Evidence map›Paper›PMID 40877876›Full record

ArticleBMC medical education2025

Cross-cultural learning during an international exchange program in medical education: a qualitative study.

Karlo J Lizarraga, Christine Zizzi, Natalia Chunga, Luis Miguel Quispe Moore, Jorge Risco, Blanca Valdovinos, Victor Fernandez Macedo, Isabel Camargo Salazar, Ralph Jozefowicz

Abstract read
In one paragraph

Article in BMC medical education, 2025. 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

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

4 citing papers in PubMed.

  1. Article
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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

9 authors.

Karlo J LizarragaDepartment of Neurology, University of Rochester School of Medicine and Dentistry, 4901 Lac De Ville Boulevard, Building D, Suite 120, Rochester, NY, 14618, USA. karlo.lizarraga@gmail.com.ORCID http://orcid.org/0000-0001-9766-6252
Christine ZizziDepartment of Neurology, University of Rochester School of Medicine and Dentistry, 4901 Lac De Ville Boulevard, Building D, Suite 120, Rochester, NY, 14618, USA.ORCID http://orcid.org/0000-0001-9382-0806
Natalia ChungaDepartment of Neurology, University of Rochester School of Medicine and Dentistry, 4901 Lac De Ville Boulevard, Building D, Suite 120, Rochester, NY, 14618, USA.ORCID http://orcid.org/0000-0001-8450-7121
Luis Miguel Quispe MooreFacultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Peru.
Jorge RiscoDepartment of Neurology, University of Rochester School of Medicine and Dentistry, 4901 Lac De Ville Boulevard, Building D, Suite 120, Rochester, NY, 14618, USA.
Blanca ValdovinosDepartment of Neurology, University of Rochester School of Medicine and Dentistry, 4901 Lac De Ville Boulevard, Building D, Suite 120, Rochester, NY, 14618, USA.ORCID http://orcid.org/0000-0003-3740-2137
Victor Fernandez MacedoFacultad de Medicina, Universidad Nacional de San Agustin, Arequipa, Peru.
Isabel Camargo SalazarFacultad de Medicina, Universidad Nacional de San Agustin, Arequipa, Peru.
Ralph JozefowiczDepartment of Neurology, University of Rochester School of Medicine and Dentistry, 4901 Lac De Ville Boulevard, Building D, Suite 120, Rochester, NY, 14618, USA.ORCID http://orcid.org/0009-0005-3435-2439

Funding

School of Medicine and Dentistry, University of Rochester 2023-2025 Andrew W. Mellon Dean's Teaching Fellowship
6 · The paper itself

Abstract

backgroundInternational exchange programs offer unique opportunities to foster mutual cross-cultural learning. The neurology Peru-Rochester exchange program (NeuroPro) was established in 2020 through agreements between the University of Rochester School of Medicine and Dentistry (URSMD) in Rochester, New York, USA, the Universidad Nacional de San Agustin (UNSA), Arequipa, Peru, and the Universidad Nacional Mayor de San Marcos (UNMSM), Lima, Peru. Between 2020 and 2024, six trainees from the URSMD completed structured electives in public hospitals affiliated with the UNSA and the UNMSM, three trainees from the UNSA and three trainees from the UNMSM completed structured electives at the URSMD.

methodsWe explored the cross-cultural learning experiences of the trainees who completed an international elective as part of the NeuroPro. Prior to starting their electives, trainees received guidance to provide written reflections on diagnostic and therapeutic processes, financial decision-making related to patient care, administrative and logistic challenges related to patient care, community engagement, and other experiences they wanted to share. Reflections were collected 1-2 months after elective completion. Reflections underwent an interpretative phenomenological analysis to identify recurrent themes and select representative quotes.

resultsEleven of the 12 trainees provided written reflections. Constructed descriptive themes highlighted by trainees from the URSMD visiting the UNSA and the UNMSM included: (1) educational exposure to infectious diseases, (2) limited access to resources commonly available in the U.S., (3) empiric treatment used for diagnostic purposes, (4) patients and providers sharing social, financial and administrative challenges, and (5) community engagement for fundraising. Constructed descriptive themes highlighted by trainees from the UNSA and the UNMSM visiting the URSMD included: (1) educational exposure to rare diseases, (2) access to costly diagnostic tools and therapies, (3) limited involvement of providers in social, financial and administrative challenges, and (4) limited community engagement in the hospital. Constructed reflective themes highlighted by all trainees included overcoming the language barrier, cross-cultural experiences, and influence in their future practice.

conclusionsInternational exchange programs can provide structured electives that offer cross-cultural immersion and mutually complementary learning experiences.

Indexed as

Cultural CompetencyEducation, MedicalInternational Educational ExchangeNeurologyHumansNew YorkPeruQualitative ResearchCross-cultural learningCultural humilityCultural immersionGlobal healthInternational exchange program

Identifiers

PMID40877876
PMCPMC12392564

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.