Evidence map›Paper›PMID 31760382›Full record

ArticleInternational journal of medical education2019

The international medical elective in Nepal: perspectives from local patients, host physicians and visiting students.

Devon McMahon, Rajeev Shrestha, Biraj Karmacharya, Shrinkhala Shrestha, Rajendra Koju

Abstract read
In one paragraph

Article in International journal of medical education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

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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

4 citing papers in PubMed.

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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

5 authors.

Devon McMahonHarvard Medical School, Boston, MA, USA.
Rajeev ShresthaDepartment of Pharmacology, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Biraj KarmacharyaDepartment of Community Programs, Dhulikhel Hospital-Kathmandu University Hospital, Dhulikhel, Nepal.
Shrinkhala ShresthaDepartment of Community Programs, Dhulikhel Hospital-Kathmandu University Hospital, Dhulikhel, Nepal.
Rajendra KojuDepartment of Cardiology, Dhulikhel Hospital-Kathmandu University Hospital, Dhulikhel, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo understand the impact of the international medical elective (IME) on Nepali patients and physicians alongside visiting European and American medical students.

methodsAt a hospital in Nepal, semi-structured interviews were conducted with 15 patients and 15 physicians about positive and negative experiences with visiting medical students. Likert scale surveys about knowledge of Nepal, clinical competencies, and post-elective feedback were administered to 56 visiting medical students before and after their elective. Interviews were coded using conventional content analysis and surveys were analyzed using descriptive statistics and paired t-tests.

resultsEmergent positive themes from interviews were that visiting students enhanced the reputation of the hospital, afforded financial benefits, improved international collaboration, and increased knowledge, culture and language exchange. However, negative themes were the language barrier and time expended to orient students. Before vs. after the elective, visiting students had increased knowledge of Nepal's healthcare system (M=1.9, SD=0.6 vs. M=3.2, SD=0.6, t

conclusionsThis study demonstrated a variety of benefits and harms of the IME. To improve the IME experience, medical educators should emphasize pre-departure orientation and fostering equitable partnerships between sending and receiving institutions.

Indexed as

International Educational ExchangeAdultClinical CompetenceCommunication BarriersCurriculumEducational MeasurementEducation, MedicalFemaleHumansInterviews as TopicMaleMiddle AgedNepalPhysiciansStudents, MedicalSurveys and Questionnairesglobal healthinternational educational exchangeinternational health electiveinternational medical electivemedical educationmedical electivemedical student educationmedical studentsnepal

Identifiers

PMID31760382
PMCPMC7246114

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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.