Evidence map›Paper›PMID 29221534›Full record

ArticleAnnals of global health

On Becoming a Global Citizen: Transformative Learning Through Global Health Experiences.

Debra K Litzelman, Adrian Gardner, Robert M Einterz, Philip Owiti, Charity Wambui, Jordan C Huskins, Kathleen M Schmitt-Wendholt, Geren S Stone, Paul O Ayuo, Thomas S Inui and 1 more

Erratum issuedAbstract read
In one paragraph

Article in Annals of global health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Putting global health high on the agenda of medical schools.Wiener medizinische Wochenschrift (1946) · 2023
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  19. Long-term impact of Global Health educational experiences in Rome: an attempt of measurement.Archives of public health = Archives belges de sante publique · 2020
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Debra K LitzelmanDepartment of Medicine, Indiana University School of Medicine and Center for Global Health, Indianapolis, IN. Electronic address: dklitzel@iu.edu.
Adrian GardnerDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN; Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Robert M EinterzDepartment of Medicine, Indiana University School of Medicine and Center for Global Health, Indianapolis, IN.
Philip OwitiAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Charity WambuiDepartment of Medicine, Moi University School of Medicine, Eldoret, Kenya.
Jordan C HuskinsDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN.
Kathleen M Schmitt-WendholtRegenstrief Institute, Indianapolis, IN.
Geren S StoneDepartment of Medicine, Massachusetts General Hospital (MGH), Boston, MA; Global Medicine Program, MGH Global Health, Boston, MA.
Paul O AyuoDepartment of Medicine, Moi University School of Medicine, Eldoret, Kenya.
Thomas S InuiDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN.
Rachel A UmorenDepartment of Pediatrics, University of Washington School of Medicine, Seattle, WA.

Funding

Uniting the Formal and Informal Curriculum in a Behavioral and Social Science IntR25AR060994 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI HEADRICK, LINDA ANN, LITZELMAN, DEBRA K · 2011 to 2015
$1.2M
NIAMS NIH HHS R25 AR060994
6 · The paper itself

Abstract

backgroundGlobalization has increased the demand for international experiences in medical education. International experiences improve medical knowledge, clinical skills, and self-development; influence career objectives; and provide insights on ethical and societal issues. However, global health rotations can end up being no more than tourism if not structured to foster personal transformation and global citizenship.

objectiveWe conducted a qualitative assessment of trainee-reported critical incidents to more deeply understand the impact of our global health experience on trainees.

methodsA cross-sectional survey was administered to trainees who had participated in a 2-month elective in Kenya from January 1989 to May 2013. We report the results of a qualitative assessment of the critical incident reflections participants (n = 137) entered in response to the prompt, "Write about one of your most memorable experiences and explain why you chose to describe this particular one." Qualitative analyses were conducted using thematic analysis and crystallization immersion analytic methods based on the principles of grounded theory, employing a constructivists' research paradigm.

findingsFour major themes emerged. These themes were Opening Oneself to a Broader World View; Impact of Suffering and Death; Life-Changing Experiences; and Commitment to Care for the Medically Underserved.

conclusionsCircumstances that learners encounter in the resource-scarce environment in Kenya are eye-opening and life-changing. When exposed to these frame-shifting circumstances, students elaborate on or transform existing points of view. These emotionally disruptive experiences in an international health setting allowed students to enter a transformational learning process with a global mind. Students can see the world as an interdependent society and develop the capacity to advance both their enlightened self-interest and the interest of people elsewhere in the world as they mature as global citizens. Medical schools are encouraged to foster these experiences by finding ways to integrate them into curriculum.

Indexed as

Clinical ClerkshipEducation, Medical, GraduateEducation, Medical, UndergraduateStudents, MedicalAdultAttitude of Health PersonnelCross-Sectional StudiesFemaleGlobal HealthHealthcare DisparitiesHealth ResourcesHumansInternational Educational ExchangeKenyaMaleMedically Underserved Areaglobal healthglobal health experiencemedical educationstudent experiencetraining

Identifiers

PMID29221534
PMCPMC5726429

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.