Abstract:
CONTEXT:Electives are part of most Western medical school curricula. It is estimated that each year 3000-4000 undergraduate medical students from the UK alone undertake an elective in a developing country. The impact of these electives has given some cause for concern, but the views of elective hosts are largely missing from the debate. OBJECTIVES:The purpose of this study was to evaluate the organisation, outcomes and impacts of medical electives in sub-Saharan Africa from a host perspective. METHODS:A qualitative analysis of 14 semi-structured interviews with elective hosts at seven elective sites in Malawi, Zambia and Tanzania was carried out. A framework analysis approach was used to analyse 483 minutes of audio-recorded data. RESULTS:Hosts were committed to providing elective experiences but their reasons for doing so varied considerably, in particular between urban or teaching hospitals and rural or mission hospitals. Nurturing a group of professionals who will understand the provision of health care from a global perspective was the main reason reported for hosting an elective, along with generating potential future staff. Hosts argued that the quality of supervision should be judged according to local context. Typical concerns cited in the literature with reference to clinical activities, safety and ethics did not emerge as issues for these hosts. However, in under-resourced clinical contexts, the training of local students sometimes had to take priority. Electives could be improved with greater student preparation and some contribution from sending institutions to support teaching, supervision or patient care. CONCLUSIONS:The challenge to both students and their sending institutions is to progress towards giving something proportionate back in return for the learning experiences received. There is clearly room to improve electives from the hosts' perspective, but individually host institutions lack the opportunity or ability to achieve change.
journal_name
Med Educjournal_title
Medical educationauthors
Kumwenda B,Dowell J,Daniels K,Merrylees Ndoi
10.1111/medu.12727subject
Has Abstractpub_date
2015-06-01 00:00:00pages
623-33issue
6eissn
0308-0110issn
1365-2923journal_volume
49pub_type
杂志文章abstract:CONTEXT:Complete reporting of research is essential to enable consumers to accurately appraise, interpret and apply findings. Quality appraisal checklists are giving way to tools that judge the risk for bias. OBJECTIVES:We sought to determine the prevalence of these complementary aspects of research reports (completen...
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pub_type: 杂志文章
doi:10.1111/medu.13130
更新日期:2017-01-01 00:00:00
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journal_title:Medical education
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journal_title:Medical education
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journal_title:Medical education
pub_type: 杂志文章
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pub_type: 历史文章,杂志文章
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更新日期:2005-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1993.tb00259.x
更新日期:1993-05-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2008-05-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:1993-01-01 00:00:00
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更新日期:1987-07-01 00:00:00