Reflective Practices Among Global Health Fellows in the HEAL Initiative: a Qualitative Study

Jacobs, Zachary G.; Tittle, Robin; Scarpelli, Joseph; Cortez, Karen; Aptekar, Samuel D.; Shamasunder, Sriram

doi:10.1007/s11606-018-4753-7

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…org) or the Simulation for Global Away Rotations (SUGAR) curriculum, which uses written prompts and trained facilitators to teach trainees processing skills that transform ethical conflicts from distressing experiences into learning opportunities. A more immersive approach is taken by the ESIGHT program 51 and the Health, Equity, Action and Leadership (HEAL) Initiative at the University of California-San Francisco, 52 which use in-person simulated experiences with actors to re-create ethical conflicts and reframe reactions into adaptive approaches. In particular for cases involving incongruent external conflicts, case-based simulation via written prompts or acted scenes followed by debriefing, theme analysis, and self-reflection may serve as an invaluable educational tool specific to each sponsoring and host program collaboration.…”

Section: Discussionmentioning

confidence: 99%

American Medical Trainee Perspectives on Ethical Conflicts during a Short-Term Global Health Rotation in Ethiopia: A Qualitative Analysis of 30 Cases

Modlin

Vilorio

Stoff

et al. 2022

The American Journal of Tropical Medicine and Hygiene

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There has been a significant increase in the number of students, residents, and fellows from high-income settings participating in short-term global health experiences (STGHEs) during their medical training. This analysis explores a series of ethical conflicts reported by medical residents and fellows from Emory University School of Medicine in the United States who participated in a 1-month global health rotation in Ethiopia. A constant comparative analysis was conducted using 30 consecutive reflective essays to identify emerging categories and themes of ethical conflicts experienced by the trainees. Ethical conflicts were internal; based in the presence of the visiting trainee and their personal interactions; or external, occurring due to witnessed events. Themes within internal conflicts include issues around professional identity and insufficient preparation for the rotation. External experiences were further stratified by the trainee’s perception that Ethiopian colleagues agreed that the scenario represented an ethical conflict (congruent) or disagreed with the visiting trainee’s perspective (incongruent). Examples of congruent themes included recognizing opportunities for collaboration and witnessing ethical conflicts that are similar to those experienced in the United States. Incongruent themes included utilization of existing resources, issues surrounding informed consent, and differing expectations of clinical outcomes. By acknowledging the frequency and roots of ethical conflicts experienced during STGHEs, sponsors may better prepare visiting trainees and reframe these conflicts as collaborative educational experiences that benefit both the visiting trainee and host providers.

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Section: Discussionmentioning

confidence: 99%

American Medical Trainee Perspectives on Ethical Conflicts during a Short-Term Global Health Rotation in Ethiopia: A Qualitative Analysis of 30 Cases

Modlin

Vilorio

Stoff

et al. 2022

The American Journal of Tropical Medicine and Hygiene

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“…Cases are also the foundation of the Simulation for Global Health Away Rotations (SUGAR) curriculum [ 36 ], which offers structured prompts and facilitator training to guide medical trainees through common emotional reactions encountered during STEGH. Experiential immersion is taken even further by the ESIGHT program [ 37 ] and Health, Equity, and Leadership (HEAL) Initiative [ 38 ] at the University of California, San Francisco, which uses interactive, simulated encounters featuring actors to recreate ethically and emotionally distressing scenarios trainees may confront. While such experiential learning is desirable, access to such resources is limited for all preparing for STEGH.…”

Section: Discussionmentioning

confidence: 99%

An Online Ethics Curriculum for Short-Term Global Health Experiences: Evaluating a Decade of Use

Modlin

DeCamp

Barry

et al. 2022

Annals of Global Health

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Background: Medical students and early career healthcare professionals commonly participate in short-term experiences in global health (STEGH). Objective: The authors evaluate the use of a free-to-access, case-based online curriculum addressing ethical issues trainees should consider prior to engaging in STEGH. Methods: Demographic data and feedback on specific cases were collected from 5,226 respondents accessing the online curriculum between November 1, 2011 and October 31, 2021. Feedback on the curriculum included 5-point Likert scale and open-ended responses. Quantitative data were analyzed using standard descriptive statistics. Qualitative data were independently dual coded and analyzed thematically in NVivo. Findings: The curriculum reached respondents from 106 countries. Undergraduate (36%) and graduate (38%) respondents included those from several different professional specialties. Less than a quarter of all of respondents, less than half with previous global health experience, and one-third with planned future global health experiences had received prior global health ethics training. Overall, the curriculum was highly rated; respondents felt it provided necessary tools to improve their thought processes, confidence, and behavior when encountering ethical issues during STEGH. Areas for curriculum improvement include balancing case specificity with generalizability. Conclusion: This curriculum has met a need for accessible introductory global health ethics education and demonstrates successful use of an online platform in case-based ethics learning.

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Reflective Practices Among Global Health Fellows in the HEAL Initiative: a Qualitative Study

Cited by 2 publications

References 6 publications

American Medical Trainee Perspectives on Ethical Conflicts during a Short-Term Global Health Rotation in Ethiopia: A Qualitative Analysis of 30 Cases

American Medical Trainee Perspectives on Ethical Conflicts during a Short-Term Global Health Rotation in Ethiopia: A Qualitative Analysis of 30 Cases

An Online Ethics Curriculum for Short-Term Global Health Experiences: Evaluating a Decade of Use

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