International health experiences in postgraduate medical education: A meta-analysis of their effect on graduates’ clinical practice among underserved populations

Background: International health experiences (IHEs) are popular among medical learners and provide a valuable learning experience. IHE participants have demonstrated an increased intention to care for underserved populations in the future, but what is its actual impact on practice? This study evalu...

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Autores principales:	Russell Dawe, Mark McKelvie
Formato:	article
Lenguaje:	EN
Publicado:	Canadian Medical Education Journal 2020
Materias:	Education (General) L7-991 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/25259b8c948545e984e3f175e00a23b9
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spelling	oai:doaj.org-article:25259b8c948545e984e3f175e00a23b92021-12-01T22:41:37ZInternational health experiences in postgraduate medical education: A meta-analysis of their effect on graduates’ clinical practice among underserved populations10.36834/cmej.569401923-1202https://doaj.org/article/25259b8c948545e984e3f175e00a23b92020-01-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/56940https://doaj.org/toc/1923-1202 Background: International health experiences (IHEs) are popular among medical learners and provide a valuable learning experience. IHE participants have demonstrated an increased intention to care for underserved populations in the future, but what is its actual impact on practice? This study evaluates the effect of postgraduate IHE participation on the future careers of clinicians regarding their work among underserved populations. Methods: We conducted a systematic review and meta-analysis of peer-reviewed articles comparing the populations served by physicians who had participated in an IHE with those of physicians who had not participated in an IHE. Results: 764 titles were scanned, 28 articles were reviewed, with an eventual 3 studies of fair-good or good quality identified. These addressed physicians’ service to domestic underserved populations, and also addressed future service in a low- or middle-income country (LMIC). Meta-analysis demonstrated a statistically-significant increase in service by IHE graduates to domestic underserved populations (OR = 2.12; CI = 95%; P = 0.03). The certainty of the evidence was low due to limitations in study design (non-randomised studies) and inconsistency in effects. Conclusion: Participation in an IHE may cause an increase in care for domestic underserved populations in future clinical practice, though further research from high quality randomised trials is needed to increase the certainty of the effect. Further study is needed to establish whether there is a similar effect with increased future service in a LMIC setting Russell DaweMark McKelvieCanadian Medical Education JournalarticleEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 11, Iss 4 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Education (General) L7-991 Medicine (General) R5-920
spellingShingle	Education (General) L7-991 Medicine (General) R5-920 Russell Dawe Mark McKelvie International health experiences in postgraduate medical education: A meta-analysis of their effect on graduates’ clinical practice among underserved populations
description	Background: International health experiences (IHEs) are popular among medical learners and provide a valuable learning experience. IHE participants have demonstrated an increased intention to care for underserved populations in the future, but what is its actual impact on practice? This study evaluates the effect of postgraduate IHE participation on the future careers of clinicians regarding their work among underserved populations. Methods: We conducted a systematic review and meta-analysis of peer-reviewed articles comparing the populations served by physicians who had participated in an IHE with those of physicians who had not participated in an IHE. Results: 764 titles were scanned, 28 articles were reviewed, with an eventual 3 studies of fair-good or good quality identified. These addressed physicians’ service to domestic underserved populations, and also addressed future service in a low- or middle-income country (LMIC). Meta-analysis demonstrated a statistically-significant increase in service by IHE graduates to domestic underserved populations (OR = 2.12; CI = 95%; P = 0.03). The certainty of the evidence was low due to limitations in study design (non-randomised studies) and inconsistency in effects. Conclusion: Participation in an IHE may cause an increase in care for domestic underserved populations in future clinical practice, though further research from high quality randomised trials is needed to increase the certainty of the effect. Further study is needed to establish whether there is a similar effect with increased future service in a LMIC setting
format	article
author	Russell Dawe Mark McKelvie
author_facet	Russell Dawe Mark McKelvie
author_sort	Russell Dawe
title	International health experiences in postgraduate medical education: A meta-analysis of their effect on graduates’ clinical practice among underserved populations
title_short	International health experiences in postgraduate medical education: A meta-analysis of their effect on graduates’ clinical practice among underserved populations
title_full	International health experiences in postgraduate medical education: A meta-analysis of their effect on graduates’ clinical practice among underserved populations
title_fullStr	International health experiences in postgraduate medical education: A meta-analysis of their effect on graduates’ clinical practice among underserved populations
title_full_unstemmed	International health experiences in postgraduate medical education: A meta-analysis of their effect on graduates’ clinical practice among underserved populations
title_sort	international health experiences in postgraduate medical education: a meta-analysis of their effect on graduates’ clinical practice among underserved populations
publisher	Canadian Medical Education Journal
publishDate	2020
url	https://doaj.org/article/25259b8c948545e984e3f175e00a23b9
work_keys_str_mv	AT russelldawe internationalhealthexperiencesinpostgraduatemedicaleducationametaanalysisoftheireffectongraduatesclinicalpracticeamongunderservedpopulations AT markmckelvie internationalhealthexperiencesinpostgraduatemedicaleducationametaanalysisoftheireffectongraduatesclinicalpracticeamongunderservedpopulations
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International health experiences in postgraduate medical education: A meta-analysis of their effect on graduates’ clinical practice among underserved populations

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