Ethical dilemmas during international clinical rotations in global health settings: Findings from a training and debriefing program.

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  • Additional Information
    • NAICS/Industry Codes:
      611699 All Other Miscellaneous Schools and Instruction
      923110 Administration of Education Programs
      611710 Educational Support Services
      611310 Colleges, Universities, and Professional Schools
      611691 Exam Preparation and Tutoring
    • 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. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Author Affiliations:
      1Division of Infectious Diseases, University of California-San Francisco Medical Center, San Francisco, CA, USA
      2Division of General Pediatrics, University of Pennsylvania, Philadelphia, PA, USA
      3Harvard Medical School, Boston, MA, USA
      4Division of Developmental Medicine, Boston Children's Hospital, Boston, MA, USA
      5Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA
    • Full Text Word Count:
      6486
    • ISSN:
      0142-159X
    • Accession Number:
      10.1080/0142159X.2017.1391374
    • Accession Number:
      127505670
  • Citations
    • ABNT:
      PELUSO, M. J. et al. Ethical dilemmas during international clinical rotations in global health settings: Findings from a training and debriefing program. Medical Teacher, [s. l.], v. 40, n. 1, p. 53–61, 2018. DOI 10.1080/0142159X.2017.1391374. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=aph&AN=127505670. Acesso em: 6 jul. 2020.
    • AMA:
      Peluso MJ, Kallem S, Elansary M, Rabin TL. Ethical dilemmas during international clinical rotations in global health settings: Findings from a training and debriefing program. Medical Teacher. 2018;40(1):53-61. doi:10.1080/0142159X.2017.1391374.
    • AMA11:
      Peluso MJ, Kallem S, Elansary M, Rabin TL. Ethical dilemmas during international clinical rotations in global health settings: Findings from a training and debriefing program. Medical Teacher. 2018;40(1):53-61. doi:10.1080/0142159X.2017.1391374
    • APA:
      Peluso, M. J., Kallem, S., Elansary, M., & Rabin, T. L. (2018). Ethical dilemmas during international clinical rotations in global health settings: Findings from a training and debriefing program. Medical Teacher, 40(1), 53–61. https://doi.org/10.1080/0142159X.2017.1391374
    • Chicago/Turabian: Author-Date:
      Peluso, Michael J., Stacey Kallem, Mei Elansary, and Tracy L. Rabin. 2018. “Ethical Dilemmas during International Clinical Rotations in Global Health Settings: Findings from a Training and Debriefing Program.” Medical Teacher 40 (1): 53–61. doi:10.1080/0142159X.2017.1391374.
    • Harvard:
      Peluso, M. J. et al. (2018) ‘Ethical dilemmas during international clinical rotations in global health settings: Findings from a training and debriefing program’, Medical Teacher, 40(1), pp. 53–61. doi: 10.1080/0142159X.2017.1391374.
    • Harvard: Australian:
      Peluso, MJ, Kallem, S, Elansary, M & Rabin, TL 2018, ‘Ethical dilemmas during international clinical rotations in global health settings: Findings from a training and debriefing program’, Medical Teacher, vol. 40, no. 1, pp. 53–61, viewed 6 July 2020, .
    • MLA:
      Peluso, Michael J., et al. “Ethical Dilemmas during International Clinical Rotations in Global Health Settings: Findings from a Training and Debriefing Program.” Medical Teacher, vol. 40, no. 1, Jan. 2018, pp. 53–61. EBSCOhost, doi:10.1080/0142159X.2017.1391374.
    • Chicago/Turabian: Humanities:
      Peluso, Michael J., Stacey Kallem, Mei Elansary, and Tracy L. Rabin. “Ethical Dilemmas during International Clinical Rotations in Global Health Settings: Findings from a Training and Debriefing Program.” Medical Teacher 40, no. 1 (January 2018): 53–61. doi:10.1080/0142159X.2017.1391374.
    • Vancouver/ICMJE:
      Peluso MJ, Kallem S, Elansary M, Rabin TL. Ethical dilemmas during international clinical rotations in global health settings: Findings from a training and debriefing program. Medical Teacher [Internet]. 2018 Jan [cited 2020 Jul 6];40(1):53–61. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=aph&AN=127505670