| Ethical issues encountered by medical students during international health electives. | |
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MedLine Citation:
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PMID: 21649703 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Medical Education 2011: 45: 704-711 Context Medical students increasingly wish to participate in international health electives (IHEs). The authors undertook to understand from the students' perspective the ethical challenges encountered on IHEs in low-resource settings and how students respond to these issues. Methods Semi-structured interviews were conducted with 12 medical students upon their return from an IHE. A purposive sampling strategy was used. Inductive data analysis using a constant comparative technique generated initial codes which were later organised into higher-order themes. Results Five themes relating to ethical issues were identified: (i) uncertainty about how best to help; (ii) perceptions of Western medical students as different; (iii) moving beyond one's scope of practice; (iv) navigating different cultures of medicine, and (v) unilateral capacity building. Conclusions International health electives are associated with a range of ethical issues for students. Students would benefit from formal pre-departure training, which should include an evaluation of their expectations of and motivations for participating in an IHE, careful selection of the IHE from amongst the opportunities available, learning about the local context of the IHE prior to departure, and the exploration and discussion of ethical and professionalism issues. Other factors that would benefit students include having an invested onsite colleague or supervisor, maintaining an ongoing connection with the home institution, and formal debriefing on conclusion of the IHE. |
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Authors:
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Laurie Elit; Matthew Hunt; Lynda Redwood-Campbell; Jennifer Ranford; Naomi Adelson; Lisa Schwartz |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Medical education Volume: 45 ISSN: 1365-2923 ISO Abbreviation: Med Educ Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-06-08 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7605655 Medline TA: Med Educ Country: England |
Other Details:
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Languages: eng Pagination: 704-11 Citation Subset: IM |
Copyright Information:
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© Blackwell Publishing Ltd 2011. |
Affiliation:
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Department of Obstetrics and Gynaecology, McMaster University, Hamilton, Ontario, Canada Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada Centre for Research on Ethics, University of Montreal, Montreal, Quebec, Canada Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada Office of Research, University of Waterloo, Waterloo, Ontario, Canada Department of Anthropology, York University, Toronto, Ontario, Canada. |
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