Distributed Learning or Medical Tourism? A Canadian Residency Program’s Experience in Global Health

Kelly, Kate; McCarthy, Anne; McLean, Laurie

doi:10.1016/j.jsurg.2015.01.004

Cited by 5 publications

(4 citation statements)

References 10 publications

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“…93 ethics It is beyond the scope of this report to delve deeply into the literature regarding the ethics of GH engagement, but ethics of short-term GH experiences are an important consideration. Ethical best practices cited in the literature include, but are not limited to, ensuring that motivations for global engagement are ethically sound 45,94 ; aiming to work as part of mutually beneficial, sustainable partnerships 14,22,95 ; considering the burden of the visitors' presence and resource redistribution 15,21,22,37,96,97 ; and strategizing about ways to minimize this burden (eg, longer experiences may allow providers to get beyond the steep learning curve common to these encounters). 98 Providers should realize that their own "standards of care" are often culturally and contextually defined and may not be practical or even feasible for use in the new setting, which may have its own standard way of approaching a clinical or research problem.…”

Section: Culture and Culture Shockmentioning

confidence: 99%

“…One of the important ethical considerations regarding short-term GH experiences pertains to the balance of burdens and opportunities for the hosts (Fig 2). 14,45,95,105 The term hosts is broad and can include the providers directly involved in supervising these experiences, other providers in that setting or in the community who may be affected by the visiting providers' experience, the clinical setting (hospital or clinic), and the patients themselves. Although host providers often endorse enjoying working with visiting providers and report benefits of collaboration and bidirectional teaching, they also report several burdens.…”

Section: Culture and Culture Shockmentioning

confidence: 99%

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Global Health: Preparation for Working in Resource-Limited Settings

et al. 2017

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Trainees and clinicians from high-income countries are increasingly engaging in global health (GH) efforts, particularly in resource-limited settings. Concomitantly, there is a growing demand for these individuals to be better prepared for the common challenges and controversies inherent in GH work. This is a state-of-the-art review article in which we outline what is known about the current scope of trainee and clinician involvement in GH experiences, highlight specific considerations and issues pertinent to GH engagement, and summarize preparation recommendations that have emerged from the literature. The article is focused primarily on short-term GH experiences, although much of the content is also pertinent to long-term work. Suggestions are made for the health care community to develop and implement widely endorsed preparation standards for trainees, clinicians, and organizations engaging in GH experiences and partnerships.

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Section: Culture and Culture Shockmentioning

confidence: 99%

Section: Culture and Culture Shockmentioning

confidence: 99%

Global Health: Preparation for Working in Resource-Limited Settings

et al. 2017

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“…Worldwide training experiences are increasing every year within surgical training programs [9][10][11][12]. South Africa has always been a landmark for surgical training, having adopted the evergreen concept of ''See one, do one, teach one'' [13] that is still shaping generations of doctors.…”

Section: Discussionmentioning

confidence: 99%

Surgical Training in South Africa: An Overview and Attempt to Assess the Training System from the Perspective of Foreign Trainees

et al. 2019

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Background Currently, there are no objective reports evaluating the quality of the South African surgical training. The aim of this study is to evaluate the current state of surgical training in South Africa from an external impartial point of view and to rate the experience of short-term supernumerary registrars and fellows (STSRF) within the South African training system. Methods A 29-item survey was distributed via e-mail and social media to non-South African trainees who worked in South Africa as STSRF for a period of at least 1 month during the past 5 years. The survey evaluated the surgical, clinical and academic training received during their elective period in a South African department. Results Sixty-four STSRF replied to the survey. Sixty-two percent of STSRF attended a trauma unit during their experience. For the majority of respondents, open and emergency surgical exposure, as well as experience as first surgeon, is significantly higher in the South African system, while minimally invasive and endoscopic surgery exposure is significantly less. Research project involvement is significantly less, for the STSRF, as opposed to lectures and teaching that constitute a higher percentage. No significant difference was found regarding exposure to hands-on activities. Conclusions The South African system still provides excellent surgical and clinical exposure as well as teaching. However, minimally invasive surgery training and research are generally lacking for the STSRF. Exchange programs between South African and developed country institutes should be improved and encouraged in order to gain mutual benefits.

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“…The seven CanMEDS roles include medical expert, communicator, collaborator, leader, health advocate, scholar, and professional [3]. A survey evaluating Canadian otolaryngology surgical residents indicated that global health electives may serve as a valuable forum for developing CanMEDS roles [4].…”

Section: Introductionmentioning

confidence: 99%

The impact of a global health elective on CanMEDS competencies and future practice

2020

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Background: There is evidence that participating in global health electives generates positive educational outcomes and personal benefits for medical trainees. The objective of this study was to examine the effect and impact that a global health elective has on CanMEDS competencies and anticipated future practice. Results: The medical expert, collaborator, leader, scholar, and professional CanMEDS competencies were selfperceived to be strongly impacted through this elective. A total of 94% of participants indicated it increased their strengths as a medical expert and leader, 82% indicated a major impact on the scholar competency, 88% of participants reported a strong impact as a professional, and 76% of participants indicated that it strongly impacted them as a collaborator. The majority of participants continue to have involvement in global health, and 88% of respondents found this elective to be influential on their current practice and beliefs. Conclusions: These results suggest that individuals who participated in this global health elective perceived value in their experience. These findings support our hypothesis that participation in this global health elective would generate self-perceived positive impacts. Global health electives may provide an opportunity for physicians to expand on their CanMEDS competencies and become more proficient in caring for diverse patient populations.

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Distributed Learning or Medical Tourism? A Canadian Residency Program’s Experience in Global Health

Cited by 5 publications

References 10 publications

Global Health: Preparation for Working in Resource-Limited Settings

Global Health: Preparation for Working in Resource-Limited Settings

Surgical Training in South Africa: An Overview and Attempt to Assess the Training System from the Perspective of Foreign Trainees

The impact of a global health elective on CanMEDS competencies and future practice

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