ArticleBMC medical education2018
Ethical learning on international medical electives: a case-based analysis of medical student learning experiences.
Article in BMC medical education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ethics education to support ethical competence learning in healthcare: an integrative systematic review.BMC medical ethics · 2022Pooled it
- Investigating the Impact of Scenario-Based Moral Concepts Training on the Professional Moral Courage of Nursing Students: A Protocol for a Randomized Controlled Trial.Health science reports · 2025Article
- A scoping review of the ethical impacts of international medical electives on local students and patient care.BMC medical ethics · 2024Article
- Experience of Indonesian medical students of ethical issues during their clinical clerkship in a rural setting.Journal of medical ethics and history of medicine · 2021Article
- Learning Abroad: Residents' Narratives of Clinical Experiences From a Global Health Elective.Journal of graduate medical education · 2019Article
- Healthy, safe and effective international medical student electives: a systematic review and recommendations for program coordinators.Tropical diseases, travel medicine and vaccines · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStudents on international medical electives face complex ethical issues when undertaking clinical work. The variety of elective destinations and the culturally specific nature of clinical ethical issues suggest that pre-elective preparation could be supplemented by in-elective support.
methodsAn online, asynchronous, case-based discussion was piloted to support ethical learning on medical student electives. We developed six scenarios from elective diaries to stimulate peer-facilitated discussions during electives. We evaluated the transcripts to assess whether transformative, experiential learning took place, assessing specifically for indications that 1) critical reflection, 2) reflective action and 3) reflective learning were taking place. We also completed a qualitative thematic content analysis of the discussions.
resultsOf forty-one extended comments, nine responses showed evidence of transformative learning (Mezirow stage three). The thematic analysis identified five themes: adopting a position on ethical issues without overt analysis; presenting issues in terms of their effects on students' ability to complete tasks; describing local contexts and colleagues as "other"; difficulty navigating between individual and structural issues, and overestimation of the impact of individual action on structures and processes.
conclusionResults suggest a need to: frame ethical learning on elective so that it builds on earlier ethical programmes in the curriculum, and encourages students to adopt structured approaches to complex ethical issues including cross-cultural negotiation and to enhance global health training within the curriculum.
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Registered trials
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.