Global surgery for medical students - is it meaningful? A mixed-method study.

<h4>Introduction</h4>There has been an increase in global health courses at medical universities in high-income countries. Their effect on students, however, is poorly understood. In 2016 an elective global surgery course was introduced for medical students at Karolinska Institutet in Sw...

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Autores principales:	Sofia Kühner, Solvig Ekblad, Jan Larsson, Jenny Löfgren
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/9afd90766b9d4488991fdc762d07a9bb
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spelling	oai:doaj.org-article:9afd90766b9d4488991fdc762d07a9bb2021-12-02T20:17:15ZGlobal surgery for medical students - is it meaningful? A mixed-method study.1932-620310.1371/journal.pone.0257297https://doaj.org/article/9afd90766b9d4488991fdc762d07a9bb2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257297https://doaj.org/toc/1932-6203<h4>Introduction</h4>There has been an increase in global health courses at medical universities in high-income countries. Their effect on students, however, is poorly understood. In 2016 an elective global surgery course was introduced for medical students at Karolinska Institutet in Sweden. The course includes a theoretical module in Sweden and a two-week clinical rotation in Uganda. The present study aimed to assess the format and determine its effect on students' knowledge of global surgery and approach towards patients of non-Swedish origin.<h4>Method</h4>A mixed-methods design was used. Semi-structured case-based interviews were conducted individually with 18 students and analysed using qualitative content analysis. Examination scores and the course evaluation were analysed with Kruskal Wallis one-way analysis of variance, Pearson's Chi-square and a Wilcoxon signed-rank test as appropriate.<h4>Results</h4>The course was appreciated and students reported gained insights and interest in global surgery. Students' ability to reason about global surgery issues was improved after the course. Students considered complicating aspects in the meeting with patients of non-Swedish origin. Students with abroad clinical experience felt less compelled to act on preconceptions.<h4>Discussion</h4>The global surgery course at Karolinska Institutet is appreciated and students gained valuable knowledge. The case-based interviews acted as a catalyst for reflection and showed that students felt insecure as they lacked knowledge about globally common surgical conditions and struggled with generalized preconceptions of patients of non-Swedish origin. To further support students to integrate theoretical knowledge and professional development, we suggest the introduction of problem-based learning.<h4>Conclusion</h4>The ability of the course to inspire students' commitment to global surgery is promising as this engagement is the key to reaching the goal of equitable health globally. Offering such courses is a step towards inspiring and recruiting the future clinicians and researchers needed for expanding the field of global surgery.Sofia KühnerSolvig EkbladJan LarssonJenny LöfgrenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0257297 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sofia Kühner Solvig Ekblad Jan Larsson Jenny Löfgren Global surgery for medical students - is it meaningful? A mixed-method study.
description	<h4>Introduction</h4>There has been an increase in global health courses at medical universities in high-income countries. Their effect on students, however, is poorly understood. In 2016 an elective global surgery course was introduced for medical students at Karolinska Institutet in Sweden. The course includes a theoretical module in Sweden and a two-week clinical rotation in Uganda. The present study aimed to assess the format and determine its effect on students' knowledge of global surgery and approach towards patients of non-Swedish origin.<h4>Method</h4>A mixed-methods design was used. Semi-structured case-based interviews were conducted individually with 18 students and analysed using qualitative content analysis. Examination scores and the course evaluation were analysed with Kruskal Wallis one-way analysis of variance, Pearson's Chi-square and a Wilcoxon signed-rank test as appropriate.<h4>Results</h4>The course was appreciated and students reported gained insights and interest in global surgery. Students' ability to reason about global surgery issues was improved after the course. Students considered complicating aspects in the meeting with patients of non-Swedish origin. Students with abroad clinical experience felt less compelled to act on preconceptions.<h4>Discussion</h4>The global surgery course at Karolinska Institutet is appreciated and students gained valuable knowledge. The case-based interviews acted as a catalyst for reflection and showed that students felt insecure as they lacked knowledge about globally common surgical conditions and struggled with generalized preconceptions of patients of non-Swedish origin. To further support students to integrate theoretical knowledge and professional development, we suggest the introduction of problem-based learning.<h4>Conclusion</h4>The ability of the course to inspire students' commitment to global surgery is promising as this engagement is the key to reaching the goal of equitable health globally. Offering such courses is a step towards inspiring and recruiting the future clinicians and researchers needed for expanding the field of global surgery.
format	article
author	Sofia Kühner Solvig Ekblad Jan Larsson Jenny Löfgren
author_facet	Sofia Kühner Solvig Ekblad Jan Larsson Jenny Löfgren
author_sort	Sofia Kühner
title	Global surgery for medical students - is it meaningful? A mixed-method study.
title_short	Global surgery for medical students - is it meaningful? A mixed-method study.
title_full	Global surgery for medical students - is it meaningful? A mixed-method study.
title_fullStr	Global surgery for medical students - is it meaningful? A mixed-method study.
title_full_unstemmed	Global surgery for medical students - is it meaningful? A mixed-method study.
title_sort	global surgery for medical students - is it meaningful? a mixed-method study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/9afd90766b9d4488991fdc762d07a9bb
work_keys_str_mv	AT sofiakuhner globalsurgeryformedicalstudentsisitmeaningfulamixedmethodstudy AT solvigekblad globalsurgeryformedicalstudentsisitmeaningfulamixedmethodstudy AT janlarsson globalsurgeryformedicalstudentsisitmeaningfulamixedmethodstudy AT jennylofgren globalsurgeryformedicalstudentsisitmeaningfulamixedmethodstudy
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Global surgery for medical students - is it meaningful? A mixed-method study.

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