ArticleHealthcare (Basel, Switzerland)2016
What Are the Ethical Issues Facing Global-Health Trainees Working Overseas? A Multi-Professional Qualitative Study.
Article in Healthcare (Basel, Switzerland), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The ethical experiences of trainees on short-term international trips: a systematic qualitative synthesis.BMC medical education · 2018Pooled it
- Improving the Ethical Permissibility of Medical Electives in Lower-Resource Settings.Developing world bioethics · 2026Article
- Clinical ethical practice and associated factors among health professionals in public hospitals in addis ababa, Ethiopia.Scientific reports · 2026Article
- Exploring the foundations and influences of nurses'moral courage: a scoping review.BMC medical ethics · 2025Article
- Using Reflective Writing to Explore Resident Resilience during Global Health Electives.The American journal of tropical medicine and hygiene · 2022Article
- Global Health Crisis, Global Health Response: How Global Health Experiences Prepared North American Physicians for the COVID-19 Pandemic.Journal of general internal medicine · 2022Article
- Iranian nurses' views on barriers to moral courage in practice: A qualitative descriptive study.BMC nursing · 2021Article
- American Medical Trainee Perspectives on Ethical Conflicts during a Short-Term Global Health Rotation in Ethiopia: A Qualitative Analysis of 30 Cases.The American journal of tropical medicine and hygiene · 2021Article
- Perspectives and Solutions from Clinical Trainees and Mentors Regarding Ethical Challenges During Global Health Experiences.Annals of global health · 2020Article
- Extent, nature and consequences of performing outside scope of training in global health.Globalization and health · 2019Article
- Ethics Simulation in Global Health Training (ESIGHT).MedEdPORTAL : the journal of teaching and learning resources · 2017Article
- Parental Preference Assessment for Vesicoureteral Reflux Management in Children.The Journal of urology · 2017Article
- From Creation to Evaluation: A Comprehensive Global Health Scholars Program for Graduate Medical Education Trainees.Journal of medical education and curricular developmentArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
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.
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Registered trials
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