How Do We Decolonize Global Health in Medical Education?

Medical schools are increasing global health training opportunities, but these have been marketed to medical students as an exotic vocation. The challenges of global health education in high income country (HIC) medical schools are rooted within broader inequities in global health partnerships. More...

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Autores principales: Deen L. Garba, Makela C. Stankey, Anusha Jayaram, Bethany L. Hedt-Gauthier
Formato: article
Lenguaje:EN
Publicado: Ubiquity Press 2021
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Acceso en línea:https://doaj.org/article/6943b93f2f574258bdbbdbd6beed3ee3
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spelling oai:doaj.org-article:6943b93f2f574258bdbbdbd6beed3ee32021-12-02T18:24:41ZHow Do We Decolonize Global Health in Medical Education?2214-999610.5334/aogh.3220https://doaj.org/article/6943b93f2f574258bdbbdbd6beed3ee32021-03-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/3220https://doaj.org/toc/2214-9996Medical schools are increasing global health training opportunities, but these have been marketed to medical students as an exotic vocation. The challenges of global health education in high income country (HIC) medical schools are rooted within broader inequities in global health partnerships. More meaningful engagement during medical training is hindered by students’ inability to take extended absences, difficulty securing funding, a paucity of mentors with demonstrated commitment to equitable global health practice, and inadequate preparation. Calls for decolonizing global health have recently amplified, and medical schools must seize the opportunity to train decolonizers. We outline steps medical schools can adopt to shift their global health education approach to develop practitioners better prepared to contribute equitably. First, students should be exposed to more global health courses, including the history of colonial medicine and its effects on specific local contexts. Medical schools should deemphasize short-term unidirectional engagement, and encourage extended experiences. International experiences must have clearly defined roles, clarified with pre-visit contracts and supervision of the experience to ensure students do not engage in medicine above their level of training. For any exchange, medical schools must provide pre-visit training that includes site-specific orientation and strategies for effective collaboration. Finally, medical schools must recruit faculty committed to developing equitable, long-term collaborations, and institutional promotion criteria must be aligned to encourage this work. An understanding and commitment to this lifelong practice can be fostered through medical school curricula that expose students to global health work that prioritizes equity in clinical work and research.Deen L. GarbaMakela C. StankeyAnusha JayaramBethany L. Hedt-GauthierUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 87, Iss 1 (2021)
institution DOAJ
collection DOAJ
language EN
topic Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
spellingShingle Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
Deen L. Garba
Makela C. Stankey
Anusha Jayaram
Bethany L. Hedt-Gauthier
How Do We Decolonize Global Health in Medical Education?
description Medical schools are increasing global health training opportunities, but these have been marketed to medical students as an exotic vocation. The challenges of global health education in high income country (HIC) medical schools are rooted within broader inequities in global health partnerships. More meaningful engagement during medical training is hindered by students’ inability to take extended absences, difficulty securing funding, a paucity of mentors with demonstrated commitment to equitable global health practice, and inadequate preparation. Calls for decolonizing global health have recently amplified, and medical schools must seize the opportunity to train decolonizers. We outline steps medical schools can adopt to shift their global health education approach to develop practitioners better prepared to contribute equitably. First, students should be exposed to more global health courses, including the history of colonial medicine and its effects on specific local contexts. Medical schools should deemphasize short-term unidirectional engagement, and encourage extended experiences. International experiences must have clearly defined roles, clarified with pre-visit contracts and supervision of the experience to ensure students do not engage in medicine above their level of training. For any exchange, medical schools must provide pre-visit training that includes site-specific orientation and strategies for effective collaboration. Finally, medical schools must recruit faculty committed to developing equitable, long-term collaborations, and institutional promotion criteria must be aligned to encourage this work. An understanding and commitment to this lifelong practice can be fostered through medical school curricula that expose students to global health work that prioritizes equity in clinical work and research.
format article
author Deen L. Garba
Makela C. Stankey
Anusha Jayaram
Bethany L. Hedt-Gauthier
author_facet Deen L. Garba
Makela C. Stankey
Anusha Jayaram
Bethany L. Hedt-Gauthier
author_sort Deen L. Garba
title How Do We Decolonize Global Health in Medical Education?
title_short How Do We Decolonize Global Health in Medical Education?
title_full How Do We Decolonize Global Health in Medical Education?
title_fullStr How Do We Decolonize Global Health in Medical Education?
title_full_unstemmed How Do We Decolonize Global Health in Medical Education?
title_sort how do we decolonize global health in medical education?
publisher Ubiquity Press
publishDate 2021
url https://doaj.org/article/6943b93f2f574258bdbbdbd6beed3ee3
work_keys_str_mv AT deenlgarba howdowedecolonizeglobalhealthinmedicaleducation
AT makelacstankey howdowedecolonizeglobalhealthinmedicaleducation
AT anushajayaram howdowedecolonizeglobalhealthinmedicaleducation
AT bethanylhedtgauthier howdowedecolonizeglobalhealthinmedicaleducation
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