Evidence map›Paper›PMID 30779519›Full record

SynthesisAnnals of global health2018

Impact of Global Health Electives on US Medical Residents: A Systematic Review.

Paul M Lu, Elizabeth E Park, Tracy L Rabin, Jeremy I Schwartz, Lee S Shearer, Eugenia L Siegler, Robert N Peck

Abstract readSystematic Review
In one paragraph

Synthesis in Annals of global health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing 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

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

  1. Virtual global health in graduate medical education: a systematic review.International journal of medical education · 2022
    Pooled it
  2. A Multidimensional Assessment of the Impact of Healthcare Volunteering in a War-Affected Setting.European journal of investigation in health, psychology and education · 2026
    Article
  3. Importance of Global Health Opportunities in Residency Selection Among Otolaryngology Applicants.World journal of otorhinolaryngology - head and neck surgery · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
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  9. Article
  10. Article
  11. Article
  12. Review
  13. Enhancing Perspective in Global Health: A Case Study on an International Ophthalmology Partnership.MedEdPORTAL : the journal of teaching and learning resources · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Evaluation of Safety of Medical Trainees on Global Health Rotations.The American journal of tropical medicine and hygiene · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Paul M LuDepartment of Internal Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, US.
Elizabeth E ParkDepartment of Medicine, Weill Cornell Medical College, New York, NY, US.
Tracy L RabinDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, US.
Jeremy I SchwartzDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, US.
Lee S ShearerDepartment of Medicine, Weill Cornell Medical College, New York, NY, US.
Eugenia L SieglerDepartment of Medicine, Weill Cornell Medical College, New York, NY, US.
Robert N PeckDepartment of Medicine, Weill Cornell Medical College, New York, NY, US.

Funding

Reducing Post-Hospital Mortality in HIV-Infected Adults in TanzaniaR01MH118107 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI PECK, ROBERT N · 2018 to 2022
$2.7M
Hypertension in HIV-Infected Tanzanians: Time Course and PathogenesisK01TW010281 · FIC · WEILL MEDICAL COLL OF CORNELL UNIV · PI PECK, ROBERT N · 2015 to 2019
$689k
FIC NIH HHS K01 TW010281NIH HHS NIH K01 TW010281-01NIMH NIH HHS NIH R01 MH118107-01NIMH NIH HHS R01 MH118107
6 · The paper itself

Abstract

backgroundThe prevalence of global health in graduate medical education in the United States (US) has soared over the past two decades. The majority of US internal medicine and pediatric residency programs now offer global health electives abroad. Despite the prevalence of global health electives among US graduate medical programs today, challenges exist that may impact the experience for visiting trainees and/or host institutions. Previous reviews have predominately focused on experiences of undergraduate medical students and have primarily described positive outcomes.

objectivesThe aim of this study was to summarize the overall impact of global health electives on US internal medicine, medicine-pediatric, and pediatric residents, paying specific attention to any negative themes reported in the literature.

methodsAn Ovid MEDLINE and Ovid EMBASE literature search was conducted to identify studies that evaluated the effects of global health electives on US internal medicine, medicine-pediatric, and pediatric residents.

findingsTen studies were included. Four positive themes emerged: (1) improvement of medical knowledge, physical examination, and procedural skills, (2) improvement in resourcefulness and cost-effectiveness, (3) improvement in cultural and interpersonal competence, and (4) professional and career development. Two negative themes were identified: (1) health risks and (2) safety risks.

conclusionsGlobal health electives provide a number of perceived benefits for US medical trainees; however, we importantly highlight health and safety concerns described while abroad. Global health educators should recognize the host of unique challenges experienced during a global health elective and investigate how to best mitigate these concerns. Incorporation of mandatory pre-, intra-, and post-elective training programs and establishment of universally adopted global health best practice guidelines may serve to address some the challenges visiting trainees encounter while abroad.

Indexed as

Education, Medical, GraduateGlobal HealthHumansInternship and ResidencyStudents, MedicalUnited States

Identifiers

PMID30779519
PMCPMC6748170

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.