Global Health in Canadian Medical Education: Current Practices and Opportunities

Izadnegahdar, Rasa; Correia, Shauna; Ohata, Brent; Kittler, Anne F.; Kuile, Sonia ter; Vaillancourt, Samuel; Saba, Nicole; Brewer, Timothy F.

doi:10.1097/acm.0b013e31816095cd

Cited by 131 publications

(126 citation statements)

References 7 publications

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“…Although no similar information is available for medical students across Canada, these results should be of concern, given that McGill University stands slightly above the Canadian average in terms of global health training offered. 1 This unmet student demand illustrates the importance of supplementing available opportunities for global health exposure.…”

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confidence: 99%

“…Over the past decade, global surgery has become increasingly popular among medical students, many of whom hope to translate their interest into active participation. 1 Despite these developments, current opportunities for medical student exposure and involvement in global surgery remain limited. In the absence of uniform guidelines regarding global health teaching, experiences vary significantly, and dissatisfaction rates remain high, with 41% of graduating American medical students finding their global health curriculum inadequate.…”

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confidence: 99%

“…In the absence of uniform guidelines regarding global health teaching, experiences vary significantly, and dissatisfaction rates remain high, with 41% of graduating American medical students finding their global health curriculum inadequate. 1,2 There are also important limitations to global health electives as currently offered; these range from prohibitive cost to lack of organizational support from medical faculties. 1 In this context, it becomes important to seek complementary opportunities for student exposure to global health and surgery.…”

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confidence: 99%

“…1,2 There are also important limitations to global health electives as currently offered; these range from prohibitive cost to lack of organizational support from medical faculties. 1 In this context, it becomes important to seek complementary opportunities for student exposure to global health and surgery. Based on our experience with student participation in the 2011 Bethune Round Table, we suggest that global surgery conferences can serve as key adjuncts to undergraduate medical education, helping to inform, motivate and integrate students into the global surgery community.…”

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confidence: 99%

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Enhancing medical students’ education and careers in global surgery

Gosselin-Tardif

Butler‐Laporte

Vassiliou

et al. 2014

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Enhancing medical students’ education and careers in global surgery

Gosselin-Tardif

Butler‐Laporte

Vassiliou

et al. 2014

cjs

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“…49 For sites offering opportunity for direct patient care experiences, it can be advantageous to describe orientation procedures aimed toward integrating the student in the site, schedules for clinical work, problem identification and feedback provision, involvement of site personnel in evaluations, and type of activities such as community public health or medical care activities, and health education provision. 50 …”

Section: Standard Description Of Site/institutionmentioning

confidence: 99%

Current Practices in Global/International Advanced Pharmacy Practice Experiences: Home/Host Country or Site/Institution Considerations

Alsharif

Dakkuri

Abrons

et al. 2016

American Journal of Pharmaceutical Education

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International outreach by schools and colleges of pharmacy is increasing. In this paper, we provide current practice guidelines to establish and maintain successful global/international advanced pharmacy practice experiences (G/I APPEs) with specific recommendations for home/host country and host site/institution. The paper is based on a literature review (2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014) in databases and Internet searches with specific keywords or terms. Educational documents such as syllabi and memoranda of understanding (MoUs) from pharmacy programs were also examined. In addition, a preliminary draft was developed and the findings and recommendations were reviewed in a 90-minute roundtable discussion at the 2014 American Association of Colleges of Pharmacy Annual Meeting. Recommendations for the host country include travel considerations (eg, passport, visa, air travel), safety, housing, transportation, travel alerts and warnings, health issues, and financial considerations. For the home country, considerations for establishment of G/I APPE site (eg, vetting process, MoU, site expectations) are described. The paper is a resource for development of new G/I APPEs and provides guidance for continuous quality improvement of partnerships focusing on G/I pharmacy education.

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Mutually Beneficial Global Health Electives

Mosepele¹,

Lyon²,

Dine³

2010

AMA Journal of Ethics

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Adina and Jessica are third-year medical students on the same team during their medicine rotation. One day at lunch, Jessica begins to tell Adina about her plans to do a global health elective over their summer break. After a year of clerkships, she is excited to travel to Thailand to see the way medicine works in a developing nation. She thinks going abroad will strengthen her residency application and give her an opportunity to practice clinical procedures and skills that she rarely gets a chance to use in the United States.Adina, who was born and grew up in Ethiopia, questions Jessica's decision to spend her summer visiting hospitals abroad. Adina deplored the programs that sent medical trainees into her home village when she was younger. She explains that many local people felt that the foreign students who came to their village for short periods of time actually placed a burden on the health care system rather than contributing to improving care. She tells Jessica about how her uncle, a pediatrician, met several students who rotated through his hospital. They came into the community, lived in a group apart from the people, and barely interacted at all with the local clinicians. When they were in the hospital, they frequently needed a lot of translating assistance to communicate with patients and figure out what resources were locally available in the hospital or the town. Adina's uncle was also shocked that foreign students were often allowed to take on tasks above their level of training, although this tended to be viewed by the local people as an opportunity to help the students by allowing them to practice their skills. This took up nursing and support staff time, distracted from the education and training of local clinicians, and further stressed an already resourcestrapped system.The visitors also failed to try to understand the local culture. Adina's uncle had told her, for example, that the visiting students, used to a time-and appointment-driven system in the United States, got very frustrated and even angry when patients did not show up exactly on time or were annoyed when patients' families accompanied them to visits, a crucial support system in the culture. The superficial working relationship between the local and foreign students and clinicians was weakened further when the visiting students skipped work to travel or sightsee.

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Global Health in Canadian Medical Education: Current Practices and Opportunities

Cited by 131 publications

References 7 publications

Enhancing medical students’ education and careers in global surgery

Enhancing medical students’ education and careers in global surgery

Current Practices in Global/International Advanced Pharmacy Practice Experiences: Home/Host Country or Site/Institution Considerations

Mutually Beneficial Global Health Electives

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