Perspectives and Solutions from Clinical Trainees and Mentors Regarding Ethical Challenges During Global Health Experiences
Background: Clinical trainees face challenges throughout short-term experiences in global health (STEGH) that are not routinely addressed. Objectives: Describe common professional and ethical dilemmas faced by clinical trainees and identify gaps and solutions for pre, during, and post-STEGH training...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2020-03-01
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| Series: | Annals of Global Health |
| Online Access: | https://annalsofglobalhealth.org/articles/2721 |
| _version_ | 1818851194232111104 |
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| author | Jennifer Kasper Anita Mulye Ashti Doobay-Persaud Brittany Seymour Brett D. Nelson |
| author_facet | Jennifer Kasper Anita Mulye Ashti Doobay-Persaud Brittany Seymour Brett D. Nelson |
| author_sort | Jennifer Kasper |
| collection | DOAJ |
| description | Background: Clinical trainees face challenges throughout short-term experiences in global health (STEGH) that are not routinely addressed. Objectives: Describe common professional and ethical dilemmas faced by clinical trainees and identify gaps and solutions for pre, during, and post-STEGH training and mentoring. Methods: We conducted a mixed-methods study among trainees and mentors involved in global health. The study utilized focus groups with trainees (November–December 2015) and online surveys of trainees, in-country and stateside faculty mentors (October 2016–April 2017). Results: 85% (17/20) of students reported feeling prepared for their STEGH; however, 59% (23/39) of faculty felt students were unprepared. A majority of both students (90%) and faculty (77%) stated students would likely experience an ethical dilemma during STEGH. Major themes relating to meaningful global health work were elucidated: personal and inter-professional skills; interpersonal networks and collaboration; and awareness of power dynamics and bias. Conclusions: The most common challenges faced by trainees during STEGH related to leadership, bias, ethics and interprofessional collaboration. Redirecting trainee energies from a focus on ‘doing’ and deliverables to attitudes (e.g., humility, professionalism) that cultivate personal and professional growth will help create lifelong global health learners and leaders. |
| first_indexed | 2024-12-19T07:01:09Z |
| format | Article |
| id | doaj.art-4697203053d944d5b84048214b3a4bec |
| institution | Directory Open Access Journal |
| issn | 2214-9996 |
| language | English |
| last_indexed | 2024-12-19T07:01:09Z |
| publishDate | 2020-03-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | Annals of Global Health |
| spelling | doaj.art-4697203053d944d5b84048214b3a4bec2022-12-21T20:31:25ZengUbiquity PressAnnals of Global Health2214-99962020-03-0186110.5334/aogh.27212452Perspectives and Solutions from Clinical Trainees and Mentors Regarding Ethical Challenges During Global Health ExperiencesJennifer Kasper0Anita Mulye1Ashti Doobay-Persaud2Brittany Seymour3Brett D. Nelson4Harvard Medical SchoolNorthwestern Feinberg School of MedicineNorthwestern Feinberg School of MedicineHarvard School of Dental MedicineHarvard Medical SchoolBackground: Clinical trainees face challenges throughout short-term experiences in global health (STEGH) that are not routinely addressed. Objectives: Describe common professional and ethical dilemmas faced by clinical trainees and identify gaps and solutions for pre, during, and post-STEGH training and mentoring. Methods: We conducted a mixed-methods study among trainees and mentors involved in global health. The study utilized focus groups with trainees (November–December 2015) and online surveys of trainees, in-country and stateside faculty mentors (October 2016–April 2017). Results: 85% (17/20) of students reported feeling prepared for their STEGH; however, 59% (23/39) of faculty felt students were unprepared. A majority of both students (90%) and faculty (77%) stated students would likely experience an ethical dilemma during STEGH. Major themes relating to meaningful global health work were elucidated: personal and inter-professional skills; interpersonal networks and collaboration; and awareness of power dynamics and bias. Conclusions: The most common challenges faced by trainees during STEGH related to leadership, bias, ethics and interprofessional collaboration. Redirecting trainee energies from a focus on ‘doing’ and deliverables to attitudes (e.g., humility, professionalism) that cultivate personal and professional growth will help create lifelong global health learners and leaders.https://annalsofglobalhealth.org/articles/2721 |
| spellingShingle | Jennifer Kasper Anita Mulye Ashti Doobay-Persaud Brittany Seymour Brett D. Nelson Perspectives and Solutions from Clinical Trainees and Mentors Regarding Ethical Challenges During Global Health Experiences Annals of Global Health |
| title | Perspectives and Solutions from Clinical Trainees and Mentors Regarding Ethical Challenges During Global Health Experiences |
| title_full | Perspectives and Solutions from Clinical Trainees and Mentors Regarding Ethical Challenges During Global Health Experiences |
| title_fullStr | Perspectives and Solutions from Clinical Trainees and Mentors Regarding Ethical Challenges During Global Health Experiences |
| title_full_unstemmed | Perspectives and Solutions from Clinical Trainees and Mentors Regarding Ethical Challenges During Global Health Experiences |
| title_short | Perspectives and Solutions from Clinical Trainees and Mentors Regarding Ethical Challenges During Global Health Experiences |
| title_sort | perspectives and solutions from clinical trainees and mentors regarding ethical challenges during global health experiences |
| url | https://annalsofglobalhealth.org/articles/2721 |
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