tips the private practice surgeon should consider before volunteering his or her time. A Day at the Office Published online: 31 August 2017 The Association of Bone and Joint Surgeons1 2017

A Day at the Office: What if “Later” Never Comes? Four Tips for Volunteering Abroad Now