Next Article in Journal
Treatment of Lower Back Pain—The Gap between Guideline-Based Treatment and Medical Care Reality
Next Article in Special Issue
Finding Common Ground: Environmental Ethics, Social Justice, and a Sustainable Path for Nature-Based Health Promotion
Previous Article in Journal
Association of Mid-Life Changes in Body Size, Body Composition and Obesity Status with the Menopausal Transition
Previous Article in Special Issue
Ethical Issues Surrounding End-of-Life Care: A Narrative Review
Article Menu

Export Article

Open AccessArticle
Healthcare 2016, 4(3), 43; doi:10.3390/healthcare4030043

What Are the Ethical Issues Facing Global-Health Trainees Working Overseas? A Multi-Professional Qualitative Study

Division of Hospital Medicine, University of California San Francisco, San Francisco, CA 94143, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Sampath Parthasarathy
Received: 17 May 2016 / Revised: 24 June 2016 / Accepted: 24 June 2016 / Published: 13 July 2016
(This article belongs to the Special Issue Ethics, Health, and Natural Resources)
View Full-Text   |   Download PDF [389 KB, uploaded 13 July 2016]   |  

Abstract

The aim of this study was to identify global health ethical issues that health professional trainees may encounter during electives or placements in resource-limited countries. We conducted a qualitative study involving focus groups and an interview at the University of California San Francisco. Participants were multi-professional from the Schools of Medicine, Nursing and Pharmacy and had experience working, or teaching, as providers in resource-limited countries. Eighteen participants provided examples of ethical dilemmas associated with global-health outreach work. Ethical dilemmas fell into four major themes relating to (1) cultural differences (informed consent, truth-telling, autonomy); (2) professional issues (power dynamics, training of local staff, corruption); (3) limited resources (scope of practice, material shortages); (4) personal moral development (dealing with moral distress, establishing a moral compass, humility and self awareness). Three themes (cultural differences, professional issues, limited resources) were grouped under the core category of “external environmental and/or situational issues” that trainees are confronted when overseas. The fourth theme, moral development, refers to the development of a moral compass and the exercise of humility and self-awareness. The study has identified case vignettes that can be used for curriculum content for global-health ethics training. View Full-Text
Keywords: global health education; global health training; ethics; global health electives; healthcare education global health education; global health training; ethics; global health electives; healthcare education
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Harrison, J.D.; Logar, T.; Le, P.; Glass, M. What Are the Ethical Issues Facing Global-Health Trainees Working Overseas? A Multi-Professional Qualitative Study. Healthcare 2016, 4, 43.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Healthcare EISSN 2227-9032 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top