Ethical dilemmas during international clinical rotations in global health settings: Findings from a training and debriefing program.
Med Teach
; 40(1): 53-61, 2018 01.
Article
en En
| MEDLINE
| ID: mdl-29094625
ABSTRACT
PURPOSE:
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.METHODS:
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.RESULTS:
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.CONCLUSIONS:
This analysis describes an ethics curriculum that prepares students to face ethical dilemmas during international clinical rotations. It broadens the representation of the dilemmas that students face, and highlights areas for curricular focus and optimization of on-site and post-trip student support resources.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
2_ODS3
Problema de salud:
2_cobertura_universal
/
2_salud_sexual_reprodutiva
Asunto principal:
Estudiantes de Medicina
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Salud Global
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Ética Clínica
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Intercambio Educacional Internacional
Tipo de estudio:
Diagnostic_studies
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Evaluation_studies
/
Prognostic_studies
/
Qualitative_research
Aspecto:
Ethics
Límite:
Humans
Idioma:
En
Revista:
Med Teach
Año:
2018
Tipo del documento:
Article
País de afiliación:
Estados Unidos