Bidirectional Exchanges of Medical Students Between Institutional Partners in Global Health Clinical Education Programs: Putting Ethical Principles into Practice

<p>Background</p><p>One-third of US medical students participate in global health (GH) education, and approximately one-quarter of US medical schools have structured programs that offer special recognition in GH. GH clinical electives (GHCEs) are opportunities for students to exper...

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Autores principales:	Robert Rohrbaugh, Anne Kellett, Michael J. Peluso
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2017
Materias:	global health education global health clinical electives inter-institutional partnerships bidirectional exchange capacity building ethics Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/07663f8d83ef4db8ba111424ebd1867d
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spelling	oai:doaj.org-article:07663f8d83ef4db8ba111424ebd1867d2021-12-02T09:32:35ZBidirectional Exchanges of Medical Students Between Institutional Partners in Global Health Clinical Education Programs: Putting Ethical Principles into Practice2214-999610.1016/j.aogh.2016.04.671https://doaj.org/article/07663f8d83ef4db8ba111424ebd1867d2017-03-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/228https://doaj.org/toc/2214-9996<p>Background</p><p>One-third of US medical students participate in global health (GH) education, and approximately one-quarter of US medical schools have structured programs that offer special recognition in GH. GH clinical electives (GHCEs) are opportunities for students to experience a medical system and culture different from their own. GHCEs are administered through institutional affiliation agreements, often between an institution in a high-income country (HIC) and one in a low- or middle-income country (LMIC). Although these agreements suggest the exchange of students in both directions, GHCEs are traditionally characterized by students from HICs traveling to LMICs.</p><p>Objectives</p><p>The goal of this study was to investigate the availability of opportunities for students from LMICs participating in GHCEs at partner institutions in HICs and to describe the costs of these opportunities for students from LMICs.</p><p>Methods</p><p>We conducted a web-based search of 30 US institutions previously identified as having structured programs in GH. We determined which of these schools have programs that accept medical students from international schools for GHCEs, as well as the administrative requirements, types of fees, and other costs to the international student based on information available on the web. Descriptive statistics were employed for the quantitative analysis of costs.</p><p>Findings</p><p>We found that, although the majority of US institutions with structured GH programs sending students to sites abroad accept international students at their sites in the United States, nearly one-fifth of programs do not offer such opportunities for bidirectional exchange. We also characterized the substantial costs of such experiences, because this can represent a significant barrier for students from LMICs.</p><p>Conclusions</p>Access to GHCEs in US partner institutions should be an important underlying ethical principle in the establishment of institutional partnerships. The opportunities available to and experiences of students from LMIC partner institutions are important areas for future GH education research.Robert RohrbaughAnne KellettMichael J. PelusoUbiquity Pressarticleglobal health educationglobal health clinical electivesinter-institutional partnershipsbidirectional exchangecapacity buildingethicsInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 82, Iss 5, Pp 659-664 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	global health education global health clinical electives inter-institutional partnerships bidirectional exchange capacity building ethics Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	global health education global health clinical electives inter-institutional partnerships bidirectional exchange capacity building ethics Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Robert Rohrbaugh Anne Kellett Michael J. Peluso Bidirectional Exchanges of Medical Students Between Institutional Partners in Global Health Clinical Education Programs: Putting Ethical Principles into Practice
description	<p>Background</p><p>One-third of US medical students participate in global health (GH) education, and approximately one-quarter of US medical schools have structured programs that offer special recognition in GH. GH clinical electives (GHCEs) are opportunities for students to experience a medical system and culture different from their own. GHCEs are administered through institutional affiliation agreements, often between an institution in a high-income country (HIC) and one in a low- or middle-income country (LMIC). Although these agreements suggest the exchange of students in both directions, GHCEs are traditionally characterized by students from HICs traveling to LMICs.</p><p>Objectives</p><p>The goal of this study was to investigate the availability of opportunities for students from LMICs participating in GHCEs at partner institutions in HICs and to describe the costs of these opportunities for students from LMICs.</p><p>Methods</p><p>We conducted a web-based search of 30 US institutions previously identified as having structured programs in GH. We determined which of these schools have programs that accept medical students from international schools for GHCEs, as well as the administrative requirements, types of fees, and other costs to the international student based on information available on the web. Descriptive statistics were employed for the quantitative analysis of costs.</p><p>Findings</p><p>We found that, although the majority of US institutions with structured GH programs sending students to sites abroad accept international students at their sites in the United States, nearly one-fifth of programs do not offer such opportunities for bidirectional exchange. We also characterized the substantial costs of such experiences, because this can represent a significant barrier for students from LMICs.</p><p>Conclusions</p>Access to GHCEs in US partner institutions should be an important underlying ethical principle in the establishment of institutional partnerships. The opportunities available to and experiences of students from LMIC partner institutions are important areas for future GH education research.
format	article
author	Robert Rohrbaugh Anne Kellett Michael J. Peluso
author_facet	Robert Rohrbaugh Anne Kellett Michael J. Peluso
author_sort	Robert Rohrbaugh
title	Bidirectional Exchanges of Medical Students Between Institutional Partners in Global Health Clinical Education Programs: Putting Ethical Principles into Practice
title_short	Bidirectional Exchanges of Medical Students Between Institutional Partners in Global Health Clinical Education Programs: Putting Ethical Principles into Practice
title_full	Bidirectional Exchanges of Medical Students Between Institutional Partners in Global Health Clinical Education Programs: Putting Ethical Principles into Practice
title_fullStr	Bidirectional Exchanges of Medical Students Between Institutional Partners in Global Health Clinical Education Programs: Putting Ethical Principles into Practice
title_full_unstemmed	Bidirectional Exchanges of Medical Students Between Institutional Partners in Global Health Clinical Education Programs: Putting Ethical Principles into Practice
title_sort	bidirectional exchanges of medical students between institutional partners in global health clinical education programs: putting ethical principles into practice
publisher	Ubiquity Press
publishDate	2017
url	https://doaj.org/article/07663f8d83ef4db8ba111424ebd1867d
work_keys_str_mv	AT robertrohrbaugh bidirectionalexchangesofmedicalstudentsbetweeninstitutionalpartnersinglobalhealthclinicaleducationprogramsputtingethicalprinciplesintopractice AT annekellett bidirectionalexchangesofmedicalstudentsbetweeninstitutionalpartnersinglobalhealthclinicaleducationprogramsputtingethicalprinciplesintopractice AT michaeljpeluso bidirectionalexchangesofmedicalstudentsbetweeninstitutionalpartnersinglobalhealthclinicaleducationprogramsputtingethicalprinciplesintopractice
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Bidirectional Exchanges of Medical Students Between Institutional Partners in Global Health Clinical Education Programs: Putting Ethical Principles into Practice

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