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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    • "Panos et al. (2002) cited concerns surrounding remote and offsite supervision, specifically with regard to maintenance of confidentiality when supervision is provided primarily by phone or videoconferencing. Additional challenges related to student travel include high costs, adequate housing, quality control of training programmes abroad, and health and safety risks (Kingham et al., 2009). "
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    ABSTRACT: International fieldwork placements (IFPs) have become very popular among healthcare students including those in occupational therapy programmes. There are many potential benefits that can accrue to the students; however, there are critiques of international placements especially for students going to underserviced areas. The purpose of this paper is to provide a case study/model programme description that critically reflects on six partnerships in three underserviced countries that provide IFPs to students from one Canadian university. The personal opinions of each partner were collected verbally, by email and by a qualitative review of the past 10 years of partnership interaction. Some of the benefits reported by partners include the development of an increased number of sustainable long-term quality placements, orientation materials, student supports and the involvement of university faculty in research and capacity building projects in partner countries. A number of challenges were identified including the need for an expanded formal agreement, more bilateral feedback and examination of supervision models. This paper examines a limited number of partnerships with only one Canadian partner. Direct input of students is not utilized, although feedback given to co-authors by students is reflected. More research is needed on perspectives of partners in IFPs, impact of IFPs on clinical practice in student's home countries, impact of IFPS on underserviced areas and effective strategies for debriefing. Copyright © 2013 John Wiley & Sons, Ltd.
    Occupational Therapy International 06/2013; 20(2):85-93. DOI:10.1002/oti.1352 · 0.78 Impact Factor
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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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