Surgical Elective in a Developing Country: Ethics and Utility

Memorial Sloan-Kettering Cancer Center, New York, New York
Journal of Surgical Education (Impact Factor: 1.38). 03/2009; 66(2):59-62. DOI: 10.1016/j.jsurg.2008.11.003
Source: PubMed
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    ABSTRACT: Interest is growing in global health among surgical residents and medical students. This article explores the newly developing concept of "global surgery." Providing surgical care to resource-limited populations, often found in low- and middle-income countries, has numerous professional and personal developmental benefits. A significant interest is found among most general surgical residents; however, it is necessary to formalize more exchange programs and fellowships like some institutions have done. Medical schools also should establish similar global clinical electives to channel the exuberance of students, develop properly their global health interests, and expose them early to the realities and health needs of the global population. Current opportunities for medical students and residents are reviewed along with the relevant literature.
    Journal of Surgical Education 05/2010; 67(3):143-8. DOI:10.1016/j.jsurg.2010.03.002 · 1.38 Impact Factor
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    ABSTRACT: Academic global health programs are growing rapidly in scale and number. Students of many disciplines increasingly desire global health content in their curricula. Global health curricula often include field experiences that involve crossing international and socio-cultural borders. Although global health training experiences offer potential benefits to trainees and to sending institutions, these experiences are sometimes problematic and raise ethical challenges. The Working Group on Ethics Guidelines for Global Health Training (WEIGHT) developed a set of guidelines for institutions, trainees, and sponsors of field-based global health training on ethics and best practices in this setting. Because only limited data have been collected within the context of existing global health training, the guidelines were informed by the published literature and the experience of WEIGHT members. The Working Group on Ethics Guidelines for Global Health Training encourages efforts to develop and implement a means of assessing the potential benefits and harms of global health training programs.
    The American journal of tropical medicine and hygiene 12/2010; 83(6):1178-82. DOI:10.4269/ajtmh.2010.10-0527 · 2.70 Impact Factor
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    ABSTRACT: While there is growing interest among residents in participating in international health experiences, it is unclear whether this interest will translate into intentions to pursue a global health career. We aimed to describe overall interest in and career intentions toward global health among interns. We administered an anonymous survey to incoming interns in all specializations during graduate medical education orientation at 3 teaching hospitals affiliated with 2 Midwestern US medical schools in June 2009. Survey domains included demographics, previous global health experiences, interest in and barriers to participating in global health experiences during residency, and plans to pursue a future global health career. Response rate was 87% (299 of 345 residents). The most commonly reported barriers to participating in global health experiences were scheduling (82%) and financial (80%) concerns. Two-thirds of interns (65%) reported they were likely to focus on global health in their future career. Of those envisioning a global health career, 77% of interns reported interest in participating in short, occasional trips in the future; and 23% of interns intended to pursue a part-time or full-time career abroad. Interns committed to a career abroad were more willing to use vacation time (73% vs. 40% of all others, respectively; P < .001) or to personally finance the trip (58% vs. 27% of all others, respectively; P  =  < .001), and were less concerned about personal safety than interns not committed (9% vs. 26% of all others, respectively; P  =  .01). Although a large proportion of incoming interns report interest in global health careers, few are committed to a global health career. Medical educators could acknowledge career plans in global health when developing global health curricula.
    09/2011; 3(3):400-3. DOI:10.4300/JGME-D-10-00168.1
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