On Becoming a Global Citizen: Transformative Learning Through Global Health Experiences

<p>Background</p><p>Globalization has increased the demand for international experiences in medical education. International experiences improve medical knowledge, clinical skills, and self-development; influence career objectives; and provide insights on ethical and societal issue...

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Autores principales:	Debra K. Litzelman, Adrian Gardner, Robert M. Einterz, Philip Owiti, Charity Wambui, Jordan C. Huskins, Kathleen M. Schmitt-Wendholt, Geren S. Stone, Paul O. Ayuo, Thomas S. Inui, Rachel A. Umoren
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2017
Materias:	global health global health experience medical education student experience training Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/ffbeb93d177047d9bfb9fdd031db1c89
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spelling	oai:doaj.org-article:ffbeb93d177047d9bfb9fdd031db1c892021-12-02T07:46:49ZOn Becoming a Global Citizen: Transformative Learning Through Global Health Experiences2214-999610.1016/j.aogh.2017.07.005https://doaj.org/article/ffbeb93d177047d9bfb9fdd031db1c892017-08-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/176https://doaj.org/toc/2214-9996<p>Background</p><p>Globalization has increased the demand for international experiences in medical education. International experiences improve medical knowledge, clinical skills, and self-development; influence career objectives; and provide insights on ethical and societal issues. However, <a title="Learn more about Global Health" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/global-health">global health</a> rotations can end up being no more than tourism if not structured to foster personal transformation and global citizenship.</p><p>Objective</p><p>We conducted a qualitative assessment of trainee-reported critical incidents to more deeply understand the impact of our global health experience on trainees.</p><p>Methods</p><p>A <a title="Learn more about Cross Sectional Study" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/cross-sectional-study">cross-sectional survey</a> was administered to trainees who had participated in a 2-month elective in Kenya from January 1989 to May 2013. We report the results of a qualitative assessment of the critical incident reflections participants (n = 137) entered in response to the prompt, “Write about one of your most memorable experiences and explain why you chose to describe this particular one.” Qualitative analyses were conducted using thematic analysis and crystallization immersion analytic methods based on the principles of grounded theory, employing a constructivists' research paradigm.</p><p>Findings</p><p>Four major themes emerged. These themes were 'Opening Oneself to a Broader World View'; 'Impact of Suffering and Death; Life-Changing Experiences'; and 'Commitment to Care for the Medically Underserved'.</p><p>Conclusions</p>Circumstances that learners encounter in the resource-scarce environment in Kenya are 'eye-opening' and 'life-changing'. When exposed to these frame-shifting circumstances, students elaborate on or transform existing points of view. These emotionally disruptive experiences in an international health setting allowed students to enter a transformational learning process with a global mind. Students can see the world as an interdependent society and develop the capacity to advance both their enlightened self-interest and the interest of people elsewhere in the world as they mature as global citizens. Medical schools are encouraged to foster these experiences by finding ways to integrate them into curriculum.Debra K. LitzelmanAdrian GardnerRobert M. EinterzPhilip OwitiCharity WambuiJordan C. HuskinsKathleen M. Schmitt-WendholtGeren S. StonePaul O. AyuoThomas S. InuiRachel A. UmorenUbiquity Pressarticleglobal healthglobal health experiencemedical educationstudent experiencetrainingInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 83, Iss 3-4, Pp 596-604 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	global health global health experience medical education student experience training Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	global health global health experience medical education student experience training Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Debra K. Litzelman Adrian Gardner Robert M. Einterz Philip Owiti Charity Wambui Jordan C. Huskins Kathleen M. Schmitt-Wendholt Geren S. Stone Paul O. Ayuo Thomas S. Inui Rachel A. Umoren On Becoming a Global Citizen: Transformative Learning Through Global Health Experiences
description	<p>Background</p><p>Globalization has increased the demand for international experiences in medical education. International experiences improve medical knowledge, clinical skills, and self-development; influence career objectives; and provide insights on ethical and societal issues. However, <a title="Learn more about Global Health" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/global-health">global health</a> rotations can end up being no more than tourism if not structured to foster personal transformation and global citizenship.</p><p>Objective</p><p>We conducted a qualitative assessment of trainee-reported critical incidents to more deeply understand the impact of our global health experience on trainees.</p><p>Methods</p><p>A <a title="Learn more about Cross Sectional Study" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/cross-sectional-study">cross-sectional survey</a> was administered to trainees who had participated in a 2-month elective in Kenya from January 1989 to May 2013. We report the results of a qualitative assessment of the critical incident reflections participants (n = 137) entered in response to the prompt, “Write about one of your most memorable experiences and explain why you chose to describe this particular one.” Qualitative analyses were conducted using thematic analysis and crystallization immersion analytic methods based on the principles of grounded theory, employing a constructivists' research paradigm.</p><p>Findings</p><p>Four major themes emerged. These themes were 'Opening Oneself to a Broader World View'; 'Impact of Suffering and Death; Life-Changing Experiences'; and 'Commitment to Care for the Medically Underserved'.</p><p>Conclusions</p>Circumstances that learners encounter in the resource-scarce environment in Kenya are 'eye-opening' and 'life-changing'. When exposed to these frame-shifting circumstances, students elaborate on or transform existing points of view. These emotionally disruptive experiences in an international health setting allowed students to enter a transformational learning process with a global mind. Students can see the world as an interdependent society and develop the capacity to advance both their enlightened self-interest and the interest of people elsewhere in the world as they mature as global citizens. Medical schools are encouraged to foster these experiences by finding ways to integrate them into curriculum.
format	article
author	Debra K. Litzelman Adrian Gardner Robert M. Einterz Philip Owiti Charity Wambui Jordan C. Huskins Kathleen M. Schmitt-Wendholt Geren S. Stone Paul O. Ayuo Thomas S. Inui Rachel A. Umoren
author_facet	Debra K. Litzelman Adrian Gardner Robert M. Einterz Philip Owiti Charity Wambui Jordan C. Huskins Kathleen M. Schmitt-Wendholt Geren S. Stone Paul O. Ayuo Thomas S. Inui Rachel A. Umoren
author_sort	Debra K. Litzelman
title	On Becoming a Global Citizen: Transformative Learning Through Global Health Experiences
title_short	On Becoming a Global Citizen: Transformative Learning Through Global Health Experiences
title_full	On Becoming a Global Citizen: Transformative Learning Through Global Health Experiences
title_fullStr	On Becoming a Global Citizen: Transformative Learning Through Global Health Experiences
title_full_unstemmed	On Becoming a Global Citizen: Transformative Learning Through Global Health Experiences
title_sort	on becoming a global citizen: transformative learning through global health experiences
publisher	Ubiquity Press
publishDate	2017
url	https://doaj.org/article/ffbeb93d177047d9bfb9fdd031db1c89
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On Becoming a Global Citizen: Transformative Learning Through Global Health Experiences

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