Ethical dilemmas during international clinical rotations in global health settings: Findings from a training and debriefing program

Medical Teacher
Michael J PelusoTracy L Rabin

Abstract

This study describes the impact of an open-access, case-based global health ethics workshop and describes the breadth of dilemmas faced by students to inform future interventions. Eighty-two medical students who undertook electives at 16 international sites between 2012 and 2015 received web-based surveys at three time points, incorporating quantitative and free-text probes of knowledge, skills, and attitudes related to global health clinical ethics dilemmas. Sixty students (73%) completed the pre-workshop survey, 38 (46%) completed the post-workshop survey, and 43 (52%) completed the post-trip survey. Analysis demonstrated improvement following the workshop in self-rated preparedness to manage ethical dilemmas abroad, identify ways to prepare for dilemmas, engage support persons, and manage related emotions (all comparisons, p < 0.001). Participants described 245 anticipated or actual dilemmas, comprising nine domains. Nearly one-third of the dilemmas that were experienced involved the student as an active participant. Only 21% of respondents experiencing a dilemma discussed the dilemma with a local support person. This analysis describes an ethics curriculum that prepares students to face ethical dilemmas during international...Continue Reading

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Citations

Apr 17, 2019·Tropical Diseases, Travel Medicine and Vaccines·D Ashley WatsonIan J Woolley
May 24, 2019·BMC Medical Education·Anna KalbarczykBhakti Hansoti
May 21, 2020·BMC Medical Education·Eman AlkahtaniDeepak P Edward
Jun 5, 2021·European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe·Ignacio MacphersonIgnacio Segarra
Sep 26, 2021·Journal of General Internal Medicine·Alexandra L CoriaIngrid Walker-Descartes

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