Bidirectional Exchanges of Medical Students Between Institutional
                        Partners in Global Health Clinical Education Programs: Putting Ethical
                        Principles into Practice

Rohrbaugh, Robert M.; Kellett, Anne; Peluso, Michael J.

doi:10.1016/j.aogh.2016.04.671

Cited by 26 publications

(37 citation statements)

References 23 publications

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“…Over time, unidirectional programs gave way to bidirectional opportunities [567], and institutions in LMICs expanded opportunities in “away” settings within their own countries, other LMICs, and HICs. Evidence showed that students from LMICs experience GHE in similar ways to students from HICs, despite their different frames of origin [8].…”

Section: The Era Of Globalism In Which Ghe Programs Developed Has Endedmentioning

confidence: 99%

“…Crucially, this has been shown to be true for all participants [578910], regardless of whether they are a Kenyan student rotating in the U.S., a Canadian student rotating in China, or a student from Delhi, India rotating in Nagpur, India. It may also be true whether their goal is to work at a nationally funded tuberculosis clinic in London, a community health center in rural Australia, or an academic cancer hospital in Los Angeles [578910].…”

Section: What Is the Value Of Ghe In An Era Of Rising Anti-global Senmentioning

confidence: 99%

“…It may also be true whether their goal is to work at a nationally funded tuberculosis clinic in London, a community health center in rural Australia, or an academic cancer hospital in Los Angeles [578910]. …”

Section: What Is the Value Of Ghe In An Era Of Rising Anti-global Senmentioning

confidence: 99%

“…It is crucial that GHE programs promote reciprocity and, ideally, bidirectionality [56710]. The prevalence of such programs is unknown.…”

Section: How Must Ghe Change To Ensure It Remains Relevant?mentioning

confidence: 99%

“…As evidence that individuals from LMICs engaged in GHE experience similar benefits as those from HICs grows [810], these values should ensure equitable access to GHE experiences. At the institutional level, academic partnerships should attempt to demonstrate concrete outcomes like transfers of clinical knowledge and education activities that benefit both partners [7]. …”

Section: How Must Ghe Change To Ensure It Remains Relevant?mentioning

confidence: 99%

See 4 more Smart Citations

Socially Accountable Global Health Education Amidst Political Uncertainty and Reactionary Nationalism: A Value Proposition and Recommendations for Action

Peluso

DeLuca

Dagna

et al. 2019

Annals of Global Health

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Section: The Era Of Globalism In Which Ghe Programs Developed Has Endedmentioning

confidence: 99%

Section: What Is the Value Of Ghe In An Era Of Rising Anti-global Senmentioning

confidence: 99%

Section: What Is the Value Of Ghe In An Era Of Rising Anti-global Senmentioning

confidence: 99%

“…It is crucial that GHE programs promote reciprocity and, ideally, bidirectionality [56710]. The prevalence of such programs is unknown.…”

Section: How Must Ghe Change To Ensure It Remains Relevant?mentioning

confidence: 99%

Section: How Must Ghe Change To Ensure It Remains Relevant?mentioning

confidence: 99%

See 3 more Smart Citations

Socially Accountable Global Health Education Amidst Political Uncertainty and Reactionary Nationalism: A Value Proposition and Recommendations for Action

Peluso

DeLuca

Dagna

et al. 2019

Annals of Global Health

Self Cite

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Qualitative Analysis of the Host‐Perceived Impact of Unidirectional Global Surgery Training in Kijabe, Kenya: Benefits, Challenges, and a Desire for Bidirectional Exchange

et al. 2022

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Background As globalization of surgical training increases, growing evidence demonstrates a positive impact of global surgery experiences on trainees from high-income countries (HIC). However, few studies have assessed the impact of these largely unidirectional experiences from the perspectives of host surgical personnel from low- and middle-income countries (LMIC). This study aimed to assess the impact of unidirectional visitor involvement from the perspectives of host surgical personnel in Kijabe, Kenya. Methods Voluntary semi-structured interviews were conducted with 43 host surgical personnel at a tertiary referral hospital in Kijabe, Kenya. Qualitative analysis was used to identify salient and recurring themes related to host experiences with visiting surgical personnel. Perceived benefits and challenges of HIC involvement and host interest in bidirectional exchange were assessed. Results Benefits of visitor involvement included positive learning experiences (95.3%), capacity building (83.7%), exposure to diverse practices and perspectives (74.4%), improved work ethic (51.2%), shared workload (44.2%), access to resources (41.9%), visitor contributions to patient care (41.9%), and mentorship opportunities (37.2%). Challenges included short stays (86.0%), visitor adaptation and integration (83.7%), cultural differences (67.4%), visitors with problematic behaviors (53.5%), learner saturation (34.9%), language barriers (32.6%), and perceived power imbalances between HIC and LMIC personnel (27.9%). Nearly half of host participants expressed concerns about the lack of balanced exchange between HIC and LMIC programs (48.8%). Almost all (96.9%) host trainees expressed interest in a bidirectional exchange program. Conclusion As the field of global surgery continues to evolve, further assessment and representation of host perspectives is necessary to identify and address challenges and promote equitable, mutually beneficial partnerships between surgical programs in HIC and LMIC.

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Effective Clinical Externships for International Medical Students: A Qualitative Study

Heist,

Torok,

Michael Elnicki

2024

J GEN INTERN MED

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Bidirectional Exchanges of Medical Students Between Institutional Partners in Global Health Clinical Education Programs: Putting Ethical Principles into Practice

Abstract: Access to GHCEs in US partner institutions should be an important underlying ethical principle in the establishment of institutional partnerships. The opportunities available to and experiences of students from LMIC partner institutions are important areas for future GH education research.

Cited by 26 publications

References 23 publications

Socially Accountable Global Health Education Amidst Political Uncertainty and Reactionary Nationalism: A Value Proposition and Recommendations for Action

Socially Accountable Global Health Education Amidst Political Uncertainty and Reactionary Nationalism: A Value Proposition and Recommendations for Action

Qualitative Analysis of the Host‐Perceived Impact of Unidirectional Global Surgery Training in Kijabe, Kenya: Benefits, Challenges, and a Desire for Bidirectional Exchange

Effective Clinical Externships for International Medical Students: A Qualitative Study

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