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

Autor:	Lu PM; Department of Internal Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, US., Park EE; Department of Medicine, Weill Cornell Medical College, New York, NY, US., Rabin TL; Department of Internal Medicine, Yale School of Medicine, New Haven, CT, US., Schwartz JI; Department of Internal Medicine, Yale School of Medicine, New Haven, CT, US., Shearer LS; Department of Medicine, Weill Cornell Medical College, New York, NY, US., Siegler EL; Department of Medicine, Weill Cornell Medical College, New York, NY, US., Peck RN; Department of Medicine, Weill Cornell Medical College, New York, NY, US.
Jazyk:	angličtina
Zdroj:	Annals of global health [Ann Glob Health] 2018 Nov 05; Vol. 84 (4), pp. 692-703. Date of Electronic Publication: 2018 Nov 05.
DOI:	10.9204/aogh.2379
Abstrakt:	Background: The 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. Objectives: The 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. Methods: An 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. Findings: Ten 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. Conclusions: Global 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. Competing Interests: The authors have no competing interests to declare. (© 2019 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.)
Databáze:	MEDLINE
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